This text is based on the narrative of social actors involved in the management of Niteroi's Family Doctor Program (FDP), whose idea of a family health strategy-centered model appeared in 1992, through its own methodology design, which differs, in some aspects, from the Health Ministry's proposal. It aims at revealing care production modes based on the processes developed by FDP. These refer to the work process which involves the basic team and a team of technical supervisors; care practices centered on health social production conception, setting the surveillance theoretical field as its reference; and the production of new historical subjects, medical professional, and population, based on permanent education practices, performed in the very work environment and oriented to praxis, associated to subjectivation processes triggered by direct contact in the social environment of each population assigned to the teams. Literature on health techno-care models has devoted itself largely to the study of Family Health Program (FHP). As for FDP, which was an inspiration for FHP, there is little production available to those who seek other references to the models working with the guideline of linking the clientele to care teams. It is worth recording that FDP and FHP, though inspired in the same surveillance theoretical matrix, in the practice of the GP and on the central guideline of the bond, are different in their constitution and functioning, which explains specific studies of both programs, or change strategies for health producing mode.
Health policy; decentralization; family health