Conception of workers in a municipal health network about the service-management relationship

Concepção dos Trabalhadores de uma Rede Municipal de Saúde sobre a Relação Serviço-Gestão

Concepción de los trabajadores de una red de salud municipal sobre la relación servicio-gestión

Abstract

The objective of this work was to understand the conceptions of health professionals about the relationship between management and the different services that constitute the public health network of a municipality in the southeastern region of Brazil. It used the Focus Group (FG) technique for data collection. Three FG were held with an average of 12 participants per meeting, totaling 38 participants. The Lexical Descending Hierarchical Classification analysis was applied with the support of the Iramuteq software. The results outlined four classes: Management-Service Relationship; Daily challenges of services; Sustainability of work in the territory and Prioritization of the user. The relationship between health services and management was marked by hierarchical practices. However, it was possible to verify that there are expectations regarding the establishment of a transversal relationship. Collective spaces and user participation in care management are considered as important elements for co-management.

Keywords:
Unified Health System; Public policy; Health Management