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Embracement as an analyzer of the relationships between professionals, managers and users* Financial support: Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). Process 306190/2014-1. Ministério da Saúde. Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) and Secretaria de Estado da Saúde de São Paulo. Process PPSUS 2014/50037-0. Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES/PROEX). Doctoral fellowship.

La acogida como analizador de las relaciones entre los profesionales, gestores y usuarios

Abstract

OBJECTIVE

Analyzing the relationships among professionals and between professionals with managers and users based on the user embracement analyzer.

METHOD

A qualitative study incorporating the theoretical-methodological reference of institutional analysis. The data were produced through focus groups and organized from transcription, transposition and reconstitution. Seventeen (17) focus group sessions were conducted involving six municipalities and health professionals from various backgrounds.

RESULTS

137 professionals participated in this study. User embracement has been carried out with the aim to organize spontaneous demand. Doctors have not been directly involved, although they have the final say. Intermediate nursing deals with the users and nurses perform important negotiation work among the network sectors. The receptionists and the community agents develop the first approach to the users, forwarding them to nursing to negotiate the service. Managers hope to avoid complaints by attending everyone. Users take advantage of party politics and of the media for services when there is no access.

CONCLUSION

User embracement is an analyzer, since it produces visibility and readability of the relations being produced in health services, and when analyzed can lead to denaturalizing these actions.

Descriptors
User Embracement; Primary Health Care; Interprofessional Relations; Primary Care Nursing

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