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vol.24 suppl.1Trabalho criativo e cuidado em saúde: um debate a partir dos conceitos de servidão e liberdadeVariations of the social: some reflections on public health, social research and the health-society relation índice de autoresíndice de assuntospesquisa de artigos
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Saúde e Sociedade

versão impressa ISSN 0104-1290versão On-line ISSN 1984-0470


SPINK, Mary Jane P.. Clients, citizens, patients: considerations about the multiple logics of care in health services. Saude soc. [online]. 2015, vol.24, suppl.1, pp.115-123. ISSN 0104-1290.

The aim of this essay is to contribute to the discussion about care in health services, bringing to fore theoretical positions derived from discursive psychology in dialogue with actor-network theory. Based on the contributions of the philosopher Annemarie Mol, we propose that a diversity of logics of care is present in the interactions between professionals and people that seek health care. Mol makes a contrast between two ways of dealing with disease: the logic of care and the logic of choice, and, more specifically, two modalities of choice: the market version, where patients are considered as clients, and the civic version where patients are citizens that have rights. As heath practice is a heterogeneous network of actors, these different logics are mobilized at different moments positioning professionals and users sometimes as patients, as citizens and yet at other times as consumers of products and services. We conclude the essay with the provocation that we must learn to live with the polysemy of repertoires that circulate in the spaces we inhabit in our everyday lives and with the fluidity of positioning games: recognize from what person positions our interlocutors speak and in what positions we are placed.

Palavras-chave : Delivery of Health Care; Interpersonal Relations; Personhood; Humanism.

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