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It was better before: the real family health1 1 This article was based on the thesis by Patrícia Aparecida da Silva Valadão, Bioethics and work relations between professionals of the Family Health Strategy, as presented to the Post-Graduate Program in Health, Environment and Work of the Federal University of Bahia.

Abstract

The aim of this qualitative study was at evaluating the limitations of the Family Health Strategy (FSH) based on the daily work of its professionals. Individual semi-structured interviews were conducted with 16 professionals from the Family Health team of a municipality in the metropolitan region of Salvador, Bahia. Content analysis, as proposed by Bardin, and the references of the National Policy of Primary Care and the National Policy of Humanization for Primary Care were used. Two categories were identified: primary care (PC) of the Unified Health System (SUS), and co-management and humanization in PC. For the first category, the current context of the PC was emphasized, characterizing hardships present in the daily work of FHS professionals and the challenges in changing the health care model. For the second category, the concrete conditions wherein these practices take place in daily work were highlighted, going against humanization premises. The problems presented demonstrated lack of characterization in PC, contradicted the precepts of the FHS, and revealed challenges in the proposal for reorienting the health care model.

Keywords:
Primary Health Care; Family Health Strategy; Humanization of Assistance

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