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Not always yes, not always no: encounters between workers and users at a health unit

ABSTRACT

A peculiarity of working with health is its characteristics of living work in the act, a micropolitical dimension hardly perceived by traditional evaluation instruments. Therefore, the study aimed to characterize how workers deal with the demands brought by users to a Primary Health Care Unit (PHC), through the participant observation, at a 'traditional' PHC of the municipality of São Paulo. The workers' responses were classified in demands met, demands no met and multiple answers to complex situations. It was found that, before the restrictions of the work, workers present a marked self-government to (re)create operating rules of functioning of the unity.

KEYWORDS
Primary Health Care; Health services accessibility; Health services needs and demand; Health centers

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