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Enfermería Global

On-line version ISSN 1695-6141

Abstract

SCHIMITH, Maria Denise et al. Work management: implications for care in Primary Health Care. Enferm. glob. [online]. 2015, vol.14, n.38, pp.190-204. ISSN 1695-6141.

Objective: To describe the implications of the management of care work in Primary Health Care. Methods: Qualitative research, a case study. The unit of analysis was one of the Family Health Unit of a city in Rio Grande do Sul, Brazil. Observations, interviews with workers and users and research documents and records were made. The data collection period was from February to July 2012 and as directed analysis of a case study. Results: unit management was characterized by lack of listening and uniqueness with the staff and authoritarianism, the team feels abandoned by management and the Community Health Agents by nurses. There is discontinuity in care. Discussion: Managing health needs guided the theme of autonomy and responsibility of the employee. The accountability is not an effect of post modernity. The management of labor is related to continuity of care. Conclusions: The concepts of human plurality and potential power can assist in building a more humane work environment. It looks to the integration with the community as a way to transform reality. The search for the theme should be responsible for the production of health and the other, individually or collectively.

Keywords : health management; primary health care; family health program; unified health system.

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