"A gente vai aprendendo": apoio matricial na estratégia de saúde da família em um programa de residência multiprofissional integrada

Abstract

This study aims to examine the construction of the Matrix Support (MS) Family Health (FH) in a Multidisciplinary Residency Program in Integrated Health Care System (MRPIHCS). This is a descriptive, exploratory qualitative approach. Data collection was performed in two stages: a) collect information on the work process and deployment MRPIHCS b) applied semi-structured interview to each of three groups: Professional Team of Reference, MS practitioners and users Key Informant. The results were treated by the documental analysis and content analysis. The proposed integrated work MRPIHCS MS in FH with the majority of residents without experience in public health and without academic training or work with to be supportive matrix. Although already feel exploited after a year and a half of activities, lack of space for dialogue, integration, exchange and case discussions are the main difficulties. And users surveyed still do not know or are not informed about the proposal of the work of MS in FH. Finally, the dialogic space is insufficient even close to its power. It was found that not only provide theoretical support to operationalize the work of matrix support in family health. It is imperative that professionals (residents and service), management (and the municipality of residence) and users have a constant channel of discussion and pacts and recognize how important activity so that we can operationalize the work and mitigate any existing difficulty.