Apoio institucional e significação do contrato organizativo de ação pública: o papel da residência multiprofissional numa coordenadoria regional de saúde

Abstract

Objective: to evaluate the institutional support function of a Regional Health Coordination in the process of appropriation of COAP by the municipal health managers, based on the work of the multiprofessional residence. Method: qualitative study with exploratory-descriptive approach. Seven municipal health secretaries, selected by random lottery, participated in this study. Data collection was performed using the semi-structured interview technique, performed individually and recorded. For the analysis of the data the technique of content analysis was used. Results: two units of meaning emerged: the support function of a Regional Health Coordination: activator of institutional changes and multiprofessional residency as a mobilizing tool for the support function. Final considerations: the support provided by CRS and multiprofessional residency had a positive impact on managers' signification and resignification over COAP. The managers understood the importance of this instrument in the organization of the health system, how it can contribute to the effective development of SUS principles and guidelines, and collectively reflected on its role and its responsibility under this contract.