Apoio matricial: revelando potências e fragilidades para produção de efeitos no trabalho em saúde da família durante a implantação de um programa de residência multiprofissional

Abstract

The Multi-professional Residence Program at the Federal University of Santa Maria (PRMISPS/UFSM) recommends that residents are acting in the field of Family Health (FH) from the methodology of Matrix Support (MS) and Reference Team (RT), proposed by the Ministry of Health. This paper aims to reveal the contributions of MS in FH produced under the work of those involved in implementing this program. This is a qualitative study in an inland city of Rio Grande do Sul and is characterized as a case study. The collection of data from the survey was conducted through documentary analysis and semi-structured interviews applied to two segments: professionals of RT and professionals of MS (residents). Data analysis was carried out using the technique of content analysis (thematic analysis), and this is permeated by the experience of residents in the period of payment of the program. The scenario in which the PRMISPS/UFSM was deployed was with significant weaknesses, and supporters had not worked with methodology of MS until then. A new configuration of the MS in FH was proposed, and from this it was possible to reframe the work of MS with the RT, strengthen teamwork and open possibilities for each use their creative potential and creative relationship with the user. Besides co-managing the process of work and care, the exchange of knowledge between teams and professionals in a dialogic interaction contributed to the comprehensive approach of users.