Perceptions of primary healthcare professionals about quality in the work process

Authors

  • Josiane Fernandes Lozigia Carrapato Universidade Estadual Paulista “Julio de Mesquita Filho”; Faculdade de Medicina
  • Elen Rose Lodeiro Castanheira Universidade Estadual Paulista “Julio de Mesquita Filho”; Faculdade de Medicina
  • Nádia Placideli Universidade Estadual Paulista “Julio de Mesquita Filho”; Faculdade de Medicina

DOI:

https://doi.org/10.1590/s0104-12902018170012

Keywords:

Primary Health Care, Health Services, Quality of Health Care

Abstract

This article describes the cores of social significance identified in the speeches of primary healthcare professionals regarding the quality of the actions performed. This is a case study carried out in two services organized according to different models: a “traditional” unit, with community agents, and one for family healthcare. The interviews and observations are analyzed based on the framework proposed by Vigotsky, dialogically with the literature on the working processes in health care. The results point as the main cores of quality in basic care: reception as interaction between professional and user of the Brazilian National Health System (SUS); diversity of multi-professional and intersectoral offers; community agents as a link between healthcare team and community; and teamwork and democratic management. Even though these aspects are socially understood as cores for quality in primary health care among professionals, there are tensions and contradictions between the legitimized and the instituted as practices.

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Published

2018-06-01

Issue

Section

Articles

How to Cite

Perceptions of primary healthcare professionals about quality in the work process. (2018). Saúde E Sociedade, 27(2), 518-530. https://doi.org/10.1590/s0104-12902018170012