The world of work is not automatic: what can operate as a device for managing care in small municipalities?

Authors

DOI:

https://doi.org/10.1590/

Keywords:

delivery of health care, integrality in health, continuity of patient care, local health strategies, local health systems

Abstract

This article intends to explore experiences of devices for the management of care carried out by the management teams of small municipalities that can be learned in the production of knowledge and actions in the Brazilian National Health System. The cartographic approach was used to build the research field in two small municipalities in the state of São Paulo, covering different formal and non-formal health and intersectoral spaces in the period from 2018 to 2020. Analyzers were produced from the experience in the field and discussed in the light of the micropolitics of work and of health care, giving visibility to the fields of dispute, challenges, and powers of small municipalities. articulated with the problematization on the axis of comprehensiveness and of care management. The world of work is in full dispute for the living actors of the Brazilian National Health System, and is crossed by the established and by the hegemonic medical force. The manufacture of care management devices is fundamental to favor displacements and escapes in relation to captures that are many and diverse in the scope of work and care.

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Author Biographies

  • Paula Bertoluci Alves Pereira, Universidade de São Paulo

    Universidade de São Paulo, Faculdade de Saúde Pública, Departamento de Política, Gestão e Saúde. São Paulo, SP, Brasil.

  • Laura Camargo Macruz Feuerwerker, Universidade de São Paulo

    Universidade de São Paulo, Faculdade de Saúde Pública, Departamento de Política, Gestão e Saúde. São Paulo, SP, Brasil.

Published

2024-05-10

Issue

Section

Original research articles

How to Cite

Pereira, P. B. A., & Feuerwerker, L. C. M. (2024). The world of work is not automatic: what can operate as a device for managing care in small municipalities? . Saúde E Sociedade, 32(4), e220849pt. https://doi.org/10.1590/