A Atenção Domiciliar no âmbito do Sistema Único de Saúde: caminhos para pensar a prática na saúde

Abstract

With this dissertation, it was intended to initiate a theoretical-critical discussion about certain elements that pose themselves as limits and potentialities of Home Care within the scope of the Unified Health System, without the intention of exhausting such a complex topic. As health professionals, the study revealed relevant aspects to (re) think about ways of health practices. From the research, it was possible to notice that the growth in health demands is caused by several issues; among them, we highlight demographic and epidemiological issues, aggravated by the compromised access to health services determined by the logic of the Privatist Project. This logic has been advancing, since the 90s, in a scenario of privatization, focus and decentralization, increasing the difficulties faced by families in their daily lives, especially in the daily care at home, having as a starting point the reflection on the role of social workers in meeting health demands. Based on the qualitative method and guided by Karl Marx's critical social theory, based on historical-dialectical materialism, a bibliographic study was carried out using integrative review and documentary research. In the identification and selection of the analyzed bibliographic material, indexed publications were searched in the Virtual Health Library (VHL) and Scientific Electronic Library Online (SciELO) databases, between April and July 2019, where 19 studies were selected, using the following : descriptors: “home care”; “Home care” and “single health system”. It was observed that Home Care (AD), developed by the Better at Home Program, as a health right in the full perspective, which is in line with the principles of SUS, especially with the universality of access, with primacy for the Health Reform, inscribed current legislation. With due regard for the proportions and limitations discussed above, the AD also serves the administrative political decentralization of SUS, with territorialized service and closer to the social reality in which the user lives. In conclusion, the study contributed to the discussion of the field of Home Care within the scope of the Unified Health System, indicating elements for thinking strategies in the face of the limits and possibilities identified. It is noticed that the debate and the production of knowledge about home care is a privileged one for the production of knowledge in the health area and a useful field for a health practice that articulates the health professions.