Acolhimento na estratégia de saúde da família Fazenda Inglesa no município de Petrópolis/RJ: uma pesquisa de intervenção

Abstract

This master’s dissertation project focuses on welcoming practices within the Family Health Strategy. It is an intervention research study aimed at mobilizing the Fazenda Inglesa Family Health team, located in the Municipality of Petrópolis, State of Rio de Janeiro, to analyze the welcoming process in their unit. Using Pichon-Rivière’s operative group methodology, four group meetings were held. The most prominent emerging themes included: bureaucratization of work, the gateway to care, empathy, active listening, and professional demeanor. Through the collaborative development of a FOFA matrix, the following proposals for change were identified: ensuring a weekly team schedule for home visits alternated between doctors and nurses and for on-site care to assist in microarea 06; exclusive use of electronic medical records by the team; preferential use of tablets by community health agents during home visits; increasing the number of actions related to the School Health Program; providing qualified listening and appropriate user guidance upon their arrival at the unit; better organization of the unit’s records by microarea; and ensuring a monthly meeting between the core team and the E-Multi team for case discussions. The evaluation of the meetings, based on the assessment and monitoring indicators proposed by Pichon-Rivière—affiliation and belonging, pertinence, cooperation, communication, learning, and tele—concluded that the group work was significant as a space for dialogue, teaching-learning, and cooperative construction. It proved to be a tool for personal and work process change among participants, positively reflecting on their professional performance.