A implantação do acolhimento no processo de trabalho da equipe de saúde da família de Angicos de Minas em Brasília de Minas: um estudo de caso

Abstract

Objectives: This study aim to characterize the user embracement implementation in a care unit in the city of Brasília de Minas and analyze the speeches of workers and users throughout this. Methods: it is a case study with a qualitative qpproach and the data were collected through participant observation and group discussions with users. A theme categorization was used to analyze the material. Results: The reserch showed that, before the user embracement implementation, the workers functions werw determined by a bureaucratic division, centered in the in the figure of the physician, and the attendance, the arrival of a new physician in the unit and a normative from the secretariat of health had motivated, the team to implement the user embracement in the unit. During ang after the implementetion process, the functions became more flexible, increasing the responsibility of the non-physician practitioners, mostly the nursing staff. The team revealed resistant and complained about the increasing demand. The users had mainly praised about care attainment and its facilitation and humanization. However, the increasing demand and the insuficient amount of offered appointments had partially compromised the access. Conclusions: The user embracement implementation improved the non-physician practioners technical skills use and provided a greater access by users. However, there is still a long way to the user embracement objectives accomplishment: the social production of health.