Abstract

FERREIRA, Ricardo Corrêa; CHIRELLI, Mara Quaglio  and  PEREIRA, Alana Geórgia. Abordagem psicológica na atenção básica em saúde: da fragmentação à integralidade. Rev. Bras. Educ. Med. [online]. 2011, vol.35, n.02, pp.177-185. ISSN 1981-5271.

The Family Health Strategy has been the principal response in the organization of healthcare to narrowly biological, hospital-centered, and mainly curative medical care. This study analyzed how physicians working in primary care under the Family Health Strategy in Brazil conduct comprehensive individual care, with a focus on the psychological dimension in the health-disease process. The study used a qualitative approach. The data were collected with semi-structured interviews and interpreted by means of content analysis (thematic modality), comprising three themes. We found that the approach to the psychological dimension by physicians is developed from the perspective of comprehensiveness in an effort to reconstruct fragmented health practices. However, we observed difficulties and challenges to be overcome by physicians with the clientele, the health team, and management. Comprehensiveness thus emerges as the capacity of professionals to interact with users, thus producing a common ground that allows dialogue between the stakeholders, thereby fostering reorganization of care.

Keywords : Single Health System; Family Health; Comprehensive Health Care.

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