| Autor: |
Meirelles MCP; 3ª Coordenadoria Regional de Saúde, Secretaria da Saúde do Rio Grande do Sul. Av. Borges de Medeiros 1501, 6º andar, Praia de Belas. 90119-900 Porto Alegre RS Brasil. carolinapmeirelles@yahoo.com.br., Kantorski LP; Faculdade de Enfermagem, Universidade Federal de Pelotas. Pelotas RS Brasil. |
| Jazyk: |
portugalština |
| Zdroj: |
Ciencia & saude coletiva [Cien Saude Colet] 2021 Sep; Vol. 26 (9), pp. 4183-4192. Date of Electronic Publication: 2020 Jul 13. |
| DOI: |
10.1590/1413-81232021269.16342020 |
| Abstrakt: |
This paper is a qualitative evaluation of the main results of an evaluation study on management processes of a Psychosocial Care Network, in the light of the Theory of Communicative Action. The data collection included 19 individual semi-structured interviews with participants of the Management Collegiate and 20 hours of participant observation in eight meetings of this collegiate, from May to September 2015, with analysis using a hermeneutic-dialectic approach. The results showed a complex network of psychosocial care with management processes related to instrumental and communicative actions. Instrumental action was demonstrated in discussions about the rigid use of workflows, rules and protocols; prescriptive actions without collective negotiation and without user inclusion; and medicalization based on technical criteria alone. The communicative action was to be seen in actions of agreement on workflows, discussions and case referrals; intersectoral agreements with the judiciary; and deliberations of the Management Collegiate on cases, which are not solved only with a technical approach. The conclusion drawn is that the management processes of a Psychosocial Care Network are guided by communicative action, but also require overcoming an action defined by instrumental actions alone. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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