{"id":{"repo_id":"brazil-ufba","oai_identifier":"oai:repositorio.ufba.br:ri/23567"},"canonical_url":"https://search.dev.ndltd.org/etd/brazil-ufba/oai:repositorio.ufba.br:ri/23567","repository":{"repo_id":"brazil-ufba","name":"Brazil UFBA","base_url":"https://repositorio.ufba.br/oai/request"},"display":{"title":"Organização dos serviços na estratégia de saúde da família com foco na integralidade","abstract":"Since 2004, the Family Health Strategy (FHS) has been implemented in the city of Salvador with the expectation of a new dynamic in the organization of health services system based on principles of accessibility, and completeness longitudinality the care provided by staff Health. However, despite being one of the pioneer cities in the implementation of health reform in Brazil to join the Decentralized System and Unified Health System (SUDS) in 1987, incorporating as a strategy for organizing services for implementation of health districts (DS) has great internal inequalities organize the system of health services, as studies indicate that the weaknesses of the local health system, particularly with regard to the principle of comprehensiveness. Thus, the study aimed to describe why the organization of health services in the city of Salvador ESF is far from the principle of comprehensiveness. The field survey was heard subjects involved in the management of health services in the city. For data collection, we used semi-structured interviews, content analysis allowed the categorization of all the units of meaning. The results showed that, in the municipal context, the construction processes of the NHS and its policies are marked by discontinuity, rights and wrongs in relation to their guidelines. Noteworthy is the great heterogeneity of political and administrative elements which constitute the correlation of forces around the organization of basic health services in the ESF, polarizes in components such as: priority management strategy around the discontinuity political-administrative and spraying of the strategy in the municipality. Added to this the existence of a network of health services disjointed and poorly distributed, weaknesses in the culture of planning as a guiding tool in the organization of basic health services and failing links and working conditions, which reflect the quality interrupts services rendered to population. It is concluded that the organization of health services in the city of Salvador involves contradictory and conflicting elements in all spheres of political and administrative dimension. This situation creates discontinuities, fragmentations that much explain why the distance from the organization of the principle of comprehensive services. Existing structures and mechanisms used by the municipal administration has not contributed to effect the integral attention. The organization of health services in primary care, in particular the ESF, remains distant image-goal of a health system that incorporates the principle of comprehensiveness as one of its structural axes, pointed out that this dimension, but it is a of the great challenges of the SUS.","abstract_html":"Since 2004, the Family Health Strategy (FHS) has been implemented in the city of Salvador with the expectation of a new dynamic in the organization of health services system based on principles of accessibility, and completeness longitudinality the care provided by staff Health. However, despite being one of the pioneer cities in the implementation of health reform in Brazil to join the Decentralized System and Unified Health System (SUDS) in 1987, incorporating as a strategy for organizing services for implementation of health districts (DS) has great internal inequalities organize the system of health services, as studies indicate that the weaknesses of the local health system, particularly with regard to the principle of comprehensiveness. Thus, the study aimed to describe why the organization of health services in the city of Salvador ESF is far from the principle of comprehensiveness. The field survey was heard subjects involved in the management of health services in the city. For data collection, we used semi-structured interviews, content analysis allowed the categorization of all the units of meaning. The results showed that, in the municipal context, the construction processes of the NHS and its policies are marked by discontinuity, rights and wrongs in relation to their guidelines. Noteworthy is the great heterogeneity of political and administrative elements which constitute the correlation of forces around the organization of basic health services in the ESF, polarizes in components such as: priority management strategy around the discontinuity political-administrative and spraying of the strategy in the municipality. Added to this the existence of a network of health services disjointed and poorly distributed, weaknesses in the culture of planning as a guiding tool in the organization of basic health services and failing links and working conditions, which reflect the quality interrupts services rendered to population. It is concluded that the organization of health services in the city of Salvador involves contradictory and conflicting elements in all spheres of political and administrative dimension. This situation creates discontinuities, fragmentations that much explain why the distance from the organization of the principle of comprehensive services. Existing structures and mechanisms used by the municipal administration has not contributed to effect the integral attention. The organization of health services in primary care, in particular the ESF, remains distant image-goal of a health system that incorporates the principle of comprehensiveness as one of its structural axes, pointed out that this dimension, but it is a of the great challenges of the SUS.","abstract_has_math":false,"creators":["Rodrigues Reis, Luciano"],"institution":"ESCOLA DE ENFERMAGEM DA UFBA","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Fagundes, Norma Carapiá"],"committee_chairs":[],"committee_members":[],"year":2012,"date_issued":"2012","date_published":"2012","updated_at":"2026-07-27T22:07:44Z","subjects":["Saúde da Família","Saúde Pública","Integralidade"],"languages":["pt_BR"],"rights":["Acesso Aberto"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://repositorio.ufba.br/ri/handle/ri/23567","outbound_label":"Repository record","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Fagundes, Norma Carapiá"]},{"key":"dc:creator","label":"Author","values":["Rodrigues Reis, Luciano"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2017-07-17T18:27:08Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2017-07-17T18:27:08Z"]},{"key":"dc:date.issued","label":"Date","values":["2012"]},{"key":"dc:type","label":"Dc Type","values":["Dissertação"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Saúde da Família","Saúde Pública","Integralidade"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["pt_BR"]},{"key":"dc:rights","label":"Dc Rights","values":["Acesso Aberto"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://repositorio.ufba.br/ri/handle/ri/23567"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Since 2004, the Family Health Strategy (FHS) has been implemented in the city of Salvador with the expectation of a new dynamic in the organization of health services system based on principles of accessibility, and completeness longitudinality the care provided by staff Health. However, despite being one of the pioneer cities in the implementation of health reform in Brazil to join the Decentralized System and Unified Health System (SUDS) in 1987, incorporating as a strategy for organizing services for implementation of health districts (DS) has great internal inequalities organize the system of health services, as studies indicate that the weaknesses of the local health system, particularly with regard to the principle of comprehensiveness. Thus, the study aimed to describe why the organization of health services in the city of Salvador ESF is far from the principle of comprehensiveness. The field survey was heard subjects involved in the management of health services in the city. For data collection, we used semi-structured interviews, content analysis allowed the categorization of all the units of meaning. The results showed that, in the municipal context, the construction processes of the NHS and its policies are marked by discontinuity, rights and wrongs in relation to their guidelines. Noteworthy is the great heterogeneity of political and administrative elements which constitute the correlation of forces around the organization of basic health services in the ESF, polarizes in components such as: priority management strategy around the discontinuity political-administrative and spraying of the strategy in the municipality. Added to this the existence of a network of health services disjointed and poorly distributed, weaknesses in the culture of planning as a guiding tool in the organization of basic health services and failing links and working conditions, which reflect the quality interrupts services rendered to population. It is concluded that the organization of health services in the city of Salvador involves contradictory and conflicting elements in all spheres of political and administrative dimension. This situation creates discontinuities, fragmentations that much explain why the distance from the organization of the principle of comprehensive services. Existing structures and mechanisms used by the municipal administration has not contributed to effect the integral attention. The organization of health services in primary care, in particular the ESF, remains distant image-goal of a health system that incorporates the principle of comprehensiveness as one of its structural axes, pointed out that this dimension, but it is a of the great challenges of the SUS."]},{"key":"dc:title","label":"Title","values":["Organização dos serviços na estratégia de saúde da família com foco na integralidade"]}]}],"canonical_facts":{"dc:contributor.advisor":["Fagundes, Norma Carapiá"],"dc:creator":["Rodrigues Reis, Luciano"],"dc:date.accessioned":["2017-07-17T18:27:08Z"],"dc:date.available":["2017-07-17T18:27:08Z"],"dc:date.issued":["2012"],"dc:description.abstract":["Since 2004, the Family Health Strategy (FHS) has been implemented in the city of Salvador with the expectation of a new dynamic in the organization of health services system based on principles of accessibility, and completeness longitudinality the care provided by staff Health. However, despite being one of the pioneer cities in the implementation of health reform in Brazil to join the Decentralized System and Unified Health System (SUDS) in 1987, incorporating as a strategy for organizing services for implementation of health districts (DS) has great internal inequalities organize the system of health services, as studies indicate that the weaknesses of the local health system, particularly with regard to the principle of comprehensiveness. Thus, the study aimed to describe why the organization of health services in the city of Salvador ESF is far from the principle of comprehensiveness. The field survey was heard subjects involved in the management of health services in the city. For data collection, we used semi-structured interviews, content analysis allowed the categorization of all the units of meaning. The results showed that, in the municipal context, the construction processes of the NHS and its policies are marked by discontinuity, rights and wrongs in relation to their guidelines. Noteworthy is the great heterogeneity of political and administrative elements which constitute the correlation of forces around the organization of basic health services in the ESF, polarizes in components such as: priority management strategy around the discontinuity political-administrative and spraying of the strategy in the municipality. Added to this the existence of a network of health services disjointed and poorly distributed, weaknesses in the culture of planning as a guiding tool in the organization of basic health services and failing links and working conditions, which reflect the quality interrupts services rendered to population. It is concluded that the organization of health services in the city of Salvador involves contradictory and conflicting elements in all spheres of political and administrative dimension. This situation creates discontinuities, fragmentations that much explain why the distance from the organization of the principle of comprehensive services. Existing structures and mechanisms used by the municipal administration has not contributed to effect the integral attention. The organization of health services in primary care, in particular the ESF, remains distant image-goal of a health system that incorporates the principle of comprehensiveness as one of its structural axes, pointed out that this dimension, but it is a of the great challenges of the SUS."],"dc:identifier.uri":["http://repositorio.ufba.br/ri/handle/ri/23567"],"dc:language.iso":["pt_BR"],"dc:rights":["Acesso Aberto"],"dc:subject":["Saúde da Família","Saúde Pública","Integralidade"],"dc:title":["Organização dos serviços na estratégia de saúde da família com foco na integralidade"],"dc:type":["Dissertação"]},"updated_at":"2026-07-27T22:07:44Z"}