Reflexão sobre o processo de trabalho na Estratégia Saúde da Família (ESF)

Abstract

ESF as the main strategy of the Ministry of Health to reorganize primary health care in Brazil is growing with almost complete coverage in the municipalities of Brazil. It brings so many and complex challenges to overcome in the process of changing the paradigm that guides the health care model that conserves the force and actions of prevention and health promotion. Therefore, this study consists of a literature review to analyze the working process of the ESF establishing its relationship with the principles of the NHS. Thinking about contributing to the reflection in this context, we chose a descriptive qualitative approach on the discourse of the professional literature through the manual and computerized literature search in the database Medline and LILACS using the following keywords: FHP Health Family, Health and Management in Public Health addressed the issue after it was noticed that despite the progress of the strategy there is the persistence of some professionals in the program to maintain a standard in care as the old model, casts, based on epidemiology and inhibiting operation a process of innovative work that feels the real needs of the population and not merely perform procedures.