Matrix support strategies: the experience of two Family Health Support Centers (NASFs) in São Paulo, Brazil

Ciência & saúde coletiva
Juliana de Oliveira BarrosSelma Lancman

Abstract

The aim of Family Health Support Centers (NASFs) is to expand and qualify primary health care initiatives. Working together with Family Health Teams (EqSFs) they use matrix support strategies. This paper discusses how NASF professionals develop their work, emphasizing how matrix support approaches are appropriated and incorporated into daily working practices. The results that are presented are based on a case study of the work process of NASFs in a region of the city of São Paulo, Brazil. In order to investigate this issue, specific questions were introduced at different stages of the ergonomic work analysis. The implementation of the NASF, without a review of the guidance documents provided by the EqSF, created the following paradoxes: the different requirements of productivity and the working strategies between the NASF and the EqSF; the different demands of care for the population and different priorities for action, which were reflected in the division of tasks and the time allocated to each of them, etc. The practices that have been accumulated since the creation of the NASF suggests a review of these documents in order to transform the organization of planned work of these organizations in order to create better conditio...Continue Reading

References

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Aug 12, 2009·Revista de saúde pública·Marcia Terra da SilvaCarolina Maria do Carmo Alonso
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Nov 14, 2012·Cadernos de saúde pública·Andréa Tenório Correia da SilvaIzabel Cristina Rios
Mar 15, 2014·Revista de saúde pública·Selma LancmanJuliana de Oliveira Barros

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Citations

Oct 27, 2018·Revista brasileira de enfermagem·Daniella Barbosa CamposMaria Salete Bessa Jorge
Aug 23, 2019·Revista da Escola de Enfermagem da U S P·Iara Sescon NogueiraVanessa Denardi Antoniassi Baldissera
Nov 30, 2019·Revista gaúcha de enfermagem·Gustavo Costa de OliveiraMaria Eduarda de Lima Torres
Aug 23, 2019·Revista da Escola de Enfermagem da U S P·Alexandre Ramiro PintoLúcia Yasuko Izumi Nichiata
Aug 14, 2020·Ciência & saúde coletiva·Luiz Fernando ChazanKenneth Rochel de Camargo Junior
Nov 12, 2020·Nutrition and Health·Reis Lígia, Jaime Patricia

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