Multiplicity, heterogeneity, and coordination: the production of food and nutritional care based on inter-consultation support practices

Cadernos de saúde pública
Lilian Miranda Magalhães, Lígia Amparo-Santos

Abstract

This ethnographic study aimed to understand the production process in food and nutritional care in the setting of primary healthcare, based on inter-consultation support practices. Fieldwork was conducted in two family health units and their respective territories, together with the team from the Expanded Center for Family Health and Basic Care. References for the data analysis were Deleuze and Guattari, Túlio Batista Franco, and researchers associated with Actor-Network Theory such as Annemarie Mol and John Law. The study found that the production of food and nutritional care emerged from links between multiple actors in dynamic and interconnected networks. The practices of care proved to be strongly linked to food's modes of insertion in the daily routines of health professionals and users, revealing paradoxes in the relations of mutual support and expansion of access to food in the territories. Comprising the material heterogeneity in the mediation of interactions, food has an outstanding capacity to spawn connections. Sharing meals mobilized subjectivities through the use of emotional and sensory modes of knowing, learning, and providing care. Experiencing inherent tensions, the relations between micro and macro policy, int...Continue Reading

References

Dec 25, 2010·Ciência & saúde coletiva·Rosa Wanda Diez-Garcia, Inês Rugani Ribeiro de Castro
Jan 31, 2013·Medical Anthropology Quarterly·Cornelia Guell
Feb 18, 2014·Sociology of Health & Illness·Else Vogel, Annemarie Mol
Feb 26, 2014·Social Science & Medicine·Robert R WeaverWilliam M Goodman
Mar 31, 2017·Public Health Nutrition·Mayara Sanay da Silva Oliveira, Ligia Amparo-Santos
Jan 11, 2018·BMC Family Practice·Rebecca ReynoldsNicholas Zwar
Jul 5, 2018·Ciência & saúde coletiva·Patricia Constante JaimeLeonor Maria Pacheco Santos

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