Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.

Training in the Family Health Program: different interpretations of home visits in the group of Presidente Prudente, in the State of São Paulo

  • Sônia Pimenta de França
  • Umberto Catarino Pessoto
  • Jaime de Oliveira Gomes
  • Sônia Pimenta de França

    Médica clínica do Programa de Saúde da Família do município de Caiuá, Agrovilas 3 e 4, Zona Rural. Especialização em Programa da Saúde da Família, pela Secretaria de Estado da Saúde de São Paulo (SES/SP)

    Umberto Catarino Pessoto

    Pesquisador da Superintendência de Controle de Endemia da Secretaria de Estado da Saúde de São Paulo (Sucen/SES/SP). Mestre em Integração da América Latina pelo Programa de Integração da América Latina da Universidade de São Paulo (Prolam/USP).

    Jaime de Oliveira Gomes

    Professor do Departamento de Planejamento, Urbanismo e Ambiente da Faculdade de Ciência e Tecnologia da Universidade Estadual Paulista (Unesp), Campus de Presidente Prudente. Doutor em Saúde Pública pela Faculdade de Saúde Pública da Universidade de São Paulo (USP).



Abstract

The Family Health Program aims at - and is responsible for - changing the current doctor-centered/disease-healing notion of health care to a health-promoting/disease-preventing notion that is carried out by a multidisciplinary team. Home visits are the main tools for understanding the totality of determinants affecting people's lives. The article discusses the notions of "home visits" as understood by the three major categories of Family Health Program workers - that is, doctors, nurses and community workers - and the interrelation between these notions and training received in basic courses. The "Discourse of the Collective Subject" methodology was applied during interviews. The authors concluded that disparities in the understanding of what home visits would be may hinder the changes proposed to the current health care model. The article also comments these different understandings and their influence on how teams organize work.

Keywords

health team,
home visits,
Family Health Program,
training,
discourse of the collective subject

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