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This paper aims to discuss how the phenomenon of the medicalization of psychological distress appears in the discourse and practice of Primary Health Care professionals. Systematic observations and semi-directive interviews were conducted with seven workers in the city of Iguatu, Ceará, Brazil. Data analysis was performed using Bardin's Content Analysis. The results pointed to a centrality in the use of medication to attend the psychological suffering that reaches the health units. The professionals spoke about the medication as a quick and efficient strategy, which, in line with the researched literature, can be used as a device to control the subject in psychic illness. It is considered possible to mobilize discussion spaces with professionals that point to the care of people with psychological distress through the use of light technologies, such as listening, bonding and dialogue. [ABSTRACT FROM AUTHOR]

This paper analyzes healthcare actions in Primary Health Care, questioning the predominance of offer and demand in healthcare model. In response, it marks the relevance of psychoanalysis in care that surpasses the citizen to be rightfully served, indicating the right to care for the subject in their singularity. Added to this perspective are the benefits of work psychology, in which the conquest and strengthening of the health of the workers themselves are necessary for the sustainability of care beyond the application of normative protocols. Thus, the inclusion of psychoanalysis and work psychology adds to the exercise of health care, broadening the perspectives of psychologists involved in primary healthcare beyond the level of a traditional offer of healthcare. [ABSTRACT FROM AUTHOR]

The aim of this study is to describe the experience of nursing school students in the development of Reception with Risk Classification for professionals and users of a Basic Health Unit. The paper is an experience report that shows the action developed by 8th semester students in the Internship I module of Vale do Acaraú State University nursing major, in the implementation of Reception with Risk Classification at a Basic Health Unit in northwestern Ceará. The actions were organized in six meetings, two of them assembled the professionals of the nursing team, one encompassed all the staff of the Basic Health Unit, and three brought together the unit service users. Based on subjects and materials previously studied, the meetings allowed for the construction of devices that facilitate the participants learning. The results of the study are presented and discussed in two essential topics for the development of methodologies: work organization and transformation of professional practices; and optimization of the service to/for the population. The strategies of permanent education adopted in the experience with the professionals of the unit and of health education, as well as the unit users can be regarded as an enhancer in the transformation of work practices. [ABSTRACT FROM AUTHOR]

The aim of this study is to describe the experience of nursing school students in the development of Reception with Risk Classification for professionals and users of a Basic Health Unit. The paper is an experience report that shows the action developed by 8th semester students in the Internship I module of Vale do Acaraú State University nursing major, in the implementation of Reception with Risk Classification at a Basic Health Unit in northwestern Ceará. The actions were organized in six meetings, two of them assembled the professionals of the nursing team, one encompassed all the staff of the Basic Health Unit, and three brought together the unit service users. Based on subjects and materials previously studied, the meetings allowed for the construction of devices that facilitate the participants learning. The results of the study are presented and discussed in two essential topics for the development of methodologies: work organization and transformation of professional practices; and optimization of the service to/for the population. The strategies of permanent education adopted in the experience with the professionals of the unit and of health education, as well as the unit users can be regarded as an enhancer in the transformation of work practices. [ABSTRACT FROM AUTHOR]

This paper aimed to analyze actions developed to health promotion and disease prevention in the uterine cervical neoplasm control. It was a documentary, exploratory and qualitative research. Experience reports published in Practice Community were collected to be analyzed. They were analyzed by content analysis with three pedagogical perspectives: pedagogy of transmission, behaviorist pedagogy, and problematizing critical pedagogy. 15 experience reports were selected. These experiences were developed predominantly by the female public, about the preventive examination Pap, inside health care centers, and punctual actions by campaign model. There were prevailed actions by the pedagogy of transmission that aimed to transmit knowledge about diseases and its treatment and prevention. Secondary, there were actions in a behaviorist perspective that aimed to give some reward to a determinate response. The minority of the actions adopted a problematization perspective that developed dialogical and reflexives activities. These results showed the necessity to strengthen the health promotion and the popular education in health in the healthcare services. [ABSTRACT FROM AUTHOR]

This paper analyzes healthcare actions in Primary Health Care, questioning the predominance of offer and demand in healthcare model. In response, it marks the relevance of psychoanalysis in care that surpasses the citizen to be rightfully served, indicating the right to care for the subject in their singularity. Added to this perspective are the benefits of work psychology, in which the conquest and strengthening of the health of the workers themselves are necessary for the sustainability of care beyond the application of normative protocols. Thus, the inclusion of psychoanalysis and work psychology adds to the exercise of health care, broadening the perspectives of psychologists involved in primary healthcare beyond the level of a traditional offer of healthcare. [ABSTRACT FROM AUTHOR]

This paper aims to analyze the processes developed in Brazil and Portugal intended to integrate the Primary Health Care and the Specialized Health Care. Primary Health Care conceived of as the first step for accessing to the health system stands out among the most usual initiatives and thus the family doctors are attributed a prevailing role. It is also emphasized the territorialization of the health services based on the geographic location, the referral to specialized doctors and the implementation of clinic protocols agreed between the parties. The main results indicate that in Brazil they implemented decentralized regulatory systems, and, in Portugal they created local health units (structures owned by the health ministry that integrate primary health care and specialized health care provided by the same management team). In conclusion, this work underlines the need to develop a true investment policy intended to strengthen the response capacity in the specialized health care and to add more value to the work performed by the primary care professionals. This way, they will strengthen the collaborative culture that will translate into successful integration processes with results such as good health and user's satisfaction. [ABSTRACT FROM AUTHOR]

This paper aims to describe the scenario and to identify factors associated with non-use of teleconsultation by primary care physicians in the macrorregião Norte de Minas Gerais (Northern macroregion of Minas Gerais), Brazil. This study is a cross-sectional one. For data collection, a self-administered questionnaire was fill in by the health managers working in all the municipalities of that macroregion; it was previously tested through some of those professionals. The Poisson regression with robust variance was used after bivariate analyzes to identify factors associated with non-use of teleconsultation.To participate in the study 86 municipal health managers were invited. Important structural barriers to teleconsultation implementation were identified: lack of computers with access to internet in basic health units (76.7%) and poor internet connection quality (16.3%). After multiple analysis, only the lack of motivation strategies by the health managers was associated (p<0.007; PR=2.19; IC95%:1.24-3.86) with non-use of teleconsultation by physicians. The results reinforce the role played by the health manager in promoting the use of teleconsultation service in primary care. [ABSTRACT FROM AUTHOR]

This paper analyzes the possibilities and challenges of Popular Education (PE) as a reference for medical work in the context of the Family and Community Medicine Residence. It is a comprehensive and interpretive study conducted in João Pessoa, State of Paraíba, Brazil, with residents of the second year of the Family and Community Medicine Residency linked to the Federal University of Paraíba, through the group discussion methodology. The results evidenced PE's potential for medical work, such as shared knowledge construction, integrated work with community health agents and other professionals, as well as the establishment of community groups and medical consultations as educational spaces. Obstacles to the practice of PE emerged, such as: high care pressure and conflicts with management models that focused predominantly on outpatient care. It is concluded that PE is a strategy present in the daily work of the residents, but its implementation suffers difficulties to be overcome for real effectiveness as a tool for enhancing medical work. [ABSTRACT FROM AUTHOR]

This paper analyzes the possibilities and challenges of Popular Education (PE) as a reference for medical work in the context of the Family and Community Medicine Residence. It is a comprehensive and interpretive study conducted in João Pessoa, State of Paraíba, Brazil, with residents of the second year of the Family and Community Medicine Residency linked to the Federal University of Paraíba, through the group discussion methodology. The results evidenced PE's potential for medical work, such as shared knowledge construction, integrated work with community health agents and other professionals, as well as the establishment of community groups and medical consultations as educational spaces. Obstacles to the practice of PE emerged, such as: high care pressure and conflicts with management models that focused predominantly on outpatient care. It is concluded that PE is a strategy present in the daily work of the residents, but its implementation suffers difficulties to be overcome for real effectiveness as a tool for enhancing medical work. [ABSTRACT FROM AUTHOR]

This paper sought to carry out an integrative review of the national production on Matrix Support methodology, whilst encompassing empirical studies on effectiveness and theoretical-methodological review papers on Matrix Support. The used material is comprised of papers that are indexed in the PubMed database, the NLM and the BVS (Virtual Library of Health), between 1999 and 2013, in Portuguese, English and Spanish. We included 28 articles, and its analysis allowed the identification of three categories: 1) foundation goods and consolidation of the concept of matrix support; 2) Review articles on the matrix support; 3) Items arising from empirical research involving the concept of matrix support. The publications showed that the matrix support brings an innovative proposal and powerful to transform the health care model. However, to achieve their goals is necessary to overcome some impasses, several interconnected directly with the implementation of their directives and to overcoming structural problems of the National Health System (SUS). [ABSTRACT FROM AUTHOR]

In 2002 three disciplines were created by the Integral Medicine Service, a result of curriculum changes promoted by the Faculty of Medical Sciences (FCM), State University of Rio de Janeiro, driven by the National Curricular Guidelines (NCG) 2001. The purpose of this paper is to present an experience report of thirteen years of implementation of the disciplines, which focus is the family approach in the Family Practice. The processes for the inclusion of the subject in the curriculum were relatively fast, but the fact that there had not been a broad curriculum reform at the time made it impossible to include this subject in other disciplines in the FCM. There were many challenges over the years to improve the teaching and learning of family approach in medical schools, whose importance is confirmed by the emphasis that the subject receives in the new NCG 2014. It is necessary that the family approach is perceived as a value and a practice to be incorporated over the six years of graduation. For this, we should take advantage of the curriculum reform of FCM currently underway and encourage teachers and students on the subject. [ABSTRACT FROM AUTHOR]

Primary Health Care is the coordinator of Health Care network in Brazil because its characteristics make it to be closer to community living and social needs. In this sense, Contagem, Minas Gerais, is a city of Brazilian southern and has been carrying out many actions in order to strengthen Primary Health Care, for example, its First Primary Health Care Exhibition. This article aims to analyze presented papers in this event. It was approached through the qualitative research through systematization of experiences popular education's method. The results were presented and discussed according to the topics used in that event: Management and Working Teams; Health Promotion and Disease Prevention; Health Care and Care Technologies; Continuing Education and Pro-work Training; Popular Management and Social Control and Health Surveillance Practices in Primary Health Care Territory. The most frequent actions were those related to prevention of injuries, health promotion, health care and care technologies. Management support and participants adherence were facilitators factors to positive results of experiences. The lack of available resources led to the restriction of health care workers performance. [ABSTRACT FROM AUTHOR]

This paper aims to show the performance of physicians of the More Doctors program in small towns in the state of São Paulo, as well as the perception of the public and of Family Health Strategy's employees. The research encompassed the national literature in the field, covering matters related to the National Health System, Family Health, and the More Doctors program. It is a qualitative study, using interviews with health units' employees and users assisted by the program to demonstrate that the medical care provided by doctors associated with the More Doctors program is of quality, humanized, and resolutive, thus bringing quality care to users of health services. [ABSTRACT FROM AUTHOR]

Objective: perform a diagnostic evaluation of living conditions and health of the elderly living in family and community, and users of a Basic Health Unit - UBS, and also test the development of a care-educational technology. Methodology: convergent-care research that adopted the convergence group technique with 13 seniors, which developed during seven meetings in 2013. Results: the paper revealed prospects for the nurse to be a facilitator in the development of self-care skills and stimulate the elderly so that they can be the protagonists of their aging. It was instrumentalized by guidelines of light technology about caring acts based on nursing references. Conclusion: the study presented beneficial results to the elderly who underwent the experience, and also for the nurses, by the possibility of taking innovated caring-educational actions. [ABSTRACT FROM AUTHOR]

Objective: To reflect on the potential of Nursing Practices in Primary Health Care in the context of the Brazilian Unified Health System, with an expansion of the work performed by nurses. The paper reflects on the need to expand the scope of nursing practices in Primary Care, according to the concept of Advanced Nursing Practices. The expansion of the nurses' competences and leadership in complex tasks at a national level requires studies on the Brazilian reality, the overcoming of regional challenges, and support to nursing representative bodies. [ABSTRACT FROM AUTHOR]

Objective: To report the experience lived by a student of the Physiotherapy course in the University Center of Barra Mansa (UBM) during their participation in the Education Program for Working for Health (PET-Saúde) and the influence of the program on their professional training. Description of experience: Experience occurred in a Basic Family Health Unit (UBSF) of a municipality in the state of Rio de Janeiro, where activities such as research projects, home visits to users, actions directed to health, promotion and prevention of aggravation of chronic diseases, events for the community and campaigns in the UBSF were performed. Besides the activities in UBSF, there were monthly meetings with the coordinations, tutors, preceptors and students of the educational institution. During these meetings they shared experiences, evaluated the work done and discussed the need for further actions. Conclusion: It is considered that the PET-Saúde contributed to the vocational training of the physiotherapy student, based on critical and reflexive positioning. Participation in the program allowed her to meet the SUS workplace, acquiring new knowledge, producing scientific papers, interacting with the community in which it was inserted and the professionals working in municipal heath, valorizing teamwork and, most importantly, recognizing the importance of integrating the physiotherapist in the basic health care. [ABSTRACT FROM AUTHOR]

The Secretary of Health State of Minas Gerais, with the support of the Ministry of Health, have been making extensive effort to universalize the primary health care, given its strategic role in the formation the networks of the health care in the Unique Health System (SUS). Therefore, began to encourage the adoption of the Family Health Teams through of the "Program Structuring Health at Home". Associated with this program, was created the Master Plan of the Primary Health Care (PDAPS), whose goal it's provide an instrument to territorial planning and management of these service, qualifying them to fulfill the role as gateway of the network of the health in the SUS. The aim of this paper is discuss the territorial planning of the primary health care and the networks of the health care the SUS in Minas Gerais, Brazil. The hypothetical premise of the discussion is the existential interdependence between primary health care, networks and the territory. The methodology is based on a theoretical study and descriptive, on one side, and a theorical analysis and critical, of another. Therefore, have a dimension of discovery of the relationship between networks, territory and primary health care, on one side, and a dimension of note about the ways how this is being planned, of another. The results indicate improvements in the construction of networks in Minas Gerais, but there are also theoretical issues and methodological that needs to be addressed, especially on the forms of territorial definition of the services. [ABSTRACT FROM AUTHOR]

This paper discusses the effects of pervert's denial (Verleugnung) of the other, the collectivity and highlights its possible directions. The related research was carried out at a family health unit in Recife, Pernambuco, Brazil, and the participants were female community health workers in discussion groups. We discussed a clinical fragment in which a child had been abused by a perverse individual. There was a clear need for intervention to stop the pervert's jouissance and free the child. [ABSTRACT FROM AUTHOR]