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Investigou-se os processos de construção da Política Nacional de Promoção da Saúde (PNPS), pela análise de três documentos produzidos pelo Ministério da Saúde entre 2002 e 2005 e do texto final da PNPS. Foram entrevistados cinco sujeitos que participaram da construção da PNPS, dos quais três eram gestores do Ministério da Saúde e dois pesquisadores. Os documentos foram explorados com a Análise do Discurso. O artigo contribui para aprofundar os debates sobre o processo de construção da PNPS. A promoção da saúde revelou seus antagonismos, o que motivou a demora de sua aprovação final. A indução internacional via financiamento demonstrou ser o elemento crucial para a definição da forma final da PNPS, trazendo de volta a criticada ênfase na mudança de estilos de vida em suas "Ações". Destaca-se o processo de produção negociada de consenso, que culminou com a criação do Comitê Gestor da PNPS, com a participação de diversos subsetores, estrutura inovadora no Ministério da Saúde. We investigated the processes involved in the construction of the Brazilian National Health Promotion Policy (PNPS) through the analysis of three documents produced by the Ministry of Health from 2002 to 2005 and the final text of the National Health Promotion Policy, approved in 2006. We interviewed five subjects who participated in drafting the PNPS, three of whom were Ministry of Health administrators, plus two researchers. The documents were explored with discourse analysis. The article contributes to the debate on the development of the PNPS. Health promotion showed various points of disagreement, which led to the delay in the document's final approval. International induction via funding proved to be a crucial element for defining the final wording of the PNPS, reestablishing the emphasis (subject to criticism) on lifestyle changes in its "Actions". The article highlights the negotiated consensus that led to the creation of the PNPS Management Committee, with participation by various sub-sectors, an innovative structure within the Ministry of Health. Se investigaron los procesos de creación de la Política Nacional de Promoción de la Salud (PNPS), a través del análisis de tres documentos producidos por el Ministerio de Salud entre los años 2002 y 2005 y del texto final de la PNPS. Se entrevistó a cinco personas que participaron en la creación de la PNPS, de las cuales tres eran gestores del Ministerio de Salud y dos investigadores. Los documentos se analizaron mediante el método de análisis del discurso. El artículo contribuye a la profundización de los debates sobre el proceso de construcción de la PNPS. La promoción de la salud reveló sus antagonismos, lo que motivó el retraso en su aprobación final. El estímulo internacional a través de la financiación demostró que era un elemento crucial para la definición de la forma final de la política, provocándose el retorno al criticado énfasis en el cambio de estilo de vida en sus "acciones". Se destaca el proceso de producción negociada de consenso, que culminó con la creación del comité gestor de la PNPS, con la participación de diversos subsectores, convirtiéndose en una estructura innovadora en el Ministerio de Salud.

We investigated the processes involved in the construction of the Brazilian National Health Promotion Policy (PNPS) through the analysis of three documents produced by the Ministry of Health from 2002 to 2005 and the final text of the National Health Promotion Policy, approved in 2006. We interviewed five subjects who participated in drafting the PNPS, three of whom were Ministry of Health administrators, plus two researchers. The documents were explored with discourse analysis. The article contributes to the debate on the development of the PNPS. Health promotion showed various points of disagreement, which led to the delay in the document's final approval. International induction via funding proved to be a crucial element for defining the final wording of the PNPS, reestablishing the emphasis (subject to criticism) on lifestyle changes in its "Actions". The article highlights the negotiated consensus that led to the creation of the PNPS Management Committee, with participation by various sub-sectors, an innovative structure within the Ministry of Health.

This article analyzes the use of the concept of subjectivity in the public health field, associated with the historical and institutional conditions that demanded it. The main methodological strategy was a search in specific journals and reference books from the field. We identified three functions in the use of the concept of subjectivity, associating them primarily with external variables (trajectory in the health movement and institutionalization of the Unified National Health System - SUS) and secondarily with internal variables (logic of the theoretical/conceptual field). The functions discuss subjectivity as: (1) an element for conceiving the social action by political actors in the Health Reform project; (2) a strategy for problematizing health care and management as inter-subjective practices; and (3) a substrate for the production of autonomy for individuals and collectives. In their external variables, the three functions are established as processes for building micro and macro policies for the consolidation of the SUS.