Ação Comunicativa: um olhar sobre processos de gestão de uma Rede de Atenção Psicossocial

Ciencia e Saude Coletiva

article

Meirelles, Maria Carolina Pinheiro¹  Kantorski, Luciane Prado² 

[1] Secretaria da Saúde do Rio Grande do Sul;Universidade Federal de Pelotas

关键词: Health management;    Mental health;    Qualitative research;    Health evaluation;   

DOI  :  10.1590/1413-81232021269.16342020

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This paper is a qualitative evaluation of the main results of an evaluation study on management processes of a Psychosocial Care Network, in the light of the Theory of Communicative Action. The data collection included 19 individual semi-structured interviews with participants of the Management Collegiate and 20 hours of participant observation in eight meetings of this collegiate, from May to September 2015, with analysis using a hermeneutic-dialectic approach. The results showed a complex network of psychosocial care with management processes related to instrumental and communicative actions. Instrumental action was demonstrated in discussions about the rigid use of workflows, rules and protocols; prescriptive actions without collective negotiation and without user inclusion; and medicalization based on technical criteria alone. The communicative action was to be seen in actions of agreement on workflows, discussions and case referrals; intersectoral agreements with the judiciary; and deliberations of the Management Collegiate on cases, which are not solved only with a technical approach. The conclusion drawn is that the management processes of a Psychosocial Care Network are guided by communicative action, but also require overcoming an action defined by instrumental actions alone.

【 授权许可】

CC BY