Promoção da saúde no contexto do sus: análise das práticas cotidianas à luz da clínica ampliada em um grupo de promoção da saúde de uma ubs capixaba

Abstract

This article analyzes, in light of the Expanded Clinic, how health promotion practices of a
Health Promotion Group Called Group of Men developed in a UBS capixaba, seeking to
identify the advances and challenges, and understand the context of production practices and
user participation. It is a qualitative research that added ethnographic records as a way of
apprehending the phenomena occurring in the group. The data allowed the identification of
three categories: a) communication space: analyzes the GH from the perspective of listening to
the subjects, seeking to identify if they have openness to speech and listening beyond the
"mechanical" conversation focused on specific pathologies; b) development of bond: analyzes
the relationship between the subjects (users and health team), in order to verify if the
relationship is close or if it is formal and bureaucratic, pointing out the advantages of the link to
health care and the challenges to its implementation in GH; c) leadership: analyzes the behavior
and participation of users in GH, identifying whether they are considered and acting as
"subjects" holding autonomy or if they are seen and act as mere patients. Finally, it points out
the challenges to develop their protagonism.