Conversas com usuários do consultório na rua de Maceió - efeitos do cuidado

Abstract

This study aims to understand the effects of Street Clinic in Maceió with its users, based on daily conversations, focusing on the care of health services. The analyses carried out by thematic categories of daily conversations and observations made during the field work of the research, using for this the production of field dairies. The Street Clinic of Maceió is characterized with the constitution of roaming multiprofessional health team, responsible for attending the population in the street and/or those who find themselves in situation of social vulnerability in loco. Our theoretical-methodology perspective is supported in Social Construcionism, Ethnographic and Categories Analyses a posteriori. Four thematic sets were identified and analysed from fragments selects in field diaries: links/care; services accessibility; worries with work process; others. In our analyses, we noticed, among others questions that the construction of connections is the work basis of StCon of Maceió together with PSR and people in social vulnerability. The StCon of Maceió has made possible to PSR and people in social vulnerability get closer and/or amplifies their access to the existence service network. Therefore, this public still struggle difficulties and prejudices to access this network in a spontaneous way, without the company of StCon professionals; we also observe that many of the speeches and professionals practises are still supported by a paternalist/assistentialist, limiting the potentials of share caring, co-constructed and/or co-administrated; the lacking of structure and support of health management for the operation of the consulting teams of Street Clinic of Maceió, which has compromised the actions and weaken the ties with the population assisted; the relation with the community has informal nets and show a strong and benign possibility to the production of caring. The relation stablish with the drugs by its users has various ways of understanding; at last, this work should focus in daily conversation, based on dialogical practises, cultivating spaces for team reunion and permanent education