"Ser senhor de si" : análise da corresponsabilidade nas estratégias de saúde da família.

Abstract

The core of this work is to perform an analysis of the idea of responsibility in health, that is, in which way the user is responsible for his own health and for the community’s health and in which way the health professionals promote this responsibilization, as well as how they are responsible for the health of their patients. The research was carried out in three of the fourteen Family Health Strategies (FHS) in the municipality of Santa Cruz do Sul, with the protagonists of this research being three nurses and six users of these services, totaling nine subjects - one nurse and two patients in each FHS. Data collection was conducted through an interview of semi-structured character directed by a previously prepared script and the treatment of the material collected was the discourse analysis method. Thus, this study showed that users have a simpleton notion of responsibility which does not go beyond the medicalization process and the notion of the doctor as the care center. Furthermore, the nurses have reported that the shape in which they promote the autonomy of their patients is through the orientation groups carried out in the health units. Finally, it reinforces the importance of acceptance and the need of creating bond with patients to obtain a better promotion of self-sufficiency in health between individuals.