Informação e comunicação em saúde: análise das redes sociais e dos fluxos sobre cuidado entre profissionais na atenção básica de saúde

Abstract

The present research is based on the interlocution between two fields of knowledge and practices: the field of Information Science, to which actions and information regimes belong, and the field of Collective Health, which is associated to health as a social phenomenon. Furthermore, as an interface for research, it comprises flows of informational and communication skills existing in the interaction between basic healthcare professionals. In this process, social relations and information actions in which care plays a metaphorical and mediation role in human relations within everyday institutionalized health care are essential. Infocomunicational relations between one hundred and fifty (150) healthcare professionals of two (2) Family Clinics, one (1) Health Center and one (1) team of the Family Health Support Center (Núcleo de Apoio da Saúde da Família - NASF) in the Programmatic Area (Área Programática - AP) 5.2 of Rio de Janeiro county were investigated by means of Social Network Analysis. The results support the existence of a barrier to the implementation of the National Policy of Basic Health Care (Política Nacional de Atenção Básica) in terms of care policy. The infocomunicational network structures surveyed constrain information actions that could disseminate it. Such obstacles reflect how healthcare professionals, who are responsible for applying this policy, perceive care itself. The main barrier to be addressed is the frontier of the health system in relation to its users need for health, not very easily influenced by the recognition of the target population discourse. In between health professionals, only 20% describe care as means of recognizing the other, that is, as being the sense that operates the frontier capable of selecting new informational resources in the surrounding environments allowing a shared production between scientific and common knowledge in the building of a positive and enlarged concept of health. Moreover, the results also show a few complementary forms that might promote the dissemination of care as the recognition of the other. According to the thesis results, the paths for such promotion are via: NASF, network leadership, groups of health community agents, and education in service.