Barboza Tatiane Aparecida Venâncio, Fracolli Lislaine Aparecida
Escola de Enfermagem, Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2005 Jul-Aug;21(4):1036-44. doi: 10.1590/s0102-311x2005000400006. Epub 2005 Jul 11.
To reorganize healthcare in the Family Health Program (FHP) it is necessary to change the work process in health services. The work process is both the focus of special attention for introducing changes in health services and an important health services management issue. This study aimed to discuss and analyze the use of an analytic flowchart with FHP professionals in São Paulo, Brazil, as an instrument to facilitate self-analysis of the work process. Data were obtained through focus groups and analyzed using a technique called collective subject discussion. The results showed that the analytic flowchart is a powerful instrument impacting the private exercises of health professionals, making them more controlled and thereby producing services less focused on the physician-centered logic; it can also help solve disputes among different health professionals.
要重组家庭健康计划（FHP）中的医疗保健体系，有必要改变卫生服务的工作流程。工作流程既是在卫生服务中引入变革时特别关注的焦点，也是一个重要的卫生服务管理问题。本研究旨在讨论和分析在巴西圣保罗与家庭健康计划专业人员一起使用分析流程图，作为促进工作流程自我分析的一种工具。数据通过焦点小组获得，并使用一种称为集体主体讨论的技术进行分析。结果表明，分析流程图是一种强有力的工具，可影响卫生专业人员的日常工作，使其更具可控性，从而使服务减少对以医生为中心逻辑的关注；它还有助于解决不同卫生专业人员之间的争议。
