Programa de Residência Multiprofissional em Saúde, Escola de Saúde Pública do Rio Grande do Sul, Secretaria Estadual da Saúde do Rio Grande do Sul. Av. Ipiranga 6311, Partenon. 90119-900 Porto Alegre RS Brasil.
Programa de Pós-Graduação em Enfermagem, Universidade Federal do Rio Grande do Sul. Porto Alegre RS Brasil.
Cien Saude Colet. 2022 Aug;27(8):3273-3281. doi: 10.1590/1413-81232022278.23902021. Epub 2022 Apr 27.
This article analyzes the discourses within Health Promotion (HP) practices in Primary Health Care (PHC) that constitute actions of resistance and counter-conduct to the neoliberal governmentality inscribed in these tools. Drawing upon descriptive and exploratory field research, together with a qualitative approach, we interviewed 23 PHC workers in a municipality in southern Brazil. The results point out possibilities to enhance HP in PHC: strengthening training activities within health units; problematizing Social Determinants of Health (SDH); methods to encourage participation; collectivization of health demands; appreciation and reinforcement of achievements and collective actions; recovery of the local community's culture and habits; and HP advocacy in PHC.
本文分析了基层医疗保健（PHC）中健康促进（HP）实践中的话语，这些话语构成了对这些工具中所嵌入的新自由主义治理的抵抗和反行为。本研究采用描述性和探索性实地研究，并结合定性方法，对巴西南部一个城市的 23 名 PHC 工作者进行了访谈。研究结果指出了增强 PHC 中 HP 的可能性：加强卫生单位内的培训活动；对健康决定因素的社会决定因素（SDH）进行质疑；鼓励参与的方法；健康需求的集体化；对成就和集体行动的赞赏和加强；恢复当地社区的文化和习惯；以及在 PHC 中倡导 HP。
