Ayres José Ricardo de Carvalho Mesquita, Mendes Valéria Monteiro, Almeida Isabella Silva de, Devincenzi Macarena Urrestarazu, Guimarães Jamile Silva, Calazans Gabriela Junqueira, Bianchi Pamela Cristina, Yamashiro Alberto Shodi
Libre-docencia. Profesor titular, Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.
Doctora en Salud Pública. Posdoctoranda en Salud Colectiva, Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.
Salud Colect. 2025 Feb 21;21:e5419. doi: 10.18294/sc.2025.5419.
Comprehensiveness is a globally recommended principle for effective health care, particularly for adolescents and young people, whose needs combine biomedical aspects with sociocultural processes of subjectivity construction and citizenship exercise. However, significant challenges hinder its effective implementation. This study aims to identify the aspects of work carried out in primary health care units in the state of São Paulo, Brazil, that professionals perceive as facilitators or obstacles to providing comprehensive health care for adolescents and young people. This qualitative study, conducted between January and November 2023, involved workplace observations and semi-structured interviews with 73 health professionals. The findings highlight the predominance of decontextualized, fragmented, and prescriptive actions within a context of resource shortages and weak intersectoral coordination. The study underscores the need for adolescents and young people to participate as rights-bearing subjects in the development of intersectoral health actions and policies.
全面性是全球推荐的有效医疗保健原则，尤其适用于青少年和年轻人，他们的需求将生物医学方面与主观性构建和公民身份实践的社会文化过程结合在一起。然而，重大挑战阻碍了其有效实施。本研究旨在确定巴西圣保罗州初级卫生保健单位开展的工作中，专业人员认为是为青少年和年轻人提供全面医疗保健的促进因素或障碍的方面。这项定性研究于2023年1月至11月进行，包括工作场所观察和对73名卫生专业人员的半结构化访谈。研究结果突出了在资源短缺和部门间协调薄弱的背景下，去情境化、碎片化和规范性行动的主导地位。该研究强调青少年和年轻人需要作为权利主体参与部门间卫生行动和政策的制定。
