Ruptures and resolutions in the health care model: reflections on the Family Health Strategy based on Kuhn's categories

被引：13

作者：

dos Anjos Scherer, Magda Duarte ^{[1
,2
]}

Andrade Marino, Selma Regina ^{[1
]}

Souza Ramos, Flavia Regina ^{[3
]}

机构：

[1] Univ Fed Santa Catarina, Programa Posgrad Enfermagem, Florianopolis, SC, Brazil

[2] CNPq, Brasilia, DF, Brazil

[3] Univ Fed Santa Catarina, Dept Enfermagem, Florianopolis, SC, Brazil

来源：

INTERFACE-COMUNICACAO SAUDE EDUCACAO | 2005年 / 9卷 / 16期

关键词：

Family health; science philosophy; health system; basic standards for health care;

D O I：

10.1590/S1414-32832005000100005

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This paper reflects upon the possibilities for the Family Health Strategy to establish a rupture with the clinical/biological/Flexnerian model that has been historically hegemonic in the configuration of health policies in Brazil. It analyzes the change in the health care model implied in the consolidation of the Brazilian Unified Health System (Sistema Unico de Saude - SUS), and focuses on its political-operational dimension, based on the categories proposed by Thomas Kuhn (1922-1996) concerning the development of science. It elects the Flexnerian model and SUS as exemplar paradigmatic expressions for the analysis of the process of transition and crisis that characterizes the current moment of reformulation of health models and practices. Finally, the article considers that the paradigmatic change in health care isn't limited to the Family Health Strategy, but encompasses the entire Health Care System. The knowledge of the health sector's social dimensions goes beyond the use of the categories studied.

引用

页码：53 / 66

页数：14

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