ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 158
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
A
B
C
Experiencing the performance of the family doctor in the
Brazilian Family Health Strategy, a role-playing game
A/Prof Brenda Costa1, Maria Inez Padula Anderson2, Mx Rogerio Barreto3
D
E
F
G
H
I
J
K
1
Universidade Estadual Do Rio De Janeiro, 2Universidade Estadual Do Rio De Janeiro, 3Universidade
Estadual do Rio de Janeiro
The Family Health Strategy (FHS) is the organisation model of primary healthcare (PHC) in the Brazilian
unified health system (SUS). It has around 45,000 teams across the country, made up of physicians,
nurses and community health agents, in a territorial care approach and is operationalised by several
legislations having the ‘modus operandi’ been institutionalised since 1994. The family doctor is
the specialist trained to work in the FHS. Its performance must consider the principles of the SUS
(universality, integrality and equity), as well as the attributes of PHC, first contact to guarantee access,
longitudinality, integrality, care coordination, community–family orientation and cultural competence,
respecting the knowledge of the multidisciplinary team guaranteeing the therapeutic itinerary of
patients towards secondary and tertiary care and other services of the Brazilian State, such as social
assistance composing the intersectoral dialogue. Understanding the specificities of the family doctor’s
performance in the FHS, the objective of this work is to bring the experience of working in the Brazilian
PHC model to the family doctors of other nationalities, being able to recognise the strengths and
weaknesses; and to better understand the SUS, and the potential of a universal public system. The
methodology for the development of this work will be in a workshop format. It is intended to start
the meeting with a brief historical review of the composition of the SUS and the ESF, followed by the
division into small groups of participants comprising up to 10 people in each. From there, we will be led
by a clinical case to the experience of the family doctor. The proposed methodology was developed
based on the role-playing game, which allows participants to enter the character, immerse themselves
in the fantasy of the narrative and have to make decisions to advance in the proposed story.
156