Disputa entre dois paradigmas na atenção à saúde: o caso do Hospital Escola/UFPel.

Abstract

The present dissertation is inserted in the theoretical framework of Social Studies of Science. Since the seventeenth century, and later in the nineteenth century, with the biomedical model, the guiding paradigm of health practices was concentrated according to a biologicist, fragmentary and unicausal perspective. However, in the eighteenth century, with social medicine and later in the twentieth century, such a paradigm, called mechanistic, begins to show signs of exhaustion. In this research, we seek to identify the mechanistic paradigm and the systemic paradigm in health care of the Unified Health System of the School Hospital of the Federal University of Pelotas, considering the Humanization Working Group established in accordance with the guidelines of the Unified Health System. In order to respond to this objective, a qualitative methodology was used, composed of a case study and a semi-structured interview script. Among the hypotheses listed are: a) professionals working with the GTH understand that it responds effectively to health problems, but run into routine difficulties, such as lack of support staff for bureaucratic activities. As a result, it is highlighted that one of the challenges of the integrality principle is the ambiguity characterized by the norms of the national policy of humanization.