title: [Counter-reference and reference system organization in the health system context: perception of nurses].
abstract: This study aimed to understand and to care counter-reference and reference system upon the context of the Health System in Botucatu-SP, Brazil from the nurses who experience this practice. We adopted a qualitative research, situated fenomena model, methodologically derived from phenomenology. In the first part of this study there is a brief presentation record about the Health System in Brazil contextualizing as it follows counter-reference and reference system. Results were obtained through ideographic analysis and nomothetic analysis from the testimony of 13 nurses interviewed, bringing 13 themes, reduced into 3 categories: counter-reference and reference system operation, guiding possibilities and local system structural factors. This study showed that this purpose is still an horizont that depend's the isolately professional liability.
authors.affiliation: Faculdade de Medicina de Botucatu-UNESP.
authors.forename: C M
authors.initials: CM
authors.lastname: Juliani
authors.forename: M H
authors.initials: MH
authors.lastname: Ciampone
mesh_terms: D001291:Attitude of Health Personnel; D001938:Brazil; D003695:Delivery of Health Care / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration*; D009726:Nurses