title: [The work process in health and the production of care in a Family Health Unit: limits to the reception and reflections on the emergency service].
abstract: This study examines the work process of a Family Health Unity (USF) in a small municipality, inland the state of Rio de Janeiro. We would like to start with the question of what is causing the population registered in a family health program to look for the Emergency Service (SE) of a General Hospital. Semi-structured individual interviews were conducted with doctors who worked on duty and users in the Emergency Service and group interviews with users of a Family Health Unit and its staff. In addition, information was also collected by participant observation. The theoretical fields of Health Management and Psycho-sociology were the grounds of this research. It was concluded that the "modus operandi" of the USF, the geographical and organizational accessibility, and the technological apparatus of the SE ended up leading the population to seek the General Hospital emergency service of the municipality mentioned in this study in acute situations of suffering and distress.
authors.affiliation: Secretaria Municipal de Saúde de Quissamã, Quissamã, RJ, 28735-000. delbabarrosrj@gmail.com
authors.forename: Delba Machado
authors.initials: DM
authors.lastname: Barros
authors.forename: Marilene de Castilho
authors.initials: Mde C
authors.lastname: Sá
mesh_terms: D001938:Brazil; D003695:Delivery of Health Care / Q000592:standards*; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D005192:Family Health; D006801:Humans