title: [Study of the work and of working in Family Health Care Support Center].
abstract: OBJECTIVE
  To understand the organization of and the working conditions in family health care support centers, as well as subjective experiences related to work in two of these centers.
  
  
  METHODS
  This was a case study carried out during 2011 and 2012 in two family health care support centers in Sao Paulo, Southeastern Brazil. Data were collected and analyzed using two theoretical-methodological references from ergonomics and work psychodynamics influenced, respectively, by ergonomic work analysis, developed based on open observations of a variety of tasks and on interviews and in practice in work psychodynamics, carried out using think tanks about the work.
  
  
  RESULTS
  The work of the Family Health Care Support Centers in question is constituted on the bases of complex, diversified actions to be shared among the various professionals and teams involved. Innovative technological tools, which are not often adopted by primary health care professionals, are used and the parameters and productivity measures do not encompass the specificity and the complexity of the work performed. These situations require constant organizational rearrangement, especially between the Family Health Care Support Centers and the Family Health Care Teams, causing difficulties in carrying out the work as well as in constituting the identity of the professionals studied.
  
  
  CONCLUSIONS
  The study attempts to lend greater visibility to the work processes at the Family Health Care Support Centers in order to contribute to advances in public policy on primary healthcare. It is important to stress that introducing changes at work, which affect both its organization and work conditions, is above all a commitment, which to be effective, must be permanent and must involve the different levels of hierarchy.
authors.forename: Selma
authors.initials: S
authors.lastname: Lancman
authors.forename: Rita Maria de Abreu
authors.initials: RM
authors.lastname: Gonçalves
authors.forename: Nicole Guimarães
authors.initials: NG
authors.lastname: Cordone
authors.forename: Juliana de Oliveira
authors.initials: Jde O
authors.lastname: Barros
mesh_terms: D001938:Brazil; D006804:Ergonomics; D005192:Family Health; D006282:Health Personnel / Q000458:organization & administration*; D006801:Humans; D011320:Primary Health Care / Q000458:organization & administration*; D000078329:Workforce; D017132:Workplace / Q000458:organization & administration*