title: [Lay agency and healthcare: producing healthcare maps].
abstract: This study aimed to characterize which regulatory logics (other than government regulation) result in healthcare output, using a two-stage qualitative study in two municipalities in the ABCD Paulista region in São Paulo State, Brazil. The first stage included interviews with strategic actors (managers and policymakers) and key health professionals. The second phase collected life histories from 18 individuals with high health-services utilization rates. An analysis of the researchers' involvement in the field allowed a better understanding of the narratives. Four regulatory systems were characterized (governmental, professional, clientelistic, and lay), indicating that regulation is a field in constant dispute, a social production. Users' action produces healthcare maps that reveal the existence of other possible health system arrangements, calling on us to test shared management of healthcare between health teams and users as a promising path to the urgent need to reinvent health.
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
authors.forename: Luiz Carlos de Oliveira
authors.initials: LC
authors.lastname: Cecilio
authors.affiliation: Instituto Superior de Ciências do Trabalho e da Empresa, Instituto Universitário de Lisboa, Lisboa, Portugal.
authors.forename: Graça
authors.initials: G
authors.lastname: Carapinheiro
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
authors.forename: Rosemarie
authors.initials: R
authors.lastname: Andreazza
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
authors.forename: Ana Lúcia Medeiros de
authors.initials: AL
authors.lastname: Souza
authors.affiliation: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil.
authors.forename: Maria da Graça Garcia
authors.initials: Mda G
authors.lastname: Andrade
authors.affiliation: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil.
authors.forename: Silvia Maria
authors.initials: SM
authors.lastname: Santiago
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
authors.forename: Consuelo Sampaio
authors.initials: CS
authors.lastname: Meneses
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
authors.forename: Denizi Oliveira
authors.initials: DO
authors.lastname: Reis
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
authors.forename: Eliane Cardoso
authors.initials: EC
authors.lastname: Araújo
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
authors.forename: Nicanor Rodrigues da Silva
authors.initials: NR
authors.lastname: Pinto
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
authors.forename: Sandra Maria
authors.initials: SM
authors.lastname: Spedo
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil; D005260:Female; D006300:Health Services Misuse / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*; D036301:Qualitative Research