title: Between flows and therapeutic projects: revisiting the notions of lines of care in health and therapeutic itineraries.
abstract: This essay discusses the possibilities of conceptual and practical connections between the ideas of line of care and therapeutic itineraries, beginning with the theoretical contributions that lay the foundations for the Line of Integrated Healthcare and the hermeneutic approaches to Care. The implementation of lines of care tuned to individual and collective health needs can be glimpsed in the construction of therapeutic projects, inasmuch as they privilege the particularities of each situation in the agreement of flows of appointments, exams, and other procedures. The therapeutic project - taken as an arrangement, strategy, device, or basic dimension of Care in the work process in health - can be seen as an image that lays out a possibility of the future, which in turn is a projection conditioned by past experiences of health, illness, and life. From the criticism of explanatory models, preponderant in the studies of therapeutic itineraries, we defend the investment in approaches that privilege interpretation and understanding, capable of recuperating, contextualizing, and reconstructing trajectories, beginning with the subjects involved in the care process.
authors.affiliation: Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil, neks@iesc.ufrj.br.
authors.forename: Neide Emy Kurokawa E
authors.initials: NE
authors.lastname: Silva
authors.affiliation: Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil, neks@iesc.ufrj.br.
authors.forename: Leyla Gomes
authors.initials: LG
authors.lastname: Sancho
authors.affiliation: Universidade Federal de São Carlos, Brasil.
authors.forename: Wagner dos Santos
authors.initials: Wdos S
authors.lastname: Figueiredo
mesh_terms: D003695:Delivery of Health Care; D006801:Humans; D008962:Models, Theoretical