Banca de DEFESA: TIAGO PARADA COSTA SILVA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : TIAGO PARADA COSTA SILVA
DATE: 08/02/2023
TIME: 09:00
LOCAL: Auditório do Instituto de Saúde Coletiva
TITLE:

Analysis of the official discourse on the Family Health Strategy

KEY WORDS:

SUS; Primary Health Care; Discourse; Discourse Analysis, Class Struggle

PAGES: 333
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

The Unified Health System (SUS) is the result of political action of a movement recognized as the Brazilian Health Reform Movement (MRSB), conducted within the framework of civil society. In 2017, under extensive controversy, the National Primary Care Policy was published, establishing the revision of guidelines for the organization of Primary Care. The core of the controversy was the process of implantation/implementation of the Family Health Strategy - FHS, mobilizing and sustaining divergent meanings (advance or retreat) about the same phenomenon. The FHS received incentives and investments of various kinds and expanded in different dimensions, and can be considered one of the main health policies implemented by the SUS. However, in the actual historical process, since its launching, discourses have circulated that criticize the possibility of that strategy to promote changes in the care model. The struggle over the meanings mobilized around the ESF is something complex since its institutional origin. We consider that we are, therefore, facing the historical contradiction of the Capital-Labor relation, which, as such, mobilizes senses and meanings that can constitute material force, in the scope of the class struggle, for its conservation (production and reproduction) or transformation (revolution). We conducted a study guided by the historical materialist method from the French tradition Discourse Analysis (DA), aiming to analyze the origin of the official discursive process about ESF in Brazil. We constituted a heterogeneous corpus composed of discursive sequences of the official discourse, mobilized by theoretical-analytical devices of AD, having as fundamental concepts/categories conditions of discourse production, Interdiscourse, Discursive Formation - FD and Ideological Formation - IF. The discourse studied was enunciated in a conjuncture in which the country was deepening its adherence to the neoliberal prescriptions, economically and ideologically, after the period of great effervescence in the aftermath of the military regime, especially at the end of the 1970s and until the mid-1980s. The analyses demonstrated marks of fits and joints of interdiscourse processes that allow us to consider a discourse affiliated to the neoliberal discourse that has as Universal Subject "the Capital", personified in the fraction of the Brazilian cosmopolitan bourgeoisie, in the expression of its contemporary development to the enunciation, neoliberal. Such affiliation is expressed in the "reading" of the problem that one intends to face, "the structural crisis of the public sector", therefore at the base of the syllogistic support of the discourse, almost as a "genetic determination" associated to the affiliation of the discourse to the FD of the Ministry of State Reform. It is a discourse directed to the needs of the hegemonic system in reconfiguration, facing the contradictions "posed" by the MRSB discourse, in the debate about the development of health policies, in a conjuncture in which the State, in reform, implements a neoliberal economic model, oriented to the shrinking of state public structures. "ESF" is configured as a paradoxical ideological object, acting in the Ideological Apparatus of Health for the saturation of senses referring to the organization of health services, showing itself at the same time as a strategy for transformation and for conservation of the care model. Perhaps the most immediate contribution of this study is to allow, for those organizations that recognize themselves as supporters of the defense of the Universal Right to Health under the aegis of the SRB project, a repositioning in the ideological class struggle.

COMMITTEE MEMBERS:
Presidente - ***.638.795-** - ANA LUIZA QUEIROZ VILASBOAS - UFBA
Externo ao Programa - 2765062 - HANDERSON SILVA SANTOS - nullExterno à Instituição - LUCIANO BEZERRA GOMES - UFPB
Interno - 1681913 - MARCELO EDUARDO PFEIFFER CASTELLANOS
Interna - 3498044 - MONIQUE AZEVEDO ESPERIDIAO
Externo à Instituição - SOSTENES ERICSON VICENTE DA SILVA - UFAL