Abstract:

Abstract The aim of this study was to analyze the clinical practice and management of care in the daily life of the Family Health Strategy with emphasis on limits, potentials, and challenges for the consolidation of the Unified Health System. It is a qualitative study, carried out with 42 users and 31 health workers of the Municipality of Fortaleza, Ceará. The results show that the health actions in the territory are governed by the productive efficiency of the health care team. The following categories emerged: limits and tensions in the assistance, daily potential, and challenges for care and clinical management. The structural and operational limitations for health care are overcome by the inter-subjective relations between the team and community. The management of care is vertical in the work processes and demonstrates frailties in reaching an adequate health conditions. It is considered that the clinical practices and health care touch on the policies and institutional guidelines of the Unified Health System and the legal right to health is still partially guaranteed in daily care.

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