ABSTRACT
The National Humanization Policy aims to promote the ideological principles advocated by the Unified Health System. Co-management is one of its guidelines. This article aims to describe and understand how contextual aspects favor or limit co-management within the Primary Care. The study is empirical and qualitative, developed in two health units, one traditional and one with a Family Health Strategy (FHS). The data was collected by immersion in the field and a field notes, to record observations and reflections, which were analyzed by thematic categorization. As results, the contextual aspects of the FHS are described: opening hours, multi-professional team and need for meetings, training of doctors, community agents, and organization of the physical space as facilitators to co-management. The contextual elements of the traditional unit, on the other hand: organizational structure, medical model and absence of meetings, opening hours, physical space, hinder co-management. The analysis could be usefull to promote initiatives that consider the importance of structure, in addition to the protagonism of the subjects, as essential for the process of change.
KEYWORDS
Health management; Humanization of assistence; Health administration