Institutional Support and co-management: a reflection on the work of institutional supporters of SUS Campinas

This paper comes from a study that sought to understand the practices of Institutional Support and co-management in the Unified Health System (SUS) of Campinas-SP. The Institutional Support is one of the methodological resources that make up the Paideia method, developed by Campos to reshape management. This is an additional way to managerial functions that assumes an interactive, analytical, and operational mode: working in co-management. Questionnaires were applied to all supporters who agreed to participate and focus groups were held with those who met inclusion criteria. Quantitative data were compiled in Microsoft Excel, and built a narrative to make the speech of supporters in the focus groups, subsequently validated in a feedback group that intended to produce new insights with the group. Data analysis was performed from the hermeneutic approach and interpretation of the narrative framework. It was observed that in the context of crisis in the city, institutional supporters have found it difficult to act according to what they believe should be the work of support. We consider it important to continue the study, exploring the theme from the perspective of services that are supported, from the central level managers and users of SUS-Campinas.

health management; Paideia method; Institutional Support