{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T20:41:28Z","timestamp":1648672888303},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"abstract":"<jats:p>Resumo O artigo sistematiza e discute elementos presentes na pr\u00e1tica m\u00e9dica que contribuam para uma melhor compreens\u00e3o da sua reconhecida baixa ades\u00e3o \u00e0s diretrizes da Pol\u00edtica Nacional de Aten\u00e7\u00e3o B\u00e1sica (PNAB). Para tanto, fez uso de material emp\u00edrico produzido em duas investiga\u00e7\u00f5es de car\u00e1ter qualitativo conduzidas pelo mesmo grupo de pesquisa. Na primeira, entrevistas feitas com dirigentes gestores e controle social de dois munic\u00edpios paulistas, os m\u00e9dicos s\u00e3o apontados como explica\u00e7\u00e3o importante para as dificuldades de se construir uma aten\u00e7\u00e3o b\u00e1sica qualificada e resolutiva: um \u201cm\u00e9dico vil\u00e3o\u201d. Na segunda, utilizou-se observa\u00e7\u00e3o direta do cotidiano em sete unidades b\u00e1sicas de sa\u00fade em tr\u00eas munic\u00edpios paulistas, com registros de cenas do m\u00e9dico em a\u00e7\u00e3o e\/ou quando reflete sobre seu trabalho ou quando observado pela equipe. Emerge assim um m\u00e9dico mais complexo, fragilizado, com instrumental reduzido para atuar perante o \u201csocial\u201d que invade seu consult\u00f3rio, amea\u00e7ado em sua autonomia profissional, com dificuldade de integrar-se ao trabalho em equipe, expropriado das fun\u00e7\u00f5es regulat\u00f3rias e nem sempre com clareza do lugar reservado para a cl\u00ednica na aten\u00e7\u00e3o b\u00e1sica: um m\u00e9dico humano, demasiado humano, nem her\u00f3i, nem vil\u00e3o.<\/jats:p>","DOI":"10.1590\/1413-81232018238.16672016","type":"journal-article","created":{"date-parts":[[2018,8,15]],"date-time":"2018-08-15T19:49:48Z","timestamp":1534362588000},"page":"2651-2660","source":"Crossref","is-referenced-by-count":3,"title":["Nem her\u00f3i, nem vil\u00e3o: elementos da pr\u00e1tica m\u00e9dica na aten\u00e7\u00e3o b\u00e1sica em sa\u00fade"],"prefix":"10.1590","volume":"23","author":[{"given":"Denizi de Oliveira","family":"Reis","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brasil"}]},{"given":"Luiz Carlos de Oliveira","family":"Cec\u00edlio","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brasil"}]},{"given":"Rosemarie","family":"Andreazza","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brasil"}]},{"given":"Eliane Cardoso","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brasil"}]},{"given":"Tiago","family":"Correia","sequence":"additional","affiliation":[{"name":"Instituto Universit\u00e1rio de Lisboa,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2018,8]]},"reference":[{"issue":"7","key":"ref1","doi-asserted-by":"crossref","first-page":"1975","DOI":"10.1590\/1413-81232015207.05292015","article-title":"A revista Ci\u00eancia & Sa\u00fade Coletiva e o processo de institucionaliza\u00e7\u00e3o de um campo de conhecimentos e pr\u00e1ticas","volume":"20","author":"Nunes ED","year":"2015","journal-title":"Cien Saude Colet"},{"key":"ref2","series-title":"Medicina & Sociedade. 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