O Trabalho no Programa Saúde da Família do ponto de vista da atividade: a potência, os dilemas e os riscos de ser responsável pelatransformação do modelo assistencial

摘要: The PSF (Family Health Program) was implanted in 1994. It believed that it able to change the healing hospital centered care model. This challenge is highlighted by biomedical rationality influence practice, values and workers’ knowledge. can also be mentioned limits imposed proposal. study aimed coanalyze how workers developed their activities according perspective of activity ergonomic, ergology Activity Clinic. seeks for information on program works analyzing conditions work organization. pursues production of rules, knowledge activity values. In order successful, we used two methodological proposals, but adapted our needs: instructions double approach crossed self-confrontation. research with physicians, nurses community health agents, all them from a basic unit Vitoria, ES Brazil. We noticed must deal rules presented previous model ones present latest worker challenged into breaking this old still training services. As close as gets reality users, social economical issues make limitations more visible. That why new ways dealing situation are needed. self use dramatic becomes apparent through contradictions and inconsistencies this changing period. concluded few aids available the PSF include multiplicity. An intense mobilization necessary in practice working not following On other hand, these led formation strategies.