MEDICALIZATION AND GROPUS IN PRIMARY HEALTH:SYNERGY OR OPPOSITION

Introduction/objectives: Family Health Strategy teams working model assumes bonding with people and communities as an important tool for achieving comprehensive and effective health care. Group activities, offered to people sharing any health condition in common, usually take place in these setting and represent an important technology of approach health-disease process in a major context crossed by medicalization. This could be defined and characterized as the adoption of and adherence to medical heteronomical procedures, leading to development and increased demand for more procedures, thus hindering patient's autonomy. Group activies in primary health hold, therefore, the virtue to guide and face medicalization process towards the reconstruction of autonomy, as well as the potential harm of stimulating and strengthening it. Multiplicity of models and lack of appropriate practice for health professionals to this type of activity, unveils a wide unexplored field of terms and definitions in literature. Methodology: Qualitative research, consisting of a narrative review of literature using MeSH terms Family Health; Diagnosis Related Groups; Diabetes Mellitus; Hypertension; due to the prevalence and existance of diferent approaches for both conditions, in two main indexers: PubMed and LILACS Results/Duscussion: There was significant difficulty for the establishment of uniform descriptions and disclosures in the scientific literature. Stands out the especially large number of publications devoted to report health education actions based on the transmission of information that seeks to strengthen autonomy of patients, but with the potential - and detrimental - consequence of producing more demands and further enhance to phenomenon of medicalization.