THE FRAGMENTATION AND FRAGILITY IN THE SYSTEM‘S FRONT DOOR: PERCEPTIONS OF THE STUDENTS ABOUT THE REALITY EXPERIENCED IN THEIR PRACTICES

Introduction/Objectives: The Primary Care is the front door of users to the health care services, whose function is to identify, receive, reference and solve population‘s health problems. However, it has seen a fragmentation is a fragility and fragmentation in this service. This study aims to report the experiences of the students of Integrative Practices of Learning, Service and Community (PIESC) of the Universidade Estadual de Santa Cruz (UESC), who are coursing this subject inserted in a Family Health Unit (USF) in Ilhéus-BA. Methodology: The students of the third year of medical school meet weekly in the USF in the period from 2013 to 2015, and by direct observation and qualitative evaluation, with direct interviews, they could identify fragilities and fragmentation in this service. Results/Conclusion: It was observed that the community does not identify the USF as a service capable of solve their problems, looking for other services for it. Between the fragilities found, was identified complaints related to the reception, bonding, material resources, lack of integration in the multi professional team and disorganization in the processes of work of the managers. This reality occurs due the influence of the biomedical model of education in the work relationships, because what is noticed is a complete autonomy of the members of the team and the perpetuation of this scenery that will result in a lack of credibility by the user in the health care service and its migration to other levels in the network, compromising the operating logic of the system.