Interprofessional collaboration is a fundamental strategy for teamwork, especially in the Family Health Strategy. Thus, this study aims to analyze the insertion of the medical professional in the Family Health Strategy (FHS) in a small city in the interior of Bahia, in the light of the ideals of Primary Health Care (PHC) with a view to overcoming the biomedical model, from the perspective of its members. Also, to identify the rationality and the knowledge that guide the medical professional's performance in health care; to describe the medical performance as a member of the FHS team; and to analyze the physician's insertion and the interprofessional relationships that are established in the scope of Primary Health Care/FHS, focusing on the power relations within the multiprofessional teams. This work is a field, exploratory and qualitative investigation, of the Case Study type, having specifically two units of the Family Health Strategy as cases. Bardin's Content Analysis will be used to analyze the collected data. As a data collection technique, individual interviews (structured) will be used, with the use of a questionnaire, printed and/or online, with the use of guiding questions in the script. As a result, in view of all this context, the following themes emerged: 2 major Thematic Categories: 1) Rationality: biomedical versus interdisciplinary (knowledge ecology); 2) Medical practice: uniprofessional versus interprofessional collaborative and 3) Physician: "center of power" versus "member of a multiprofessional team". Given this context, the following themes emerged: 1) Medical professional as the center of power with its categories: 7.1 Rationality: biomedical versus interdisciplinary (ecology of knowledge) in which the categories: 7.1.1 Rationality: biomedical with devaluation of other knowledge and 7.1.2 Interdisciplinary Rationality (Ecology of knowledge) and horizontal relations. The theme 7.2 Medical practice: single professional versus collaborative interprofessional practice, with the categories: 7.2.1 Single professional and solitary practice and 7.2.2 Collaborative practice and interprofessional work. And the theme 7.3 Physician: "center of power" versus "member of a multiprofessional team" with the categories: 7.3.1 Physician developing single-professional work oriented by exclusively biomedical knowledge, 7.3.2 Physician developing collaborative work in multiprofessional team oriented by multiple

knowledge, and 7.3.3 collaborative competencies.

Studies show that interprofessional collaboration improves patient care, in particular, making the health care of pregnant women safer, more effective and comprehensive, and that oral health significantly contributes to qualify the prenatal care offered at the health unit. The proposal of this work was motivated by the need to understand the interprofessional work and the integrality of care in the family health team during prenatal care. Considering prenatal care: in a historic construction, from PAISM to Rede Cegonha; as a practice of comprehensive care to women's health that can contribute to interprofessional concepts and practices in AB; and that can make up a broader and more multiple care process in the ESF and in the territory, our guiding question was “how can the team's work process be adjusted to achieve comprehensive care for pregnant women, with incorporation of care in oral health?”. In this sense, the main objective of the research was to strengthen interprofessional collaboration in prenatal care carried out by the family health team at the USF Zulmira Barros, through an evaluation process and the articulation of a shared agenda of care, prevention and health promotion. It is a participatory methodology with an intervention proposal, qualitative and exploratory, which proposes to explore the phenomenon of prenatal care from the perspective of pregnant women and the experience of health team professionals at the USF Zulmira Barros, relating to interpersonal 4/3 and interprofessional issues. The action-reflection-action process proposed for this research was structured through a workshop strategy, and data collection was carried out through the collective construction of the SWOT matrix and the competences and skills matrix during the participation in the workshops. The study population consisted of pregnant women who underwent prenatal care at the health unit in the last six months and members of the health team who agreed to participate in the research by signing the consent form, approved by the Research Ethics Committee. The organization and analysis of the data served for the construction of a work instrument that could highlight the relational techniques and privilege transversal communication between the team members.

Prenatal care seeks to ensure the development of healthy pregnancies for both mother and baby, and it is important to implement health education practices as a strategy to qualify care, expand services, and reduce possible complications. The modality of care through operative groups for pregnant women as a form of collective care is significant in the optimization of the work, in the active participation of the user in the educational process, and in the increase of the bond with the professionals, providing a basis for communication, learning, and new knowledge elaboration. The purpose of this study was to examine pregnant women's perceptions of care and health education strategies in face-to-face meetings and remote operative groups in the PHC setting, with a focus on the themes addressed in the remote operative groups. In addition, it identified and analyzed the strengths and weaknesses of the remote groups of pregnant women in the PHC setting, based on the PichonRivière evaluation vectors. This is a qualitative, exploratory, and descriptive study, whose theoretical framework was based on the articulation between the psychodynamic approach grounded in the Operative Group Theory developed by Pichon-Rivière and the educational dimension, based on Paulo Freire's pedagogy. 4/5 Interviews were conducted with nine pregnant women who had prenatal care in two public health units in Ilheus (BA). Bardin's content analysis procedures were used to analyze the reports. The results highlighted the categories “Care and health education actions in PHC”, “Communication”, and “Learning”. Among the main conclusions, one can highlight the importance of access to prenatal care with an emphasis on a closer relationship between professionals and pregnant women with dialogue as the basis. The pregnant women's group was a relevant space for health education because it allows for sharing experiences and knowledge construction consistent with the needs, possibilities, and potentialities in bond formation, the clarification of doubts, and the promotion of pregnant women's autonomy. Weaknesses were pointed out regarding the access to exams needed during pregnancy and the need for greater adherence of pregnant women to groups. A demand for more information on topics associated with pregnancy was also identified, particularly the birth plan, the right to be accompanied, and pregnant women's labor rights.

In the psychosocial care model, care proposes a therapeutic itinerary that takes into account the historical construction of the subject and his relationship with the territory, in addition to comprehensive care practices. The perceptions of mental health care in the context of family health, identified in the literature, provide the need to rethink the humanization of care, comprehensiveness, universality and the guarantee 3/3 of equity. Despite the existence of movements in the health field in an attempt to implement this new way of thinking, there are obstacles to achieving dignified and comprehensive care. Such obstacles are related to inadequate communication between professionals in the care network services, the prevalence of care based on medicalization, the fragmentation of care, the fragility of the matrix support process, the lack of professional training and difficulties related to the training of these professionals. based on biomedical knowledge. In this sense, the defense of the expansion of therapeutic offers of the teams with psychosocial tools, as well as the training of health professionals to disseminate actions in mental health, aims to stimulate the construction of more effective therapeutic flows and projects in line with other services in the network of health. This is a way to achieve mental health care and promotion in the context of Family Health and in an integrated way to the care network within the proposal of the Brazilian Psychiatric Reform. In the words of Saraceno (1996), it is important to understand health care as a recognition of the subject beyond their disease, in the perspective of the unique meanings of their mental and physical suffering and their life processes as a whole, in all scenarios occupied by him (service/home/community). Mental Health (MH) in Primary Care (AB) faces major challenges in its daily life. Among them, there are those related to health workers to add resoluteness to mental health actions developed in the context of Primary Care, such as the little appreciation of the act of "listening" in everyday consultations. This research project aims to analyze the meanings of the production of mental health care in the context of the Family Health Strategy (FHS) and the reorientations of practices in the service, based on social constructionism, according to Mary's Social Psychology Jane Spink . Professionals from specialized mental health services (Biopsychosocial Care Centers and Ambulatory) and professionals from the territories covered by ESF's, in the municipality of Vitória da Conquista, Bahia, Brazil participated in the study. Data collection took place from July 2020 to March 2021. The semi-structured interview technique was used, in a meta-presential situation, with the consent of the participants signing the consent form. The script was previously prepared and tested for this purpose - based on the theoretical framework of Social Constructionism; the interpretative repertoires found in the bibliographical survey on the subject; and the validated scales - Work Impact Assessment Scale in Mental Health Services (IMPACTO-BR) and Family Satisfaction Assessment Scale with Mental Health Services (SATIS-BR) (BANDEIRA, PITTA & MERCIER, 2000, 2000, p. 105-115). The contents of the dialogues were analyzed from the identification of the interpretative repertoires of the contents of the speeches and their intertwining with the investigated literature and the interpretation of the researchers. It was observed that this research provided two main lines of categories. The first focused on the meanings about the conceptualization of mental health care processes in their entirety: “The meanings of mental health care processes”. This theme made it possible to start the reflection on the second line of meanings aimed at the main objective of the research: “The meanings of mental health care practices in the context of the Family Health Strategy”. The analysis of these categories allowed the reflection that the process of consolidation of care in the SUS must occur through the strengthening of care based on dialogic listening between professionals and the community. Since, the promotion of mental health privileges care centered on the person and the community and attention to the meanings attributed by the subjects to their health processes; that is, it deals with the emotions, perceptions and meanings of everyday life and, consequently, strengthens actions to promote the subjects' integral health.

The medical training in Brazil has been undergoing significant changes to be able to meet the demands from the Brazilian society and the Unified National Health System (SUS). The primary health care (APS) is set to be the gateway to the SUS, so that is where approximately 80% of the health issues are expected to be resolved. Therefore, it is important that there are 4/3 practitioners at the family health units (USF) with extensive education on that field of action. Despite the restructuring of the medical education, motivated by the new curricular guidelines from 2014, little is found in the literature about the changes and impacts on the education and the experiences about the APS as a field of action. For that reason, the aim of this paper is to compare the Medical Residency Program in Medicine of Family and Community (PRMMFC) in the context of the redesign of the medical education and the reorientation of its scenarios of practice brought by the curricular restoration and the Mais Médicos Program, in Salvador – Bahia. A study will be developed, with qualitative approach, to directly observe each PRMMFC through workshops ran with the supervisors of each program. The workshop-like interview will be made for the systematization of the main potentialities and weaknesses that influence the achievement of the residency’s goals on the services networks of the municipal APS through the creation of a SWOT matrix (acronym for Strengths, Weaknesses, Opportunities and Threat). Moreover, a documentary analysis will be made, based on the available guidelines, in order to create historical lines of the creation of the programs in Bahia in the last ten years to understand the reflection of the incentive public policies to the education of new practitioners, specialists, that can meet the SUS needs. Similarly, a documentary survey will be conducted to provide understanding of the five programs of residency in medicine of family and community (MFC) in the city of Salvador in 2020. Therefore, the results will indicate in what scenario the residencies in MFC in Salvador are in, and what are the relations with other situations experienced and described in the literature. Finally, this paper will point out the impacts that the public policies brought to the improvement of the medical professional on this specialty.

Health territories transcend spatial, geographic and environmental demarcations that are living spaces permeated by cultural, economic, political, social and health conditions and determinants. Territorial analysis requires information that reflects the reality of populations, favoring the operationalization of decisions and social actions, in addition to strategic public policies. These dynamic territories are home to traditional populations such as riverside dwellers, whose collective identity is the result of decades of construction. It is necessary to understand these populations as subjects of rights, especially with regard to public services considered essential for a dignified life. Primary Health Care must play the role of welcoming the demands of these populations, favoring access to health and minimizing problems caused by the inefficiency of public policies in these regions. The objective of the research is to carry out a situational analysis and understand how communities have access to Primary Care services in seven riverside communities in the Vale do Rio de Ondas, located in the western region of Bahia, in the municipality of Barreiras. The research was guided by the Socio-Demographic Inventory (ISD), a collection instrument that facilitates contact and building relationships between the researcher and the community. Data collection took place through semi-structured interviews with residents and key actors from seven riverside communities. The emphasis of the research was on: the history of the communities, geographic accessibility, housing conditions, basic sanitation, community leadership, education, religiosity and mental health of riverside populations during a pandemic period. Thus, it was possible to know the local conditions, contribute to the strengthening of the identities of the populations that inhabit the territories and sensitize managers and public authorities of the need to implement a Health Unit in the region and improve the quality of access to public services that interfere in the physical and mental health of the population.

In the work process of a family health team, user embracement is essential for the organization of services, favoring greater access to users, qualified listening, and adequate addressing of problems. This 3/3 research aimed to analyze the reception of users of primary care in a municipality in the state of Bahia, understanding the facilities and difficulties in this process from the perceptions of health professionals and users. The research had a descriptive and exploratory character with a qualitative approach. Regarding the technical procedure, a field study was carried out in which there was direct observation of the activities of the studied groups and interviews with informants to capture their perceptions about the analyzed process. At first, a bibliographic study was carried out on concepts such as welcoming, humanization, vulnerabilities, Family Health Strategy, Primary Health Care, work process and social participation, as well as the analysis of municipal documents on welcoming in health. Subsequently, systematic observation and application of two semi-structured interview scripts with health professionals and users. This work did not seek to exhaust the subject, but to understand the reception in the work process, alerting to its weaknesses in service and in user satisfaction and improvement of these services.

Population aging has brought new challenges to health systems. The presence of chronic conditions, accompanied by multimorbidity, fragility and functional disability in a considerable part of this elderly population has limited the opportune and continued access of these individuals to health services or even restricting them to the home. 3/3 Care for the elderly at home, therefore, tends to be episodic and fragmented, increasing the risk of iatrogenesis. Family Health teams work close to the communities where these elderly people live, having the possibility to offer continuity and coordination of care from home, but have difficulty recognizing the characteristics and needs of this vulnerable population group and how to reorganize themselves for the provision this care. Thus, studies that seek to characterize the vulnerabilities and health needs of this population group and how care is organized for these individuals become relevant. This study is based on the theoretical framework of Dorothea Orem's Self-Care Deficit Theory to seek to better understand such care needs, as well as the care arrangements to meet them by the Family Health teams.

Brazil and some countires of the world have experienced changes in demographic structure as well as in regards to the perception that the elderly have about aging, old age and quality of life. It is important to emphasize that the aging process has its peculiarities and suffers different influences that permeate the concepts and debates on the topic. Studies indicate that the environment where an elderly person resides is a determining factor for such perceptions, and, although most of the population, in old Brazil lies in the urban area, there is a consensus about the ageing process in the countryside. The objective of the study is to understand the social perceptions of the elderly population living in the rural areas, about the aging process, their experiences in the community and also the understanding about the health / illness / care process. The research scenario was the municipality of Alcobaça, located in the extreme south of Bahia, which has 50% of its population living in rural areas. The approach of the study was both qualitative and quantitative, followed by a descriptive and exploratory methodological model. Eleven interviews were conducted, followiing a script of open and closed questions, and a quality of life questionnaire by OMS. The results indicated that the predominant age group was between 60-69 years of age (45.5%) and women (72.2%) and 54.5% were married. Most of the interviewees are retired (91%), with a monthly income of 1 to 2 minimum wages, but remain active through domestic duties and family farming activities. The results have shown that religiosity, family and social relations in rural areas have strong connection with emotional well-being and quality of life. The routine of work activities are felt as positive practices and common to the elderly people, as well as bringing a sense of belonging in their place of residence. As per the data collected, it sought to describe the scenario of care and life of these elderly people, aiming to undestand the meaning of old age in the rural environment, focusing, in elderly's perception of health and aging conditions, based on the ways of life and their subjectivities.

Medical graduation, one of the most sought after and popular in Brazil, is presented by an image of social status and financial stability. Being approved in a medical course means for many young people and their families the guarantee of a prosperous and promising future. This projection of a dream about the medical career may conflict with the undergraduate study and the years of hard and stressful study - overload of reading, difficulty in managing time, little leisure, responsibility and social expectations regarding the role of the doctor in society. These conditions predispose to loss of quality of life, suffering and development of mental disorders among students. Curricular changes, adoption of active learning methodologies, besides actions of promotion, prevention and support to the student in suffering, seem to propitiate the development of a more welcoming scenario in the medical school. Many universities have been supporting this movement, based on the National Curriculum Guidelines for Medicine (NCGs). The present study aimed to identify through the self-perception of the medical students from the State University of Santa Cruz (UESC), in the south of Bahia, the existence of mental suffering and stressor events after the beginning of the course, also producing a discussion through teachers' reports. The methodological orientation was of a case study, through qualitative research. The data were obtained by the application of semi-structured digital questionnaires to an intentional sample of 45 students and 10 teachers from 1st to 6th grade, and analyzed from the perspective of Discourse Analysis (coding of analytical axes and data grouping).The research is in line with ethical aspects of Resolution 466 of 2012, and was approved by the ethics and research committee. It was observed that 75% of participants considered presenting some type of mental disorder; almost 40% report having become ill after admission to the medical course, and half of these students attribute illness to stressful events due to graduation, such as excessive study requirements, absence of leisure activities, and sometimes abusive attitudes from the teachers. Most teachers perceive the situation and demonstrate that they do not receive institutional support to approach and support the student. The student narratives point to the structural weaknesses of the course and difficulties in adapting to the Problem Based Learning (PBL) method as possible stressors, a fact that, in general, diverges from the literature that works with the theme. It is concluded that mental suffering is present among UESC medical students; it is perceived that in addition to the causes often attributed to suffering in other studies, the current structure and organization of the course tends to have some negative impact on the students' level of stress; becomes evident the need to develop reflexive and democratic spaces that propitiate the communication between coordination of the course, teachers and students, aiming the planning of actions to promote the mental health of the student.

After one century of considerable technology progress in all fields, including in the healthcare sector, the biomedical industry became a powerful actor in the healthcare where its products are excessively used, putting aside the therapeutic bond in the work process. Quaternary prevention (P4) inserts itself in a context of overuse of high technology, contributing to high rates of morbidity and mortality resulting from unnecessary procedures. The P4 was developed by Marc Jamoulle in 1986 to prevent adverse effects and protect patients from unnecessary medical interventions, proposing alternative therapies ethically acceptable. He was able to integrate a public health approach into individual clinical practice. The present study aimed to further, systematically, Quaternary Prevention concept. The second objective was to outline medical education emphasis in the specific context of P4. First, the authors realized e systematic review (SR) of the scientific production published till August of 2018, analized it qualitatively and under a bibliometric perspective. After this step, a bibliographic review on medical education history has been performed, and enabled to point historical and epistemological landmark that could be linked to the actual context of overmedicalization. 65 articles were included in the SR. Conceptual, geographical and linguistic aspects were highlighted as key elements that impacted the scientific production about P4, as well as the WONCA conferences and the type of healthcare system in the authors’ country. The Brazilian and Uruguayan authors were the leaders according to the publications number. Most of the papers used a bibliographic research method and focused on the causes and examples of overmedicalization, just as strategies to implement P4. In the second stage of the research, the authors noticed that iatrogenesis was already present in the Ancient Greece, at the principle of occidental medicine and medical education has been pointed as a potential strategy to tackle medical overuse. In this way, medical education would be able to promote a practical and critical conception on medicine, for example, through: discussions about the potential and limitations of evidence-based medicine (EBM), the development of communication skills, the improvement of a longitudinal care and bioethics. These are some ways that could impact the number of iatrogenic procedures. Actually, the volume of available literature is not enough to assess P4 relevance. However, the combination of the bibliography on overmedicalization and P4 could increase enoughly the size of the assessed scientific production and would constitute an answer to this standoff. In this perspective, medical education represents a high potential and low-cost tool to implement P4 and assess its impacts on health practice and indicators.

In the health sector, the information must be understood as a reducer of uncertainties, an instrument capable of detecting priority attention focuses, acting as a fundamental subsidy in the decisionmaking process. The Health Information Systems (SIS) serve to organize the data, provide the permanent evaluation of the actions performed and health situation. In this context, the main objective of the present study is to evaluate the quality of production and use of information in the planning and management of the actions, considering the main existing Health Information Systems. The study was approved by the Research Ethics Committee. Initially, an exploratory and descriptive qualitative study was carried out, through documentary research on the health information systems most used in basic care. Then, through the electronic questionnaire, structured with nine closed questions and one open, it was verified that most of the professionals know the SIS of the basic attention, however, they access infrequently, they do not feel able to use them and they think that the functionalities contribute little to the work processes. It can be affirmed that, despite several advances, it is still necessary to overcome the limitations of health information, but the restructuring of SIS depends heavily on the involvement of SUS managers, health professionals and workers in the deployment, use and improvement SISAB and the e-SUS AB strategy. From the analysis of the open questions, new functionalities were proposed for the e-SUS, automated return scheduling, alarm systems for the users and interoperability among the various SIS of AB.