FAMILISM TRENDS IN THE BRAZILIAN PUBLIC HEALTH SYSTEM: THE PERCEPTION OF SOCIAL SERVICES ABOUT EXCESSIVE WORK RESULTING FROM CARING FOR PEOPLE WITH CANCER IN PALLIATIVE CARE (Atena Editora)

Abstract

With the adoption of neoliberalism, there has been a decrease in state involvement in responding to the needs of the working class and an increase in the responsibility of families to provide care for their members, reproducing familism. In the Unified Health System (SUS), especially in oncology care, this perspective has been expanding, based on different government actions that add to the deepening of the defunding of high complexity health care, the privatization of the sector that directly interferes with the inclusion and permanence of people sick with cancer in the proposed treatment and the precariousness of both the working conditions of those who work in public health services and the conditions of health care for the user population. Thus, this study systematizes, in light of the literature review in the area and the documentary analysis, elements present in the professional work with families carried out by Social Services, especially those with cancer, based on the understanding of social workers - participants in the research from the Palliative Care Center of Pedro Ernesto University Hospital, linked to ``Universidade Estadual do Rio de Janeiro``, located in the city of Rio de Janeiro - Brazil. The results demonstrated the demands presented by families to Social Services as well as the overload resulting from the need for care and entry into the unprotected job market that causes the worsening of suffering in various dimensions of social life. Finally, it demonstrated the need for strategies to prevent the reproduction of familism, but without disregarding that this is a trend incorporated into health policies.