SOCIAL CAPITAL AND TRUST IN PRIMARY HEALTH CARE: INSIGHTS FROM USERS' PERSPECTIVES

Main Article Content

Saleemullah
Reem Falah Alshammari
Muhammad Javed
Huma Tahir
Rayed Humaid Alreshidi
Islam Mohamed Ahmed Salih
Ygor Rocha Fernandes

Keywords

Primary Health, Qualitative Research, Health Education, Attention

Abstract

Introduction: The paper tries to use Bourdieu's theory on modes of action and his ideas of the habitus and institutions, in order to talk about it from a point where health care users are involved. It uses qualitative research to explore the experiences of users in Basic Health Units of Rio de Janeiro.


Methods: Semi-structured interviews and participant observation were used to collect data from 12 participants. The analysis was organized around three analytical categories--bonding, trust and affection within the social support network; extended healthcare, looking at the symbolic capitals' meanings and tensions that people had when they used these; and autonomy and vulnerability, which gave a tracing back over the social trajectory of agents. Bardin's Content Analysis Framework guided the analysis of the interviews.


Results: The research produced new insights into the perspectives of healthcare system users on primary care health education initiatives. The findings accentuated bonding, trust and affection within social networks of support. Further, it illuminated the subtle and multifold dynamics of extended healthcare including symbolic capitals and tensions experienced by users. Finally, the paper brought out the state between autonomy and vulnerability throughout users' social trajectories.


Conclusion: By synthesizing Bourdieu's sociology of action and health education, this paper provides a more nuanced understanding of users' perspectives on primary care initiatives. Activities together can encourage debate and respect for different views. The study suggests practical and transforming approaches to engage with the dynamics of people's life.

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