Transcultural interaction in health services


  • Elaine Cristina Camillo da Silva Universidade de São Paulo
  • Dalton Luiz De Paula Ramos Universidade de São Paulo


This study had the following objectives: to understand the interaction processes among health professionals and foreign users in the Unidades Básicas de Saúde (UBS) and the Program for Family Health (PSF); to get to know the significance of the health professional’s experience as they interact with foreign users; to put in evidence bioetiques issues in the experience of professionals and foreign users interaction. It was used as a theorical referential the Symbolic Interacionism and as methodological reference a Grounded Theory up to an axial coding. Data analysis presented as conceptual ordering, lead to the definition of four great issues: (1) "trying to communicate"; (2) "detecting limits"; (3) "recognizing interaction as a process"; (4) "recognizing different perspectives". The route of professional – foreign users interaction was developed from one choice: attend everyone (indiscriminately) making approximation possible. To recognize or fail to recognize in the foreign user the dignity of human person seems to be the determining factor for the openness of the professional to the interaction, in his disposition to seek strategies.


bioethics, humanization, physician-patient relationship, transcultural

Author Biographies

Elaine Cristina Camillo da Silva, Universidade de São Paulo

Doutoranda em Ciências Odontológicas. Odontologia Social da Faculdade de Odontologia da Universidade de São Paulo, Brazil.

Dalton Luiz De Paula Ramos, Universidade de São Paulo

Professor livre-docente do Departamento de Odontologia Social da Faculdade de Odontologia da Universidade de São Paulo, Brazil