[Relational dynamics of primary health care teams and their impact on co-management]

Co-management is one of the guidelines found in Brazil's National Humanization Policy, a policy that promotes the creation of collective spaces for its construction. Based on a social constructionist approach, qualitative research was carried out between 2015 and 2018 in order to describe and analyze the relational dynamics established in two primary care facilities - a Primary Care Unit and a Family Health Center - with the aim of analyzing organizational cultures and the social construction of co-management. Research was carried out in two phases: fieldwork and interviews. Given that the Family Health Center presented a culture closer to the idea of co-management, we describe and analyze factors contributing to this dynamic. Whereas in the case of the Primary Care Unit, which proved to be farther from co-management, we look at obstacles. Our goal is to demonstrate the complex and fluid nature of relational dynamics, and to show that their transformation requires that efforts be tailored to each specific context, and therefore the "implementation" of collective spaces is not sufficient on its own to generate effective co-management.