Reflections between Learning and Regulation in the Existence of “Live Networks” for Emergency Care

Abstract

Objective: to reflect on the concept of “Live Networks” in Brazil’s Unified Health System (SUS), on how and which relationships can produce living systems that feedback and self-regulate as they autorelate to themselves internally and with their exterior. Methodology: reflection study, based on phenomenology as a philosophical theoretical basis, in addition to the authors' perception of the topics covered. Results: in “Live Networks” there must be patterns of complex and non-linear interrelationships and an internal process of permanent learning and self-regulation that provide for its continuous evolution as a structure that "walks together". Final Considerations: we found, as an inevitable result, that the increase in the efficiency of the provision of public services through effective and better qualified access to care and regulation of urgencies can occur through the construction of “Live Networks”, whose regulatory process is "learning-dependent”, an activity of continuous incorporation of new standards into the structure, without the intervention of the concept of a hierarchical “boss”. It implies the construction of a collective learning network that creates living spaces for dialogue and shared management. This work needs studies that validate, in practice, these reflections.