Projeto Mais Médicos Brasil: uma avaliação a partir das percepções e experiências das equipes de saúde da atenção básica no município de São Carlos - SP
Fecha
2020-02-27Autor
Silva, Fernanda MIchelle Duarte da
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The More Doctors Program (MDP) was created in Brazil with the objective of reducing
inequalities of access in Primary Health Care (PHC). Based on the evidence that prove the scarcity
of professionals in the country, especially in the most vulnerable regions, one of the axes of action
is aimed at providing emergency care for these professionals in vulnerable areas. Thus, it is
evident the strengthening of health teams that represent the individual´s first access to the health
system, passing in its composition to have the permanent professional and present in health
actions, where previously several municipalities had difficulties in hiring and maintaining
professionals and the active teams. The objective of this work is to evaluate the More Doctors
Program from the perceptions and experiences of the primary care health teams working in the
city of São Carlos - SP. This is an exploratory study with a qualitative approach that used the
semi-structured interview with program supervisors and focus groups with community health
agents (CHA), mid-level professionals (nursing assistants and technicians) and higher level
(nurses, dentists) that make up the teams from questions pertinent to the objectives of the study.
After the transcriptions and analysis of the technique, the following categories emerged, with
subcategories being described as: evaluation of the first MDBP professionals, in which the teams
welcomed the professional as a “help” to the demands of the teams, at first there was a noticeable
resistance on the part of the population, it was something passenger after the first months. The
contact with the professional and the program by the teams, It was seen as positive due to the
difficulties of not having the doctor at the unit. In another category, we highlight the changes that
occurred in the teams with the integration of this professional. It was noticeable the differential
of the formation of these professionals in making health, the establishment and the ease as
occurred the link between team, professional and community and finally arose a category
regarding the trajectory of the municipality's project, we had difficulty with some doctors for not
performing participatory management within the teams, due to lack of clarification by the part of
the local management. It was evident by the part of the teams to describe the trajectory that the
project was a historic landmark due to the number of professionals and the changes that occurred
in the teams and communities. However the discreet or lack of management by the part of the
municipal management, we haven´t had the full benefit of what the program could offer us.
Today, we have doubts about if the program will continue or not and how we will be without
emergency provision, whereas our professionals, the doctors’ don´t adhere to or create bonds with
the teams.
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