Banca de DEFESA: NATERCIA JANINE DANTAS DA SILVEIRA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : NATERCIA JANINE DANTAS DA SILVEIRA
DATA : 10/09/2019
HORA: 14:00
LOCAL: Departamento de Odontologia
TÍTULO:

PROGRAMA MAIS MÉDICOS: ANÁLISE DA PRODUÇÃO DE CUIDADOS NA ATENÇÃO PRIMÁRIA A SAÚDE

PALAVRAS-CHAVES:

Production of Care; Working Process; Health Actions; More Doctors Program; and Public Health Policies

PÁGINAS: 142
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

Brazil has been currently experiencing a struggle for the survival of the Unified Health System (SUS) as a political and democratic project in a scenario where there is the strong feeling of a collapse of the public sector and profound difficulty in the continuation of social policies. A scenario with the prevalence of distributive inequality with respect to human resources persists, which translates into cracks in the production of integral care. The purpose of the “More Doctors” Program (PMM), launched in 2013, is to educate/train human resources in the medical area of the SUS, it is the main public policy in terms of the emergency provision of care in the country. The research intends to analyze the production of care conducted by the professionals of the More Doctors Program in Brazil in 2015. For that purpose, quantitative and observational research was conducted, relying on the use of secondary data derived from the report of the first supervision visit, held in 2015, related to the working process and the health actions. For the data analysis, it was used the multiple model approach through Poisson regression with robust variance and the multiple correspondence analysis for the identification of the latent variable. It was also used qualitative research in small and extremely vulnerable municipalities, namely: Venha Ver, Riacho de Santana, Vera Cruz and Jardim do Seridó, where techniques such as Observation and Focus Group were performed. Data analysis was conducted through Minayo’s operative proposal. An analysis of data from 3,816 municipalities, encompassing 16,000 professionals, was conducted. The production of care pervaded the working process, with emphasis on the principle of fairness, taking into account that the most vulnerable municipalities and which count on a larger coverage conduct a larger number of activities in their working process. With respect to the professional profile, the production of care permeated the health actions, obtaining three professional profiles: “Bright White: the community physician”; “White Coat: the clinical-traditional physician”; “Promotion, Prevention and Education: construction of the medical professional”, which have their practices associated with the professional background, consolidating itself as a determining factor for the carrying out of actions compatible with the population’s real needs. Such findings were associated with the socioeconomic variables, with special focus on funding, health centers’ infrastructure and coverage. The production of care was consolidated and embodied through narratives experienced by the social players in the municipalities in Rio Grande do Norte’s countryside which associated the More Doctors Program (PMM) to an “enzyme”, a catalyzing element for the strengthening of Primary Health Care, being capable of causing changes in the care models, as well as in the working process. It is concluded that, with the implementation of the More Doctors Program (PMM), it took place the consolidation of the tripod working process in health, basic care and fairness, making it possible the carrying out of a working process focused on the Primary Health Care (APS). This implies in the performance of a larger number of activities inherent to the Primary Health Care, which were not conducted as a result of the absence. It’s also suggested strategies to expand the scope of the practices carried out in the Primary Health Care, from the perspective of permanent education and training of health professionals, being of paramount importance the emphasis on the routine of the service.

MEMBROS DA BANCA:
Presidente - 1149540 - ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
Interna - 451.382.224-49 - CLÁUDIA HELENA SOARES DE MORAIS FREITAS - UFPB
Externo ao Programa - 572900 - PAULO DE MEDEIROS ROCHA
Externo à Instituição - FABIO CESAR BRAGA DE ABREU E LIMA - UNESP
Externo à Instituição - JULIANA SAMPAIO - UFPB