A influência do PROVAB e do Programa Mais Médicos na definição de política de formação médica em um contexto Paulista

• Ano de defesa: 2017
• Autor(a) principal: Santos, Maria Aparecida Pedrosa dos
• Orientador(a): Mello, Guilherme Arantes
• Banca de defesa: Mello, Guilherme Arantes, Veiga, Ana Paula Rocha, Costa, Ronaldo Monteiro, INOUE, Silvia Regina Viodres, Martins, Lourdes Conceição
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Católica de Santos
• Programa de Pós-Graduação: Doutorado em Saúde Coletiva
• Departamento: Centro de Ciências Sociais Aplicadas e Saúde
• País: Brasil
• Palavras-chave em Português: programa mais médicos, provab; atenção primária de saúde; formação médica; interiorização do médico no Brasil; medicina de família e comunidade
• Palavras-chave em Inglês: more doctors program; provb; primary health car; medical training; internalization of the doctor in Brazil; family and community Medicine
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: https://tede.unisantos.br/handle/tede/3941

This is a case study with a qualitative approach, whose phenomenon is the participation of two (02) programs, the Program of Valorization of the Professional of Basic Attention (PROVAB) and the More Doctors Program (MDP) as Public Health Policies (PHP) focused on medical training for the Primary Health Care (PHC), starting from a ¿paulista¿ context. It aims to analyze the experience and understandings of physicians, management professionals, and Resident Medical (RM) participants about PROVAB and MDP, and to identify the effectiveness of these programs as policy tools for medical training. PROVAB was implemented in 2012 and the MDP in 2013, being the most recent devices for the provision and medical training for the PHC in Brazil, considered the gateway to SUS. Data were collected through semi-structured recorded interviews being later transcribed and applied to 31 key informants (physicians, management professionals, and Medical Residents) involved with PROVAB and MDP, PHC and Medical Education. To provide theoretical support, the databases obtained in consultation with the VHL through LILACS, SCIELO and MEDLINE, as well as books, journalistic informations and theses, among others, were used as a bibliographic research resource. It is worth noting that despite the MDP being implemented in 2013, PROVAB had not been extinguished, and both Programs coexisted in parallel until the beginning of 2015, when the Ministry of Health joined PROVAB to MDP, so that the form of access from here on has become the same. However, the physician with professional registration in Brazil can choose whether or not to obtain the additional 10% points of the RM test if he or she stays for a period of one year working in the family health strategy (FHS) in regions prioritized by the MDP. For the analysis of the data the techniques of Bardin Content Analysis and Data Based Theory were used demonstrating with the messages of the subjects that the implementation of these programs enables the improvement of PHC, and is currently the PHP that understands and favors the medical training directed to work in this primary level of health.