Atuação política de médicas e médicos de família e comunidade no Brasil: discursos e projetos em disputa e sua relação com políticas neoliberais

• Ano de defesa: 2021
• Autor(a) principal: Segalla, Sarah Barbosa
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraíba; Brasil; Medicina; Programa de Pós-Graduação em Saúde Coletiva; UFPB
• Palavras-chave em Português: Medicina de família e comunidade; Atenção Primária à Saúde; Política de saúde; Setor privado; Discurso; Family practice; Primary Health Care; Health policy; Private sector; Discourse; Medicina familiar y comunitaria; Atención Primaria de Salud; Política de salud; Sector privado; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/123456789/22678

ABSTRACT: Family Medicine is an important medical specialty in the structuring of primary care in health systems and, in recent years, family physicians have occupied ever more spaces in policy development, service management and the private healthcare market. This research intends to analyze the primary care and family medicine model discourses sustained by relevant actors in the specialty development in Brazil, notably the Brazilian Society of Family and Community Medicine, and family physicians who lead the specialty discourse from high positions in corporations, linked to the government or in the academy. These discourses were analyzed considering the recommendations of international organizations (the World Bank and the Pan American Health Organization/World Health Organization), the Unified Health System (SUS) policies, and the private healthcare plans and insurances market. Data were produced from literature review on the subject and analysis of public domain documents and products, created by entities and subjects involved in the object of study. The data were analyzed using the method of critical discourse analysis. From this analysis, this study identified a discursive inclination in groups allied to medical financial capital, towards liberal-privatization models of family medicine and selective primary care projects. While also finding resistance discourses, which intend to defend the SUS and recover Primary Health Care’s historical role in building the conditions to guarantee the right to health. The research also enabled the exploration of possible scenarios in which the SUS will play a leading role in the future, and to identify strategic points of discursive dispute, policy and practice, especially considering the role, voice and practice of family medicine.