From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in health

Detalhes bibliográficos
Autor(a) principal: Dias, Henrique Sant’Anna
Data de Publicação: 2022
Outros Autores: Lima, Luciana Dias de, Teixeira, Marcia
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/724
Resumo: This article analyzes the trajectory of the Brazilian policy of education and work regulation considering institutional issues and forms of incorporation of medicine on the policy, comprising the period from 2003 to 2015. This study was based on contributions of historical institutionalism, involving the analysis of legal and normative documents, interviews with state personnel and data from federal financing reports of the policy. Five key moments were defined, considering political-institutional contexts, governmental initiatives, and the insertion of medicine into the agenda of governments. The emphasis on the medical profession evolved from one-off actions to the status of a landmark, in a context of loss of space of the health workforce agenda and increasing prioritization of education actions, associated with institutional gains and changes in funding. The More Doctors Program resulted from the dynamics of the trajectory, incorporating advances in the training and incorporation of physicians into the Unified Health System of Brazil. Challenges remain, however, related to precarious employment relationships, the privatization of medical education, and professional regulation that considers the exercise of medicine in the private sector.
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spelling From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in healthDe acciones específicas a hitos gubernamentales: medicina en la trayectoria de la política nacional de educación y regulación del trabajo en saludDe ações pontuais a marco de governo: a medicina na trajetória da política nacional de educação e regulação do trabalho na saúderecursos humanos em saúdemedicinapolítica pública de saúdehealth workforcemedicinepublic health policyfuerza laboral en saludmedicinapolítica publica de saludThis article analyzes the trajectory of the Brazilian policy of education and work regulation considering institutional issues and forms of incorporation of medicine on the policy, comprising the period from 2003 to 2015. This study was based on contributions of historical institutionalism, involving the analysis of legal and normative documents, interviews with state personnel and data from federal financing reports of the policy. Five key moments were defined, considering political-institutional contexts, governmental initiatives, and the insertion of medicine into the agenda of governments. The emphasis on the medical profession evolved from one-off actions to the status of a landmark, in a context of loss of space of the health workforce agenda and increasing prioritization of education actions, associated with institutional gains and changes in funding. The More Doctors Program resulted from the dynamics of the trajectory, incorporating advances in the training and incorporation of physicians into the Unified Health System of Brazil. Challenges remain, however, related to precarious employment relationships, the privatization of medical education, and professional regulation that considers the exercise of medicine in the private sector.El objetivo del artículo es analizar la trayectoria de la política nacional de educación, así como la regulación del trabajo en salud, teniendo en cuenta instituciones y formas de incorporación de la medicina en el curso de la política, de 2003 a 2015. El estudio se basó en contribuciones del institucionalismo histórico, que implicaban el análisis de documentos legales y normativos, entrevistas con actores statales y datos de financiación de políticas federales. Se identificaron cinco momentos, basados en el contexto político-institucional, así como iniciativas gubernamentales y la inserción de la medicina en las agendas gubernamentales. El énfasis en la profesión médica evolucionó de acciones específicas, a la condición del marco gubernamental, dentro del contexto de la pérdida de espacio de la agenda de trabajo en salud y el aumento de la priorización de acciones educativas, asociadas con avances en las instituciones y cambios en la financiación. El Programa Más Médicos fue el resultado de la dinámica de la trayectoria recorrida, con avances en la formación y provisión de médicos en el SUS. Siguen existiendo desafíos respecto a las relaciones laborales precarias, privatización de la educación médica, así como la regulación profesional, en lo que concierne al ejercicio de la medicina en el sector privado.O artigo tem como objetivo analisar a trajetória da política nacional de educação e regulação do trabalho na saúde, considerando a institucionalidade e formas de incorporação da medicina no percurso da política, de 2003 a 2015. O estudo se baseou em contribuições do institucionalismo histórico, envolvendo análise de documentos legais e normativos, entrevistas com atores estatais e dados do financiamento federal da política. Cinco momentos foram identificados com base no contexto político-institucional, nas iniciativas governamentais e na inserção da medicina nas agendas de governo. A ênfase na profissão médica evoluiu de ações pontuais à condição de marco governamental, no contexto de perda de espaço da agenda do trabalho em saúde e priorização crescente das ações de educação, associada a ganhos de institucionalidade e mudanças no financiamento. O Programa Mais Médicos resultou da dinâmica da trajetória percorrida, com avanços na formação e no provimento de médicos no Sistema Único de Saúde. Permanecem, entretanto, desafios quanto às relações precárias de trabalho, à privatização do ensino médico e à regulação profissional que considere o exercício da medicina no setor privado.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-06-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/72410.1590/1981-7746-sol00269 Trabalho, Educação e Saúde; v. 18 n. 2 (2020)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/724/70Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessDias, Henrique Sant’Anna Lima, Luciana Dias de Teixeira, Marcia2022-06-09T16:18:10Zoai:ojs.pkp.sfu.ca:article/724Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:00:48.790572Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in health
De acciones específicas a hitos gubernamentales: medicina en la trayectoria de la política nacional de educación y regulación del trabajo en salud
De ações pontuais a marco de governo: a medicina na trajetória da política nacional de educação e regulação do trabalho na saúde
title From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in health
spellingShingle From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in health
Dias, Henrique Sant’Anna
recursos humanos em saúde
medicina
política pública de saúde
health workforce
medicine
public health policy
fuerza laboral en salud
medicina
política publica de salud
title_short From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in health
title_full From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in health
title_fullStr From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in health
title_full_unstemmed From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in health
title_sort From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in health
author Dias, Henrique Sant’Anna
author_facet Dias, Henrique Sant’Anna
Lima, Luciana Dias de
Teixeira, Marcia
author_role author
author2 Lima, Luciana Dias de
Teixeira, Marcia
author2_role author
author
dc.contributor.author.fl_str_mv Dias, Henrique Sant’Anna
Lima, Luciana Dias de
Teixeira, Marcia
dc.subject.por.fl_str_mv recursos humanos em saúde
medicina
política pública de saúde
health workforce
medicine
public health policy
fuerza laboral en salud
medicina
política publica de salud
topic recursos humanos em saúde
medicina
política pública de saúde
health workforce
medicine
public health policy
fuerza laboral en salud
medicina
política publica de salud
description This article analyzes the trajectory of the Brazilian policy of education and work regulation considering institutional issues and forms of incorporation of medicine on the policy, comprising the period from 2003 to 2015. This study was based on contributions of historical institutionalism, involving the analysis of legal and normative documents, interviews with state personnel and data from federal financing reports of the policy. Five key moments were defined, considering political-institutional contexts, governmental initiatives, and the insertion of medicine into the agenda of governments. The emphasis on the medical profession evolved from one-off actions to the status of a landmark, in a context of loss of space of the health workforce agenda and increasing prioritization of education actions, associated with institutional gains and changes in funding. The More Doctors Program resulted from the dynamics of the trajectory, incorporating advances in the training and incorporation of physicians into the Unified Health System of Brazil. Challenges remain, however, related to precarious employment relationships, the privatization of medical education, and professional regulation that considers the exercise of medicine in the private sector.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-07
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/724
10.1590/1981-7746-sol00269
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/724
identifier_str_mv 10.1590/1981-7746-sol00269
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/724/70
dc.rights.driver.fl_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 18 n. 2 (2020)
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
_version_ 1798943468406439936

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