More Doctors Program in a municipality at an international border and the challenges of management in health

Detalhes bibliográficos
Autor(a) principal: Arenhart, Carlos Guilherme Meister
Data de Publicação: 2022
Outros Autores: Gomes, Ludmila Mourão Xavier, Ribeiro, Elisete Maria, Barbosa, Thiago Luis de Andrade
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/873
Resumo: The technical cooperation among Latin American countries has been promoting great debates in the field of collective health and in the consolidation of labor management in the Brazilian Unified Health System (SUS, in the Portuguese acronym). The present paper had the goal of understanding the conceptions of Primary Health Care managers in a municipality located in a border region - which has been historically distant from the Brazilian sanitary reform movement - regarding the implementation of the “More Doctors” Program. The study is of a qualitative nature, and it was based on the hermeneutic-dialectic method, with an exploratory approach, and was conducted in the tri-border area of Brazil, Paraguay and Argentina. We performed open interviews that were recorded, transcribed and analyzed in an interpretive and dialectic manner in the empirical-conceptual context. In the understanding of the managers, the Program contributed to the continuance of the offer of services in the local Primary Health Care, and it is a way to ensure the provision of medical care in a municipality located in a border region. The Program also contributed to the co-responsibilization for the care. We observed a dialectic movement in the longitudinality attribute as well as in the difficulties to operationalize the binomial management-planning, demonstrating a contradiction in the operational praxis of the services. We concluded that, for the managers interviewed, the Program was an important strategy for the management of labor in health, even though there is a critical issue regarding the fleeting period these professionals remain in the Primary Health Care teams.
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spelling More Doctors Program in a municipality at an international border and the challenges of management in healthPrograma más médicos en una ciudad de frontera internacional y los desafíos de la gestión de la saludPrograma mais médicos em município de fronteira internacional e os desafios da gestão em saúdecooperação internacionalorganização e administraçãoatenção primária à saúdeinternational cooperationorganization and administrationprimary health carecooperación internacionalorganización y administraciónatención primaria de la saludThe technical cooperation among Latin American countries has been promoting great debates in the field of collective health and in the consolidation of labor management in the Brazilian Unified Health System (SUS, in the Portuguese acronym). The present paper had the goal of understanding the conceptions of Primary Health Care managers in a municipality located in a border region - which has been historically distant from the Brazilian sanitary reform movement - regarding the implementation of the “More Doctors” Program. The study is of a qualitative nature, and it was based on the hermeneutic-dialectic method, with an exploratory approach, and was conducted in the tri-border area of Brazil, Paraguay and Argentina. We performed open interviews that were recorded, transcribed and analyzed in an interpretive and dialectic manner in the empirical-conceptual context. In the understanding of the managers, the Program contributed to the continuance of the offer of services in the local Primary Health Care, and it is a way to ensure the provision of medical care in a municipality located in a border region. The Program also contributed to the co-responsibilization for the care. We observed a dialectic movement in the longitudinality attribute as well as in the difficulties to operationalize the binomial management-planning, demonstrating a contradiction in the operational praxis of the services. We concluded that, for the managers interviewed, the Program was an important strategy for the management of labor in health, even though there is a critical issue regarding the fleeting period these professionals remain in the Primary Health Care teams.La cooperación técnica entre los países latinoamericanos ha promovido grandes debates en el ámbito de la salud pública y en la consolidación de la gestión del trabajo en el Sistema Único de Salud Brasileño. El objetivo fue comprender los puntos de vista de gestores de la Atención Primaria de la Salud de una ciudad fronteriza - históricamente alejada del movimiento de la reforma sanitaria brasileña - sobre la implantación del Proyecto Más Médicos. Se trata de un estudio cualitativo, fundamentado en la hermenéutica dialéctica, de abordaje exploratorio, realizado en la región de la triple frontera entre Brasil, Paraguay y Argentina. Se realizaron entrevistas abiertas, grabadas, transcritas y analizadas de forma interpretativa y dialéctica en el ámbito empírico-conceptual. En la opinión de las gestoras, el Proyecto contribuyó para mantener el suministro de servicios en la Atención Primaria local y es una manera de garantizar la prestación de la asistencia médica en ciudades fronterizas. Así mismo, el Proyecto colaboró para la corresponsabilidad por el cuidado. Se observó un movimiento dialéctico en el atributo longitudinalidad así como en las dificultades de implementar el binomio gestión-planificación, demostrando una contradicción en las prácticas operativas de los servicios. Se concluye que para las gestoras entrevistadas, el Proyecto fue una estrategia importante de gestión del trabajo en salud, más allá que se observe un nudo crítico en el período puntual de permanencia de estos profesionales en los equipos de Atención Primaria.A cooperação técnica entre os países latino-americanos tem promovido grandes debates no campo da saúde coletiva e na consolidação da gestão do trabalho no Sistema Único de Saúde. Objetivou-se compreender as concepções de gestores da Atenção Primária à Saúde de um município em região de fronteira - historicamente distante do movimento da reforma sanitária brasileira - sobre a implantação do Projeto Mais Médicos. Trata-se de um estudo qualitativo, fundamentado na hermenêutica-dialética, de abordagem exploratória, realizado na região de fronteira trinacional entre Brasil, Paraguai e Argentina. Foram realizadas entrevistas abertas, gravadas, transcritas e analisadas de forma interpretativa e dialética no âmbito empírico-conceitual. No entendimento das gestoras, o Projeto contribuiu para a manutenção da oferta de serviços na Atenção Primária local, e é um caminho para a garantia de prestação da assistência médica em município de região fronteiriça. O Projeto também colaborou para a corresponsabilização pelo cuidado. Observou-se movimento dialético no atributo longitudinalidade e também nas dificuldades de operacionalizar o binômio gestão-planejamento, demonstrando contradição nas práxis operacionais dos serviços. Conclui-se que, para as gestoras entrevistadas, o Projeto mostrou-se importante estratégia de gestão do trabalho em saúde, conquanto haja um nó crítico baseado no pontual período de permanência destes profissionais nas equipes da Atenção Primária.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-06-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/87310.1590/1981-7746-sol00213Trabalho, Educação e Saúde; v. 17 n. 3 (2019)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/873/185Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessArenhart, Carlos Guilherme Meister Gomes, Ludmila Mourão XavierRibeiro, Elisete MariaBarbosa, Thiago Luis de Andrade2022-06-24T18:55:25Zoai:ojs.pkp.sfu.ca:article/873Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:00:57.387434Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv More Doctors Program in a municipality at an international border and the challenges of management in health
Programa más médicos en una ciudad de frontera internacional y los desafíos de la gestión de la salud
Programa mais médicos em município de fronteira internacional e os desafios da gestão em saúde
title More Doctors Program in a municipality at an international border and the challenges of management in health
spellingShingle More Doctors Program in a municipality at an international border and the challenges of management in health
Arenhart, Carlos Guilherme Meister
cooperação internacional
organização e administração
atenção primária à saúde
international cooperation
organization and administration
primary health care
cooperación internacional
organización y administración
atención primaria de la salud
title_short More Doctors Program in a municipality at an international border and the challenges of management in health
title_full More Doctors Program in a municipality at an international border and the challenges of management in health
title_fullStr More Doctors Program in a municipality at an international border and the challenges of management in health
title_full_unstemmed More Doctors Program in a municipality at an international border and the challenges of management in health
title_sort More Doctors Program in a municipality at an international border and the challenges of management in health
author Arenhart, Carlos Guilherme Meister
author_facet Arenhart, Carlos Guilherme Meister
Gomes, Ludmila Mourão Xavier
Ribeiro, Elisete Maria
Barbosa, Thiago Luis de Andrade
author_role author
author2 Gomes, Ludmila Mourão Xavier
Ribeiro, Elisete Maria
Barbosa, Thiago Luis de Andrade
author2_role author
author
author
dc.contributor.author.fl_str_mv Arenhart, Carlos Guilherme Meister
Gomes, Ludmila Mourão Xavier
Ribeiro, Elisete Maria
Barbosa, Thiago Luis de Andrade
dc.subject.por.fl_str_mv cooperação internacional
organização e administração
atenção primária à saúde
international cooperation
organization and administration
primary health care
cooperación internacional
organización y administración
atención primaria de la salud
topic cooperação internacional
organização e administração
atenção primária à saúde
international cooperation
organization and administration
primary health care
cooperación internacional
organización y administración
atención primaria de la salud
description The technical cooperation among Latin American countries has been promoting great debates in the field of collective health and in the consolidation of labor management in the Brazilian Unified Health System (SUS, in the Portuguese acronym). The present paper had the goal of understanding the conceptions of Primary Health Care managers in a municipality located in a border region - which has been historically distant from the Brazilian sanitary reform movement - regarding the implementation of the “More Doctors” Program. The study is of a qualitative nature, and it was based on the hermeneutic-dialectic method, with an exploratory approach, and was conducted in the tri-border area of Brazil, Paraguay and Argentina. We performed open interviews that were recorded, transcribed and analyzed in an interpretive and dialectic manner in the empirical-conceptual context. In the understanding of the managers, the Program contributed to the continuance of the offer of services in the local Primary Health Care, and it is a way to ensure the provision of medical care in a municipality located in a border region. The Program also contributed to the co-responsibilization for the care. We observed a dialectic movement in the longitudinality attribute as well as in the difficulties to operationalize the binomial management-planning, demonstrating a contradiction in the operational praxis of the services. We concluded that, for the managers interviewed, the Program was an important strategy for the management of labor in health, even though there is a critical issue regarding the fleeting period these professionals remain in the Primary Health Care teams.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-24
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/873
10.1590/1981-7746-sol00213
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/873
identifier_str_mv 10.1590/1981-7746-sol00213
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/873/185
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. 17 n. 3 (2019)
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
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