More Doctors Program in a municipality at an international border and the challenges of management in health
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
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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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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1798943469236912128 |