Recruitment of Cuban doctors: comparative analysis of the strategy adopted by Angola, Portugal and Brazil to compose their human resources in health

Detalhes bibliográficos
Autor(a) principal: Alves, Sandra Mara Campos
Data de Publicação: 2021
Outros Autores: Delduque, Maria Célia, de Faria, Paula Lobato
Tipo de documento: Artigo
Idioma: por
Título da fonte: Cadernos Ibero-Americanos de Direito Sanitário (Online)
Texto Completo: https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/853
Resumo: The provision of doctors in an adequate quantity and distributed in a balanced way across the territory is one of the major obstacles to the population's access to health actions and services, which has led to international recruitment processes by countries with deficits. This multiple case study compared the legal-institutional strategies used by Angola, Brazil and Portugal to effectively recruit Cuban doctors, and the benefits generated to the countries from this interaction. The dimensions of general aspects of the cooperation agreement were previously selected; legal aspects for the practice of medicine by foreigners and the benefits generated from the cooperation signed. An analysis of the cooperation agreements signed between the investigated countries was carried out and 30 people were interviewed, divided into 4 subgroups, composed by snowball sampling. The results show that the strategies used by the countries involved in medical cooperation are sometimes close, but specific contexts lead to the search for peculiar solutions that harmonize with the legislation in force in each country. It is concluded that there is a need to strengthen legal support aimed at supporting state action in cooperation in health, since the governance environment is complex and dynamic.
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spelling Recruitment of Cuban doctors: comparative analysis of the strategy adopted by Angola, Portugal and Brazil to compose their human resources in healthReclutamiento de médicos cubanos: análisis comparativo de la estrategia adoptada por Angola, Portugal y Brasil para componer sus recursos humanos en saludRecrutamento de médicos cubanos: análise comparativa da estratégia adotada por Angola, Portugal e Brasil para compor seus recursos humanos em saúdeFuerza Laboral en SaludCooperación InternacionalAcceso Universal a los Servicios de SaludHealth WorkforceInternational CooperationUniversal Access to Health Care ServicesRecursos Humanos em SaúdeCooperação internacionalAcesso Universal aos Serviços de SaúdeThe provision of doctors in an adequate quantity and distributed in a balanced way across the territory is one of the major obstacles to the population's access to health actions and services, which has led to international recruitment processes by countries with deficits. This multiple case study compared the legal-institutional strategies used by Angola, Brazil and Portugal to effectively recruit Cuban doctors, and the benefits generated to the countries from this interaction. The dimensions of general aspects of the cooperation agreement were previously selected; legal aspects for the practice of medicine by foreigners and the benefits generated from the cooperation signed. An analysis of the cooperation agreements signed between the investigated countries was carried out and 30 people were interviewed, divided into 4 subgroups, composed by snowball sampling. The results show that the strategies used by the countries involved in medical cooperation are sometimes close, but specific contexts lead to the search for peculiar solutions that harmonize with the legislation in force in each country. It is concluded that there is a need to strengthen legal support aimed at supporting state action in cooperation in health, since the governance environment is complex and dynamic.La provisión de médicos en un número adecuado y distribuidos de manera equilibrada en el territorio es uno de los mayores obstáculos para el acceso de la población a las acciones y servicios de salud, lo que ha llevado a procesos de contratación internacional por países con déficit. Este estudio de caso múltiple comparó las estrategias jurídico-institucionales utilizadas por Angola, Brasil y Portugal para reclutar médicos cubanos, y los beneficios que genera a los países esta interacción. Previamente se seleccionaron las dimensiones de los aspectos generales del convenio de cooperación; Aspectos legales para el ejercicio de la medicina por parte de extranjeros y los beneficios generados por la cooperación firmada. Se realizó un análisis de los convenios de cooperación firmados entre los países investigados y se entrevistó a 30 personas, divididas en 4 subgrupos, compuestos por muestreo de bola de nieve. Los resultados muestran que las estrategias utilizadas por los países involucrados en la cooperación médica son en ocasiones cercanas, pero contextos específicos llevan a la búsqueda de soluciones peculiares que armonicen con la legislación vigente en cada país. Se concluye que el necesario fortalecimiento de los apoyos legales orientados a apoyar la acción estatal en el área de cooperación en salud, ya que el entorno de gobernanza es complejo y dinámico.O provimento de médicos em quantidade adequada e distribuídos de forma equilibrada pelo território é um dos grandes obstáculos ao acesso da população a ações e serviços de saúde, o que tem conduzido a processos de recrutamento internacional pelos países com déficit. Este estudo de caso múltiplo comparou as estratégias jurídico-institucionais utilizadas por Angola, Brasil e Portugal para a efetivação do recrutamento de médicos cubanos e os benefícios gerados aos países a partir dessa interação. Foram previamente selecionados os aspectos gerais do acordo de cooperação; os aspectos legais para o exercício da medicina por estrangeiros; e os benefícios gerados a partir da cooperação firmada. Foram realizadas análise dos acordos de cooperação firmados entre os países investigados e entrevista de 30 pessoas, divididas em quatro subgrupos, compostos por meio da amostragem bola de neve. Os resultados apontam que estratégias utilizadas pelos países envolvidos na cooperação médica por vezes se aproximam, mas contextos específicos conduzem à busca por soluções peculiares, que se harmonizem com a legislação vigente em cada país. Conclui-se pelo necessário fortalecimento do suporte jurídico voltado a apoiar o agir estatal na área da cooperação em saúde, visto que o ambiente de governança é complexo e dinâmico.Fundação Oswaldo Cruz Brasília2021-12-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/85310.17566/ciads.v10iSuplemento.853Iberoamerican Journal of Health Law; Vol. 10 No. Suplemento (2021): Comemorative issue; 71-89Cuadernos Iberoamericanos de Derecho Sanitario; Vol. 10 Núm. Suplemento (2021): Edición comemorativa; 71-89Cadernos Ibero-Americanos de Direito Sanitário; v. 10 n. Suplemento (2021): Edição comemorativa; 71-892358-18242317-839610.17566/ciads.v10iSuplementoreponame:Cadernos Ibero-Americanos de Direito Sanitário (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/853/868Copyright (c) 2021 Cadernos Ibero-Americanos de Direito Sanitáriohttps://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessAlves, Sandra Mara Campos Delduque, Maria Célia de Faria, Paula Lobato Alves, Sandra Mara Campos Delduque, Maria Célia de Faria, Paula Lobato Alves, Sandra Mara Campos Delduque, Maria Célia de Faria, Paula Lobato 2021-12-10T20:42:58Zoai:ojs.cadernos.prodisa.fiocruz.br:article/853Revistahttp://www.cadernos.prodisa.fiocruz.brPUBhttp://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/oaicadernos.direitosanitario@fiocruz.br2358-18242317-8396opendoar:2021-12-10T20:42:58Cadernos Ibero-Americanos de Direito Sanitário (Online) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Recruitment of Cuban doctors: comparative analysis of the strategy adopted by Angola, Portugal and Brazil to compose their human resources in health
Reclutamiento de médicos cubanos: análisis comparativo de la estrategia adoptada por Angola, Portugal y Brasil para componer sus recursos humanos en salud
Recrutamento de médicos cubanos: análise comparativa da estratégia adotada por Angola, Portugal e Brasil para compor seus recursos humanos em saúde
title Recruitment of Cuban doctors: comparative analysis of the strategy adopted by Angola, Portugal and Brazil to compose their human resources in health
spellingShingle Recruitment of Cuban doctors: comparative analysis of the strategy adopted by Angola, Portugal and Brazil to compose their human resources in health
Alves, Sandra Mara Campos
Fuerza Laboral en Salud
Cooperación Internacional
Acceso Universal a los Servicios de Salud
Health Workforce
International Cooperation
Universal Access to Health Care Services
Recursos Humanos em Saúde
Cooperação internacional
Acesso Universal aos Serviços de Saúde
title_short Recruitment of Cuban doctors: comparative analysis of the strategy adopted by Angola, Portugal and Brazil to compose their human resources in health
title_full Recruitment of Cuban doctors: comparative analysis of the strategy adopted by Angola, Portugal and Brazil to compose their human resources in health
title_fullStr Recruitment of Cuban doctors: comparative analysis of the strategy adopted by Angola, Portugal and Brazil to compose their human resources in health
title_full_unstemmed Recruitment of Cuban doctors: comparative analysis of the strategy adopted by Angola, Portugal and Brazil to compose their human resources in health
title_sort Recruitment of Cuban doctors: comparative analysis of the strategy adopted by Angola, Portugal and Brazil to compose their human resources in health
author Alves, Sandra Mara Campos
author_facet Alves, Sandra Mara Campos
Delduque, Maria Célia
de Faria, Paula Lobato
author_role author
author2 Delduque, Maria Célia
de Faria, Paula Lobato
author2_role author
author
dc.contributor.author.fl_str_mv Alves, Sandra Mara Campos
Delduque, Maria Célia
de Faria, Paula Lobato
Alves, Sandra Mara Campos
Delduque, Maria Célia
de Faria, Paula Lobato
Alves, Sandra Mara Campos
Delduque, Maria Célia
de Faria, Paula Lobato
dc.subject.por.fl_str_mv Fuerza Laboral en Salud
Cooperación Internacional
Acceso Universal a los Servicios de Salud
Health Workforce
International Cooperation
Universal Access to Health Care Services
Recursos Humanos em Saúde
Cooperação internacional
Acesso Universal aos Serviços de Saúde
topic Fuerza Laboral en Salud
Cooperación Internacional
Acceso Universal a los Servicios de Salud
Health Workforce
International Cooperation
Universal Access to Health Care Services
Recursos Humanos em Saúde
Cooperação internacional
Acesso Universal aos Serviços de Saúde
description The provision of doctors in an adequate quantity and distributed in a balanced way across the territory is one of the major obstacles to the population's access to health actions and services, which has led to international recruitment processes by countries with deficits. This multiple case study compared the legal-institutional strategies used by Angola, Brazil and Portugal to effectively recruit Cuban doctors, and the benefits generated to the countries from this interaction. The dimensions of general aspects of the cooperation agreement were previously selected; legal aspects for the practice of medicine by foreigners and the benefits generated from the cooperation signed. An analysis of the cooperation agreements signed between the investigated countries was carried out and 30 people were interviewed, divided into 4 subgroups, composed by snowball sampling. The results show that the strategies used by the countries involved in medical cooperation are sometimes close, but specific contexts lead to the search for peculiar solutions that harmonize with the legislation in force in each country. It is concluded that there is a need to strengthen legal support aimed at supporting state action in cooperation in health, since the governance environment is complex and dynamic.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-10
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/853
10.17566/ciads.v10iSuplemento.853
url https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/853
identifier_str_mv 10.17566/ciads.v10iSuplemento.853
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.cadernos.prodisa.fiocruz.br/index.php/cadernos/article/view/853/868
dc.rights.driver.fl_str_mv Copyright (c) 2021 Cadernos Ibero-Americanos de Direito Sanitário
https://creativecommons.org/licenses/by-nc-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Cadernos Ibero-Americanos de Direito Sanitário
https://creativecommons.org/licenses/by-nc-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Fundação Oswaldo Cruz Brasília
publisher.none.fl_str_mv Fundação Oswaldo Cruz Brasília
dc.source.none.fl_str_mv Iberoamerican Journal of Health Law; Vol. 10 No. Suplemento (2021): Comemorative issue; 71-89
Cuadernos Iberoamericanos de Derecho Sanitario; Vol. 10 Núm. Suplemento (2021): Edición comemorativa; 71-89
Cadernos Ibero-Americanos de Direito Sanitário; v. 10 n. Suplemento (2021): Edição comemorativa; 71-89
2358-1824
2317-8396
10.17566/ciads.v10iSuplemento
reponame:Cadernos Ibero-Americanos de Direito Sanitário (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos Ibero-Americanos de Direito Sanitário (Online)
collection Cadernos Ibero-Americanos de Direito Sanitário (Online)
repository.name.fl_str_mv Cadernos Ibero-Americanos de Direito Sanitário (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos.direitosanitario@fiocruz.br
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