Educação médica, hospitais universitários e o Sistema Único de Saúde
Autor(a) principal: | |
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Data de Publicação: | 1999 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1164 |
Resumo: | There are 80 medical schools in Brazil, of which 14 were selected for this study based on their regional distribution and representative characteristics. A survey in 1995 showed a heavy concentration (86%) of in-house practical training in major university hospitals. Only 14% of the hands-on training of students occurred in primary health or community-based clinics or other services related to the nationwide Unified Health System (SUS). University hospitals have been organized according to the specialized ward model, with extensive fragmentation of health care. This article makes several proposals for improving medical training. Changes in medical care are considered crucial to improvement of physician training. Reforms in medical care in such hospitals would be more important than reformulating the medical school itself. A move towards other health care services is recommended; more time devoted to teaching in primary health care systems and other extramural services is crucial for achieving better physician responsibility and competence. |
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Educação médica, hospitais universitários e o Sistema Único de SaúdeEducação MédicaHospitais UniversitáriosSistema de SaúdeThere are 80 medical schools in Brazil, of which 14 were selected for this study based on their regional distribution and representative characteristics. A survey in 1995 showed a heavy concentration (86%) of in-house practical training in major university hospitals. Only 14% of the hands-on training of students occurred in primary health or community-based clinics or other services related to the nationwide Unified Health System (SUS). University hospitals have been organized according to the specialized ward model, with extensive fragmentation of health care. This article makes several proposals for improving medical training. Changes in medical care are considered crucial to improvement of physician training. Reforms in medical care in such hospitals would be more important than reformulating the medical school itself. A move towards other health care services is recommended; more time devoted to teaching in primary health care systems and other extramural services is crucial for achieving better physician responsibility and competence.Realizou-se levantamento em 14 faculdades de medicina, selecionadas entre as 80 existentes em 1995, objetivando-se esclarecer em que modalidades de serviço de saúde ocorreria a formação de estudantes de medicina. Encontrou-se que 86% do treinamento prático se passavam em Hospitais Universitários e que apenas 14% ocorriam em centros de saúde, hospital-dia ou programas de saúde pública. Analisou-se o perfil assistencial destes Hospitais, concluindo-se que estão estruturados segundo a lógica de hospitais especializados voltados para a atenção de problemas de maior complexidade, embora praticassem variedade mais ampla de procedimentos. Partindo-se do pressuposto de que a principal qualidade dos médicos deveria ser sua capacidade de resolver problemas de saúde, o que implicaria sua competência para realizar o que se denominou de clínica ampliada (saber e prática que envolveriam aspectos biológicos, subjetivos e sociais), conclui-se pela inadequação do atual modelo de treinamento clínico. Recomenda-se que as Escolas deveriam integrar-se ao Sistema Único de Saúde, realizando contratos de co-gestão, de modo a propiciar maior integração docente-assitencial.Reports in Public HealthCadernos de Saúde Pública1999-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo avaliado pelos Parestext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1164Reports in Public Health; Vol. 15 No. 1 (1999): January/MarchCadernos de Saúde Pública; v. 15 n. 1 (1999): Janeiro/Março1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1164/2318https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1164/2319Campos, Gastão Wagner de Souzainfo:eu-repo/semantics/openAccess2024-03-06T15:26:16Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/1164Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:01:24.841943Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Educação médica, hospitais universitários e o Sistema Único de Saúde |
title |
Educação médica, hospitais universitários e o Sistema Único de Saúde |
spellingShingle |
Educação médica, hospitais universitários e o Sistema Único de Saúde Campos, Gastão Wagner de Souza Educação Médica Hospitais Universitários Sistema de Saúde |
title_short |
Educação médica, hospitais universitários e o Sistema Único de Saúde |
title_full |
Educação médica, hospitais universitários e o Sistema Único de Saúde |
title_fullStr |
Educação médica, hospitais universitários e o Sistema Único de Saúde |
title_full_unstemmed |
Educação médica, hospitais universitários e o Sistema Único de Saúde |
title_sort |
Educação médica, hospitais universitários e o Sistema Único de Saúde |
author |
Campos, Gastão Wagner de Souza |
author_facet |
Campos, Gastão Wagner de Souza |
author_role |
author |
dc.contributor.author.fl_str_mv |
Campos, Gastão Wagner de Souza |
dc.subject.por.fl_str_mv |
Educação Médica Hospitais Universitários Sistema de Saúde |
topic |
Educação Médica Hospitais Universitários Sistema de Saúde |
description |
There are 80 medical schools in Brazil, of which 14 were selected for this study based on their regional distribution and representative characteristics. A survey in 1995 showed a heavy concentration (86%) of in-house practical training in major university hospitals. Only 14% of the hands-on training of students occurred in primary health or community-based clinics or other services related to the nationwide Unified Health System (SUS). University hospitals have been organized according to the specialized ward model, with extensive fragmentation of health care. This article makes several proposals for improving medical training. Changes in medical care are considered crucial to improvement of physician training. Reforms in medical care in such hospitals would be more important than reformulating the medical school itself. A move towards other health care services is recommended; more time devoted to teaching in primary health care systems and other extramural services is crucial for achieving better physician responsibility and competence. |
publishDate |
1999 |
dc.date.none.fl_str_mv |
1999-01-01 |
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://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1164 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1164 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1164/2318 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1164/2319 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 15 No. 1 (1999): January/March Cadernos de Saúde Pública; v. 15 n. 1 (1999): Janeiro/Março 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943346289278976 |