A participação dos médicos-patologistas na Rede de Atenção ao Câncer: formação e mercado de trabalho.

• Autor(a) principal: Gomes, Fátima Meirelles Pereira
• Data de Publicação: 2017
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/4778
• topic: Health workforce; Cancer; Pathology; Labor market; Health care; Medical specialty; Medical residency; Força de trabalho em saúde; Câncer; Patologia; Mercado de trabalho; Atenção à saúde; Especialidade médica; Residência médica.; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

The present study focuses on the health workforce (HWF), with emphasis on physicians specialized in Pathology and their participation in the Cancer Care Network, using two axes of analysis: training (Medical Residency) and labor market. This study was developed based on some points: the epidemiological, economic, social and political magnitude of cancer in Brazil and the HWF crisis in Brazil and worldwide. The main objective of this study is to analyze the training and labor market characteristics of pathologist for the Brazilian Cancer Care Network. The specific objectives are: to analyze the norms related to the medical specialty in Pathology, mapping-out the pathologist workforce, analyzing the situation of Medical Residency in Pathology and to analyze the current and future scenario of the medical specialty in Pathology in Brazil. This is a descriptive research with a qualitative-quantitative approach using triangulation approach (documentary analysis, secondary data collection and interviews). The results showed the shortage of pathologist, that is recognized worldwide and that there are gaps in Pathology training (Medical Residency), with a decreasing number of graduates of Medical Residency Programs in Pathology, as well the institutions running Medical Residency Programs in Pathology in the country. Institutions with increased medical residency places were not significant. The dissociation from the Pathology content and its technological progress produce a lack of visibility of this specialty, turning it isolated from the contemporary context and the labor market. The current trend of pathologists will bring Brazil closer to the indicators of East African countries with 0.8 pathologists/100,000 inhabitants, with an important deficit of pathologists, and further from the United States with 5.7 pathologists/100,000 inhabitants, or Spain, with 2.4 pathologists/100,000 inhabitants, where this medical specialty is already considered scarce. The pathologist labor market regarding the legal characteristics, type of provider and establishment, is represented by small, medium and large laboratories, as well as public and private hospitals - in all regions of the country with a strong tendency to outsource Pathologic Anatomy and Cytopathology services for large groups of laboratories with a flexible logic in a labor deregulation process, even though they favor economy of scale. The reduction of professional autonomy and the disconnection of the pathologist from the medical teams and other health professionals are some of the problems founded, which affect the final diagnosis.