Representações do trabalho médico em saúde da família : algumas considerações sobre Brasil e Portugal

• Autor(a) principal: Borges, Josefa Lusitânia de Jesus
• Data de Publicação: 2014
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: https://ri.ufs.br/handle/riufs/4610
• topic: Educação; Relações Brasil-Portugal; Médicos; Formação profissional; Qualificações profissionais; Saúde pública; Representações sociais; Health; Formation; Qualification; Identities; CNPQ::CIENCIAS HUMANAS::EDUCACAO

The world of work , as well as the world of training , have different specificities that are both paradoxical as complementary and influence the process of socialization. In view of this , this study aimed to analyze the representations and experiences of physicians who work in teams of the Family Health in Brazil / Portugal and Aracaju . Special emphasis was given to the construction of their careers and identities before the new qualification requirements and demands for new skills . Given the nature of the object, we adopted a qualitative approach inspired historical- dialectical , considering the macro-micro , individual - collective relationship with its conflicts and contradictions in multicase study . It is understood that the forms of sociability differentiate and are marked by contradictions and specificity , in that direction , the subject , as individual and collective actors engaged in certain organizational and institutional contexts both create social relations as they are also a product of these . For this purpose we used different information sources . The research literature has discussed the methodological, conceptual inputs of qualification policy and labor ; documental analysis were elected and coded discourses related to the work context of medical FHS and USF , its organizational structure and relationship with the qualification requirements present on documents in both realities studied . Systematic observation was made in the development of training courses offered to medical professionals who perform activities in the FHS in Brazil / Aracaju , and USF / Portugal , through the Center for Continuing Education in Health ( CEPS ) and the National Association of Family Health Units (USF -AN ) . The semistructured interview was privileged to capture the social representations of 24 medical research participants. The results demonstrate the detachment and the fragility of the model of the initial training of doctors based on technical rationality, decontextualized to meet the demands of working professionals who work under the prism of Primary Health Care Passage of a technical representation of the family doctor representation to a more interdisciplinary, with a strong emphasis on social , is a trend in both realities . In both contexts studied, this dimension is shown marked by conflict , denial - process claim against the knowledge-power of the physician. This professional is constructed as a social and individual subject , the relationship with colleagues and users . Therefore, one can not speak of medical identity, meaning and significance without considering the context of action prints in its conformation . For the subjects , work means a privileged social production of identities locus . At the same time , in the case of Brazil / Sergipe / Aracaju , there is a need for a more effective approach of the training process offered by official bodies . Realized the need for effective negotiation space between managers and professionals FHS teams. The policy of education developed at the local level is shown fragmented, adequacy or directed to achieving a new demand within the labor process, ie , to the prescribed work . However , it is concluded that , despite the difficulties, this policy has produced partial changes in practices , social relations , the socialization processes of these subjects even those not aware of it .