Provimento e fixação de médicos na atenção primária à saúde no estado da Bahia

Abstract

This article analyzes the strategies of work management adopted at the Fundação Estatal Saúde da Família (State Health Family Foundation) (FESF-SUS), which was created to hire and allocate physicians in the Brazilian state of Bahia. The research aims to contribute to the debate about the difficulties of hiring and retaining physicians to work in the public policy promoting family health "Estratégia Saúde da Família" (ESF). The research consisted of a case study adopting several methodological strategies, with emphasis on documentary analysis. The findings show that one solution to hire and retain physicians is the creation of an inter-municipal career. The proposed work management of the Foundation included aspects such as variable compensation, worker mobility between municipalities, and factors associated with the provision of physicians to work in public health. The complexity of this proposal is faced with the lack of experience in operating this form of work management, as well as with the structural and institutional issues that historically marked the work management in the municipalities.

Occupational stress and work engagement among primary healthcare physicians: a cross-sectional study

“…These roadblocks impact employee satisfaction with the work environment and process, and often lead to psychological distress, which then leads to turnover of medical professionals especially. [1][2][3][4] Therefore, it is important to know the level of work engagement among primary healthcare professionals, especially physicians, whose high turnover compromises consolidation of teams and the case resolution capacity of primary healthcare services. [1][2][3][4] Work engagement is considered essential for a good relationship between workers and their company.…”

“…[1][2][3][4] Therefore, it is important to know the level of work engagement among primary healthcare professionals, especially physicians, whose high turnover compromises consolidation of teams and the case resolution capacity of primary healthcare services. [1][2][3][4] Work engagement is considered essential for a good relationship between workers and their company. Engagement is conceptualized as a positive mental state that allows workers to connect deeply with the work activity, and it acts as an indicator of worker health, defined in terms of motivation and professional commitment.…”

Desempenho do programa de controle da tuberculose na estratégia saúde da família

“…It is noticed that few physicians have specialized in family health, which may reflect the little emphasis given on the theme during academic education. 14,18 In relation to TBCP performance, most of the variables were assessed optimally or reasonably, a result also found in a study conducted in the state of Paraíba. 7 Dimension 1 was well assessed.…”

Fragilidades que afastam e desafios para fixação dos médicos da Estratégia de Saúde da Família

“…Um estudo sobre o provimento e fixação de médicos da ESF no estado da Bahia retrata como solução a criação da carreira intermunicipal por meio da Fundação Estatal de Saúde da Família (FESF). Entretanto a proposta não foi bem aceita pelos municípios 27 . Os altos valores dos contratos oferecidos pela fundação não condizem com o orçamento disponibilizado pelas três instâncias (federal, estadual e municipal) para financiar a ESF.…”