Consensus of Public Health Professors on the Main Pedagogical Approaches for Training in the Brazilian Unified Health System

Abstract

Objective: to establish consensus from experts on the essential elements for training aimed at the Unified Health System (Sistema Único de Saúde), considering public health assumptions and the Brazilian National Curriculum Guidelines (DCN - Diretrizes Curriculares Nacionais). Method: this is an evaluability assessment carried out with public health professors based on a logical model built with a focus on DCN and on large areas of public health. Criteria matrix validation was performed through Delphi consensus, carried out in three rounds between June and August 2017. The database was built in an Excel spreadsheet and analyzed after each round. At the end of the last round, the database presented its final composition for export to the Stata software, in which statistical analysis was performed. Results: at the end of three rounds, 18 experts validated the criteria matrix composed of 40 items. The most significant approaches were related to the subdimensions Health care, Popular education, Humanization, Popular participation, Social accountability, and Planning and management. Conclusion: the validated criteria matrix is characterized as an important instrument for knowledge construction based on a premise that, by taking over the essential skills for training at DCN, the training process may be problematized by all actors involved. The current Brazilian political scenario, crossed by austerity policies that challenge consolidating the main constitutional rights, should serve as encouragement for a professional training aligned with public interests, especially DCN, in health courses.

A Área De Gestão Em Saúde Na Formação Do Médico: Resgatando a Literatura E a Aplicabilidade Em Ações Educativas Na Perspectiva Docente

“…Focalizando-se o subtema "gestão em saúde na parceria ensino-serviço-comunidade", a inserção precoce de estudantes das 14 graduações da área da saúde nos cenários de práticas do SUS é uma orientação prevista nas DCN de 2001 e reiterada pela Resolução n. 569, de 08 de dezembro de 2017 (BRASIL, 2001;2017). Para isso, indica-se a construção de PPP e de currículos na perspectiva da articulação com o SUS por meio da integração ensino-serviço e da valorização da realidade sociosanitária nas práticas de ensino e nos processos de trabalho em saúde (cuidar, administrar, ensinar, pesquisar e participar politicamente) (BRASIL, 2014; LIMA, J.; LIMA, R.; GOMES; LOPES; BEZERRA; NORO, 2020;PARMA;OLIVIERA;ALMEIDA, 2019;PEIXOTO et al, 2019;SILVA et al, 2018).…”