A Percepção do Supervisor do Provab sobre a Fixação do Médico na Atenção Primária à Saúde

Cortez, Lyane Ramalho; Guerra, Eliana Costa; Silveira, Natércia Janine Dantas da; Noro, Luiz Roberto Augusto

doi:10.1590/1981-52712015v43n2rb20180161

“…It is also noteworthy in the Brazilian context, that the adoption of the Family Health Strategy (FHS) prior to the PMM, strengthened PHC with positive impacts on access to services and health indicators [19][20][21] , but the great difficulty in attracting and settling doctors in remote, rural areas and/or those with difficult access has been related to the slow expansion of coverage (about 1.5% per year) 16,22,23 . Moreover, the small number of medical students who contemplates working in small municipalities or specializing in areas linked to PHC or Public Health can aggravate this scenario 8,22,24 .…”

Section: Introductionmentioning

confidence: 99%

Educational Predictors for the Retention of Physicians in Remote and Unassisted Areas: a Narrative Review

Rocha

¹

,

Boiteux

²

,

Azevedo

³

et al. 2020

Rev. bras. educ. med.

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This is an international narrative review study, which had the objectives of identifying and understanding the determining educational aspects for the retention of physicians in remote and unassisted areas. Through search on databases, we selected ten articles about medical education institutions and programs that increased the recruitment and retention levels for their alumni in areas where there was shortage of professionals, which clarified the educational aspects associated to such results, and which were considered as predictors for the retention of physicians. The main predictors found were: selection processes that prioritized the admission of students who were previously linked to places where there was a shortage of physicians; the creation of curricular frameworks based on problem-based methodologies focused on local health issues, with an emphasis in primary care and Family and Community Medicine approaches; and the quality of the educational experiences, especially in the primary care environment in rural or remote areas, which, in turn, involve the educational trajectory and experience of professors, as well as the infrastructure and localization of the medical schools in strategic areas. The placement of school is such areas allow close proximity between the professors to the reality of the vulnerable communities. The results of the review still point out that the retention of physicians in unassisted areas demands the confrontation of social, cultural, economic and political factors, which frequently transcend the governability of educational institutions. They also reiterate the need for a wider conceptual uniformity among research studies in order to ensure more solid scientific evidence about the subject, and the importance of conducting studies that contemplate the Latin-American context, specifically Brazil, where the literature on the topic is still scarce.

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Health production: analysis of doctors’ health actions in the More Doctors program

Silveira

¹

,

Cortez

²

,

Freitas

³

et al. 2020

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE Analyze the health actions carried out by the Cuban cooperated physicians and their relationship with socioeconomic characteristics of the municipalities, contained in the first supervision visit report, in 2015. METHODS This is a quantitative research that used secondary data from the reports of the 1st supervision visit of the “More Doctors Program”. The dependent variables were the health actions, and the independent variables were the type of municipality, Human Development Index (HDI), Investment in Primary Health Care (PHC), health center coverage, rural population, and total population. Multiple correspondence analysis was used to identify the latent variable, related to the profile of the professional with respect to the actions/procedures carried out to which the characteristics of the municipalities were associated through frequency analysis. RESULTS Three profiles of professionals were obtained, who have their practices associated with the professional training, consolidating as a determining factor for carrying out actions compatible with the actual needs of the population. Such findings were associated with the socioeconomic variables, with emphasis on funding, health center infrastructure, and coverage. CONCLUSIONS From the observed results, we suggest strategies to expand the scope of the practices carried out in Primary Health Care, from the perspective of training and continuing education of health professionals, and the focus on the everyday life of the service being of paramount importance.

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Preditores Educacionais para Fixação de Médicos em Áreas Remotas e Desassistidas: uma Revisão Narrativa

Rocha

¹

,

Boiteux

²

,

Azevedo

³

et al. 2020

Rev. bras. educ. med.

4

0

View full text Add to dashboard Cite

This is an international narrative review study, which had the objectives of identifying and understanding the determining educational aspects for the retention of physicians in remote and unassisted areas. Through search on databases, we selected ten articles about medical education institutions and programs that increased the recruitment and retention levels for their alumni in areas where there was shortage of professionals, which clarified the educational aspects associated to such results, and which were considered as predictors for the retention of physicians. The main predictors found were: selection processes that prioritized the admission of students who were previously linked to places where there was a shortage of physicians; the creation of curricular frameworks based on problem-based methodologies focused on local health issues, with an emphasis in primary care and Family and Community Medicine approaches; and the quality of the educational experiences, especially in the primary care environment in rural or remote areas, which, in turn, involve the educational trajectory and experience of professors, as well as the infrastructure and localization of the medical schools in strategic areas. The placement of school is such areas allow close proximity between the professors to the reality of the vulnerable communities. The results of the review still point out that the retention of physicians in unassisted areas demands the confrontation of social, cultural, economic and political factors, which frequently transcend the governability of educational institutions. They also reiterate the need for a wider conceptual uniformity among research studies in order to ensure more solid scientific evidence about the subject, and the importance of conducting studies that contemplate the Latin-American context, specifically Brazil, where the literature on the topic is still scarce.

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A Percepção do Supervisor do Provab sobre a Fixação do Médico na Atenção Primária à Saúde

Cited by 4 publications

References 8 publications

Educational Predictors for the Retention of Physicians in Remote and Unassisted Areas: a Narrative Review

Educational Predictors for the Retention of Physicians in Remote and Unassisted Areas: a Narrative Review

Health production: analysis of doctors’ health actions in the More Doctors program

Preditores Educacionais para Fixação de Médicos em Áreas Remotas e Desassistidas: uma Revisão Narrativa

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