The implementation of the Mais Medicos (More Doctors) Program and comprehensiveness of care in the Family Health Strategy

被引:17
|
作者
Comes, Yamila [1 ]
Trindade, Joselia de Souza [1 ]
Pessoa, Vanira Matos [2 ]
de Holanda Cunha Barreto, Ivana Cristina [2 ]
Shimizu, Helena Eri [1 ]
Dewes, Diego [3 ]
Moura Arruda, Carlos Andre [4 ]
Pacheco Santos, Leonor Maria [1 ]
机构
[1] Univ Brasilia, Fac Ciencias Saude, Dept Saude Colet, Campus Univ Darcy Ribeiro, BR-70510900 Brasilia, DF, Brazil
[2] Fundacao Oswald Cruz, Fortaleza, Ceara, Brazil
[3] Univ Fed Rio Grande do Sul, Dept Saude Colet, Porto Alegre, RS, Brazil
[4] Univ Estadual Ceara, Ctr Ciencias Saude, Fortaleza, Ceara, Brazil
来源
CIENCIA & SAUDE COLETIVA | 2016年 / 21卷 / 09期
关键词
Comprehensive Health Care; Family Health Strategy; National Health Programs; Unified Health System;
D O I
10.1590/1413-81232015219.15472016
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The Mais Medicos (More Doctors) Program is a Brazilian government program that aims to expand access to medical care and thus improve the quality of primary healthcare delivery. This study aims to analyze the perceptions of nondoctor members of the Family Health Strategy teams regarding comprehensiveness of care after the inclusion of doctors from the program. The study encompassed 32 poor municipalities in Brazil's five geographical regions. A total of 78 health workers were interviewed. The interviews were transcribed and analyzed using content analysis and the software Atlas.ti Version 1.0.36. The study found that the program led to: an increase in access to and accessibility of services provided under the Family Health Strategy; humanized care and the establishment of bonds - understanding, partnership, friendship and respect; going back to clinical approaches - dedicated time, listening attentively, and detailed physical examination; the desire and willingness to resolve problems; continuity of care; guarenteeing home visits; and coordination of multidisciplinary teams in networks. It was concluded that the Mais Medicos Program contributed to the enhancement of comprehensiveness, thus leading to improvements in primary health care delivery.
引用
收藏
页码:2729 / 2738
页数:10
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