Service users' perceptions of the Mais Médicos (More Doctors) Program in the Municipality of Mossoró, Brazil.

Autor: Silva TR; Departamento de Ciências Biomédicas, Faculdade de Ciências da Saúde, Universidade do Estado do Rio Grande do Norte. R. Atirador Miguel Antônio da Silva Neto s/n, Aeroporto. 59607-360 Mossoró RN Brasil tiagosolanea@hotmail.com., Silva Jdo V; Departamento de Ciências Biomédicas, Faculdade de Ciências da Saúde, Universidade do Estado do Rio Grande do Norte. R. Atirador Miguel Antônio da Silva Neto s/n, Aeroporto. 59607-360 Mossoró RN Brasil tiagosolanea@hotmail.com., Pontes AG; Faculdade de Enfermagem, UERN. Mossoró RN Brasil., Cunha AT; Departamento de Ciências Biomédicas, Faculdade de Ciências da Saúde, Universidade do Estado do Rio Grande do Norte. R. Atirador Miguel Antônio da Silva Neto s/n, Aeroporto. 59607-360 Mossoró RN Brasil tiagosolanea@hotmail.com.
Jazyk: English; Portuguese
Zdroj: Ciencia & saude coletiva [Cien Saude Colet] 2016 Sep; Vol. 21 (9), pp. 2861-9.
DOI: 10.1590/1413-81232015219.18022016
Abstrakt: The Mais Médicos (More Doctors) Program (MMP), which was launched in 2013, sought to provide doctors to work in primary health care in priority areas within the Brazilian Unified Health System (SUS). This article analyzes the perception of MMP service users through the results of a qualitative study that consisted of interviews with service users of the Family Health Strategy (ESF) in which doctors from the MMP worked. The service users who were interviewed had a positive view of the MMP because it had expanded access to health care, although there still remained organizational and technical problems that limited the use of services. The performance of foreign doctors was well viewed, with an emphasis on a humanized relationship between doctor and service user, which was characterized by listening, attention and dialogue. In terms of communication with these professionals, some service users referred to language as being a barrier, which was ameliorated by the use of communication strategies within the ESF. The MMP offered a quick and satisfactory resolution to the historical problem of difficulty of access to doctors in Brazil. However, the effectiveness of the Brazilian health system requires that weaknesses are overcome, such as access to specialized services, organizational problems and the implementation of service production models that are centered on illness.
Databáze: MEDLINE