Terra Lilian Soares Vidal, Borges Fabiano Tonaco, Lidola Maria, Hernández Silvia S, Millán Juan Ignacio Martínez, Campos Gastão Wagner de Sousa
Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Campinas SP Brasil.
Departamento de Planejamento em Saúde, Instituto de Saúde Coletiva, Universidade Federal Fluminense. Niterói RJ Brasil.
Cien Saude Colet. 2016 Sep;21(9):2825-36. doi: 10.1590/1413-81232015219.15312016.
We had hoped that the Mais Médicos Program (More Doctors Program) would have generated several changes and reflections in each municipality in which it was deployed. In order to observe those changes, we sought to analyze the experience of Cuban physicians in the Mais Médicos program from an actor-centered perspective, based on the Paideia Method - an approach that seeks to enhance the ability of the subjects to analyze and intervene in their practice. We performed semi-structured interviews to analyze our research object that consisted in the experience of those actors included professionally in the Mais Médicos program in a metropolis with unique characteristics. In order to assess the interviews, we applied Content Analysis followed by Thematic Analysis. From the discourse of the actors, of which illustrative excerpts are transcribed in this article, we can affirm that the program's potential surpassed any initial barriers, presenting itself as fine-tuning instrument for replacing the biomedical model in line with the Paideia Method.
我们曾希望“更多医生计划”(Mais Médicos Program)能在其实施的每个城市带来若干变化并引发思考。为了观察这些变化,我们试图从以行动者为中心的视角,基于派迪亚方法(Paideia Method)来分析古巴医生在“更多医生计划”中的经历。派迪亚方法是一种旨在增强主体分析和干预自身实践能力的方法。我们进行了半结构化访谈,以分析我们的研究对象,该对象由在具有独特特征的大都市中专业参与“更多医生计划”的那些行动者的经历构成。为了评估访谈内容,我们先应用了内容分析法,随后进行了主题分析。从行动者的话语中(本文转录了一些说明性摘录),我们可以肯定,该计划的潜力超越了任何最初的障碍,展现为一种微调工具,以符合派迪亚方法来取代生物医学模式。