巴西莫索罗市服务使用者对“更多医生”计划的看法。

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

作者信息

Silva Tiago Rodrigues Bento da, Silva Jennifer do Vale E, Pontes Andrezza Graziella Veríssimo, Cunha Andrea Taborda Ribas da

机构信息

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

Faculdade de Enfermagem, UERN. Mossoró RN Brasil.

出版信息

Cien Saude Colet. 2016 Sep;21(9):2861-9. doi: 10.1590/1413-81232015219.18022016.

Abstract

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.

摘要

“更多医生”计划(MMP)于2013年启动,旨在为巴西统一卫生系统(SUS)内的优先领域提供从事初级卫生保健工作的医生。本文通过一项定性研究的结果分析了MMP服务使用者的看法,该定性研究包括对MMP医生所在的家庭健康战略(ESF)服务使用者的访谈。接受访谈的服务使用者对MMP持积极看法,因为它扩大了获得医疗保健的机会,尽管仍然存在一些组织和技术问题限制了服务的使用。外国医生的表现得到好评,强调医生与服务使用者之间的人性化关系,其特点是倾听、关注和对话。在与这些专业人员的沟通方面,一些服务使用者提到语言是一个障碍,而ESF内部使用的沟通策略缓解了这一障碍。MMP迅速且令人满意地解决了巴西长期存在的就医难问题。然而,巴西卫生系统的有效性要求克服一些弱点,如获得专科服务的机会、组织问题以及以疾病为中心的服务生产模式的实施。

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