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[卫生领域的本科教育:巴西统一国家卫生系统区域化背景下的供应与制度策略]

[Undergraduate studies in health: supply and institutional strategies in the context of the Brazilian Unified National Health System regionalization].

作者信息

Pierantoni Celia Regina, Magnago Carinne, Vieira Swheelen de Paula, Ney Márcia Silveira, Miranda Rômulo Gonçalves, Girardi Sabado Nicolau

机构信息

Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.

Faculdade Meridional, Passo Fundo, Brasil.

出版信息

Cad Saude Publica. 2019 Jun 13;35Suppl 2(Suppl 2):e00066018. doi: 10.1590/0102-311X00066018.

Abstract

This article aims to provide an overview of the territorial distribution of health training supply and to identify the strategies for strengthening regionalization adopted by teaching institutions that offer health courses and the changes in the regional surroundings as a function of these institutions. This is a descriptive-exploratory multiple-case study conducted at the national level in Brazil from December 2015 to September 2016. The study analyzed secondary data on health training supply and interviewed 68 administrators of undergraduate health courses, whose commentary was submitted to content analysis. There was an increase in health training institutions in smaller regions and municipalities (counties), although such institutions were still concentrated mainly in more socioeconomically developed regions. Policies have been implemented for access and enrollment in higher education from the perspective of promoting provision and professional retention in the region where the health course is located. The university's presence promotes regional development and has the potential to strengthen health regionalization.

摘要

本文旨在概述健康培训供给的地域分布情况,并确定提供健康课程的教学机构所采用的加强区域化的策略,以及作为这些机构的函数的区域环境变化。这是一项于2015年12月至2016年9月在巴西全国范围内开展的描述性探索性多案例研究。该研究分析了健康培训供给的二手数据,并采访了68名本科健康课程的管理人员,他们的评论被提交进行内容分析。较小区域和市(县)的健康培训机构有所增加,尽管这些机构仍主要集中在社会经济较发达地区。已从促进健康课程所在地区的供给和专业人员留用的角度实施了高等教育入学和招生政策。大学的存在促进了区域发展,并有可能加强健康区域化。

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