Secretaria Municipal de Saúde de Fortaleza. R. Barão do Rio Branco 910, Centro. 60310-330 Fortaleza CE Brasil.
Fundação Oswaldo Cruz (Fiocruz Ceará). Eusébio CE Brasil.
Cien Saude Colet. 2021 May;26(5):1657-1668. doi: 10.1590/1413-81232021265.04432021. Epub 2021 Feb 26.
The study aimed to investigate the perception of doctors about the different hiring methods and their influence on the performance of the PHC essential attributes to analyze the formats that best contribute to its implementation and strengthening. This is a quantitative, cross-sectional research using a semi-structured form with 268 doctors from the ESF in Fortaleza, Ceará, Brazil. A unique sociodemographic profile was identified for each group evaluated, influencing the work process and opinions about hiring formats. The development of the essential PHC attributes was positively evaluated, but different perceptions were observed by professional hiring method assessed. The work performed by doctors in the ESF is influenced by how they are hired (p<0.001). Better performance of the statutory (4.4) was noted, followed by scholarship holders of the Mais Médicos Program/Primary Care Valorization Program (3.7), Consolidated Labor Laws (3.5), and, finally, those working with Self-Employed Payment Receipt (RPA) (2.4). We analyzed that hiring through the Brazilian Statutory Regime and RPA are, respectively, the best (85%) and the worst (96.6%) hiring formats.
本研究旨在调查医生对不同招聘方法的看法及其对初级卫生保健基本属性表现的影响，以分析最有助于实施和加强这些属性的模式。这是一项在巴西塞阿拉州福塔雷萨的 ESF 中进行的定量、横断面研究，使用了 268 名医生的半结构化表格。为每个评估组确定了独特的社会人口统计学特征，这些特征影响了工作过程和对招聘模式的看法。初级卫生保健基本属性的发展得到了积极评价，但根据评估的专业招聘方法观察到了不同的看法。医生在 ESF 中的工作受到他们的招聘方式的影响（p<0.001）。注意到法定（4.4）的表现更好，其次是 Mais Médicos 计划/初级保健增值计划（3.7）、综合劳动法（3.5）的奖学金获得者，最后是那些与自雇付款收据（RPA）（2.4）合作的医生。我们分析了通过巴西法定制度和 RPA 进行的招聘，分别是最好（85%）和最差（96.6%）的招聘模式。
