Longitudinality and integrality in the \Mais Médicos\ program: evaluation based on a case study

Author(s)

Max Felipe Vianna Gasparini

• Document type: Master's Dissertation
• Press: São Paulo.
• Institution: Universidade de São Paulo (USP). Faculdade de Medicina (FM/SBD)
• Defense date: 2017-06-23

Examining board members

Juarez Pereira Furtado; Gustavo Tenório Cunha; Maria Ines Baptistella Nemes

• Advisor: Juarez Pereira Furtado

Abstract

We investigated possible influences of the \"Mais Médicos\" program on the attributes of longitudinality and integrality, considering the strategy of providing doctors in Family Health teams. A case study was carried out in two São Paulo municipalities, based on an ethnographic approach, interviews and focus groups. The results indicate positive effects related to the longitudinality attribute, with emphasis on the good relationship of doctors with users, humanized care, creation of a therapeutic\'s bond, availability to perform home visits and support the team following-up cases. Although the program\'s doctors recognize the importance of the integrality principle, they have a limited contribution to the achievement of this attribute, given the excess of daily attendance, conflicts of perspectives with other workers and limits of the structure and organization of the health network\'s functioning. The conclusion is that the provision of physicians in the Family Health\'s team contributes to the achievement of longitudinality, but does not ensure attention with integrality, and it is necessary to invest in the continuous training of the teams and the reorganization of work (AU)

• FAPESP's process: 14/18622-0 - Longitudinality and integrality on Mais Médicos Program: evaluation from a case study
• Grantee: Max Felipe Vianna Gasparini
• Support Opportunities: Scholarships in Brazil - Master