Na saúde e na imprensa: avaliação do Programa Mais Médicos no Sistema Único de Saúde
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Data
2019-06-07
Autores
Emerich, Tatiana Breder
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Universidade Federal do Espírito Santo
Resumo
The Programa Mais Médicos (PMM) was a policy instituted in 2013 with the main objective of reducing the shortage of doctors in vulnerable areas, difficult to reach and difficult to fix these professionals within the scope of the Unified Health System (SUS). It is a program that has generated great controversy, uneasiness, favorable and contrary mediatic manifestations. The purpose of this thesis was to evaluate the implementation of PMM in the SUS, based on news from newspapers and data from the municipalities of Espírito Santo (ES), Brazil, covered by the program. A quantitative and qualitative study was carried out through the analysis of the information provided by the Secretary of Health of Espírito Santo, together with the news published by the media on the subject. The study was divided into three phases: 1. a qualitative research was carried out in one of the most widely circulated newspapers in the country, Folha de S. Paulo newspaper, and news headlines were analyzed using the Content Analysis technique; 2. an evaluative study in the most popular newspapers in the city of Aix-la-Chapelle, the newspaper A Tribuna and the newspaper A Gazeta, from June to December 2013, the news being analyzed by the Discourse Analysis technique; and 3. an evaluative study of the ES data regarding the implementation of this program, proposing indicators of medical coverage. The results showed that the PMM was the subject of intense and noisy debate in the media, which often contributed to the construction of an unfavorable imaginary in relation to the program, against what research shows about it. It was possible to outline the implementation of this policy in the ES, evidencing that Brazilian doctors and individual exchangers were allocated to municipalities primarily to medium and large municipalities, while Cuban doctors were allocated primarily to areas of greater social vulnerability. It was also observed that in spite of the increase of doctors occurred with this program, the ES has not yet reached a desirable supply of these professionals for the population of extreme poverty
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Sistema Único de Saúde , Health evaluation , Unified Health System , Políticas públicas , Médicos de família , Comunicação em saúde , Avaliação em saúde , Health communication; , Physicians , Family , Public policy