The implementation of the Mais Médicos (More Doctors) Program and comprehensiveness of care in the Family Health Strategy
The implementation of the Mais Médicos (More Doctors) Program and comprehensiveness of care in the Family Health Strategy
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DOI：
10.1590/1413-81232015219.15472016
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发表时间：
2016-09-01
期刊：
影响因子：
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通讯作者：
Santos, Leonor Maria Pacheco
中科院分区：
文献类型：
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作者：
Comes, Yamila;Trindade, Josélia de Souza;Santos, Leonor Maria Pacheco
迈斯医生方案是巴西政府的一项方案，旨在扩大获得医疗保健的机会，从而提高初级保健服务的质量。本研究的目的是分析的看法，非医生成员的家庭健康战略小组全面的护理后，列入医生的计划。这项研究涵盖了巴西五个地理区域的32个贫困城市。共有78名卫生工作者接受了采访。使用内容分析和软件Atlas.ti Version 1.0.36对访谈进行转录和分析。研究发现，该方案导致：获得《家庭保健战略》所提供服务的机会增加;人性化护理和建立联系-理解、伙伴关系、友谊和尊重;回到临床方法-专门的时间、认真倾听和详细的身体检查;解决问题的愿望和意愿;护理的连续性;保证家访;和协调网络中的多学科小组。得出的结论是，迈斯医生方案有助于提高综合性，从而改善了初级保健的提供。
The Mais Medicos (More Doctors) Program is a Brazilian government program that aims to expand access to medical care and thus improve the quality of primary healthcare delivery. This study aims to analyze the perceptions of nondoctor members of the Family Health Strategy teams regarding comprehensiveness of care after the inclusion of doctors from the program. The study encompassed 32 poor municipalities in Brazil's five geographical regions. A total of 78 health workers were interviewed. The interviews were transcribed and analyzed using content analysis and the software Atlas.ti Version 1.0.36. The study found that the program led to: an increase in access to and accessibility of services provided under the Family Health Strategy; humanized care and the establishment of bonds - understanding, partnership, friendship and respect; going back to clinical approaches - dedicated time, listening attentively, and detailed physical examination; the desire and willingness to resolve problems; continuity of care; guarenteeing home visits; and coordination of multidisciplinary teams in networks. It was concluded that the Mais Medicos Program contributed to the enhancement of comprehensiveness, thus leading to improvements in primary health care delivery.