Carinne Magnago

Dificuldades e estratégias de enfrentamento referentes à gestão do trabalho na Estratégia Saúde da Família, na perspectiva dos gestores locais: a experiência dos municípios do Rio de Janeiro (RJ) e Duque de Caxias (RJ)

Objetivou-se identificar as dificuldades e as estrategias de enfrentamento referentes a gestao do trabalho na Estrategia Saude da Familia (ESF). Estudo exploratorio, qualitativo, cujos dados foram coletados em 2011, por meio de entrevistas semiestruturadas com gestores dos municipios do Rio de Janeiro (RJ) e Duque de Caxias (RJ), e submetidos a analise de conteudo. Constituem dificuldades: infraestrutura precaria e baixa remuneracao. As estrategias para atracao e fixacao profissional incluem: melhorias em infraestrutura e qualificacao. A consolidacao da ESF nas metropoles tem potencialidade de despertar transformacoes no modelo de atencao que concretizem a saude como direito social.

Modelos econométricos de estimativa da força de trabalho: uma revisão integrativa da literatura

The integrative literature review aimed to raise the current state of knowledge on econometric models of projection of the labor force in Brazil and to identify the most suitable for application in Primary Health Care. The search was conducted in several sources: electronic databases, journals, conference proceedings, cross-reference and Plataforma Lattes, through descriptors and key words. The sample consisted of nine publications, which were read, summarized and analyzed. The results indicate the use of six methods to estimate labor force, but most of the methodologies propose predictive calculations for staff sizing with a view to the immediate allocation / reallocation of professionals. It emphasizes the impossibility of defining the best econometric model for the projection of health manpower in primary health care, due to the small number of national publications on the subject, which showed no homogeneity, although they display a greater concern with the allocation of health manpower, especially in hospitals.

Rotatividade da força de trabalho médica no Brasil

Objetivou-se calcular o indice de rotatividade dos medicos brasileiros. Estudo descritivo, exploratorio, quantitativo, realizado por meio de dados secundarios, que foram analisados por estatistica descritiva. Constatou-se maior indice de rotatividade nas regioes Sudeste e Sul, com medias superiores a nacional (36,7%). A menor media foi evidenciada na regiao Norte (24,7%). A estratificacao por porte populacional aponta para maior rotatividade nos grupamentos de municipios com populacao entre dez mil e cem mil habitantes; e menor indice nos municipios de grande porte. A rotatividade nao pode ser inteiramente compreendida sem que se analise o contexto no qual estao inseridos os profissionais.

Planos de carreira, cargos e salários no âmbito do Sistema Único de Saúde: além dos limites e testando possibilidades

RESUMO Este estudo objetivou analisar experiencias de planos de carreira, cargos e salarios premiadas pelo Ministerio da Saude. Para tanto, foi realizada pesquisa descritiva e qualitativa, em 2013, mediante analise documental e entrevistas com gestores de secretarias de saude com planos implantados. Dados foram analisados a luz das diretrizes nacionais para a instituicao de planos no Sistema Unico de Saude. Os planos estudados, negociados com os trabalhadores e baseados nas diretrizes, consideram a avaliacao de desempenho e a qualificacao profissional para a progressao na carreira. Conclui-se que os planos necessitam incluir os diversos tipos de vinculos empregaticios e formas de remuneracao compativeis com as carreiras da saude.

The influence of family health strategy on health indicators in the municipalities of Rio de Janeiro, Brazil

ABSTRACT: This study examines the behavior of health indicators deployment of Family Health in the cities of Rio de Janeiro, Nova Iguacu and Duque de Caxias. This is ecological study of time series of selected variables in the period 1998 to 2010. Data were collected at the websites of DATASUS and Department of Primary Care and later exported into a spreadsheet, tabulated and analyzed using inferential statistics with calculation of Pearson coefficient (r) and t test at a significance level of 5% (α = 0.05). There was a strong negative correlation with statistical significance between the evolution of family health and: number of deaths from infectious and parasitic diseases in Rio de Janeiro and Duque de Caxias; frequency of hospitalized children with diarrhea in Rio de Janeiro and Nova Iguacu; and frequency of hospitalization for diabetes mellitus in Rio de Janeiro. It is concluded that the strategy of family health influence the behavior of health indicators for the cities studied, however, further research will be needed to investigate further the impact of family health in cities with high population density.

Attitudes towards interprofessional collaboration of Primary Care teams participating in the ‘More Doctors’ (Mais Médicos) program

ABSTRACT Objectives: to compare the attitudes regarding interprofessional collaboration of health professionals that make up the Family Health Strategy teams participating in the ‘More Doctors’ (Mais Médicos) program; and to identify factors associated with attitudes of interprofessional collaboration. Method: a descriptive, transversal and comparative study developed with 63 health professionals who responded to the Jefferson Scale of Attitudes Toward Interprofessional Collaboration. The data were statistically analyzed. Results: the sum of the scale items ranged from 88 to 139 points. The analysis of all the Family Health teams indicated statistically significant differences between the scores of the scale and the professional category and between the scores and the education level, suggesting that nurses and professionals with higher education are more inclined towards collaborative practice. The analysis according to the profile of the doctor - Brazilian, Cuban or foreign exchange doctor - found no statistical differences regarding the physicians’ scores, nor in the scores of the components of teams with different profiles. Conclusion: the profile did not suggest a statistically significant greater or lesser inclination of the doctors or teams toward interprofessional work. This study can support new studies which will contribute to the analysis of inter-professional collaboration and the impact of the Mais Médicos program.

Política de Gestão do Trabalho e Educação em Saúde: a experiência do ProgeSUS

Aim To evaluate the stage of labor management and education policies in municipal and state health secretariats (SMS and SES, respectively), having as reference the adherence to a qualification and structuring program of work management and education in the Unified Health System. Method A descriptive and quantitative study, developed with 519 representatives from the Human Resources (HR) area of SMS and SES, through a survey composed of 56 questions, via a computer-assisted telephone interview in 2012. Responses were processed in a computerized database and the data treated by descriptive statistics. Results Changes in professional qualification, the establishment of job and salary plans and negotiation processes were identified; on the other hand, there was no progress related to the financial and budgetary autonomy of the area of work management and health education. Conclusion It is observed progress in the incorporation of innovations in the management in SES and SMS from the process of training of managers and financial induction. It is necessary to monitor and periodically evaluate the operationalization of labor and education policies aimed at strengthening them, correcting directions and implementing innovative actions.Aim To evaluate the stage of labor management and education policies in municipal and state health secretariats (SMS and SES, respectively), having as reference the adherence to a qualification and structuring program of work management and education in the Unified Health System. Method A descriptive and quantitative study, developed with 519 representatives from the Human Resources (HR) area of SMS and SES, through a survey composed of 56 questions, via a computer-assisted telephone interview in 2012. Responses were processed in a computerized database and the data treated by descriptive statistics. Results Changes in professional qualification, the establishment of job and salary plans and negotiation processes were identified; on the other hand, there was no progress related to the financial and budgetary autonomy of the area of work management and health education. Conclusion It is observed progress in the incorporation of innovations in the management in SES and SMS from the process of training of managers and financial induction. It is necessary to monitor and periodically evaluate the operationalization of labor and education policies aimed at strengthening them, correcting directions and implementing innovative actions.

Notices for hiring offshore security and medical professionals: a documental analysis

Objetivo: Verificar, por meio de editais de concursos, a provisao de profissionais para conformacao de SESMT offshore. Metodos: Pesquisa documental, selecionando-se 18 editais de 2008-2012 de concursos demandados pela Petrobras com vagas para profissionais previstos no SESMT, os quais foram obtidos nos sites da Petrobras, PCI Concursos, Folha Dirigida e Google, e submetidos a analise documental e descritiva. Resultados: foram ofertadas 434 vagas para profissionais com atuacao prevista nos SESMT; 49% das vagas destinadas ao Rio de Janeiro; a maior remuneracao foi oferecida para cargo de engenheiro. Os profissionais offshore estao sujeitos aos riscos fisicos, quimicos, biologicos, mecânicos e ergonomicos. Conclusao: nota-se investimento na contratacao de profissionais previstos nos SESMT, com salarios superiores ao oferecido pelo mercado de trabalho, e com exigencia de perfil delineado para o desenvolvimento de diferentes atribuicoes exigidas pela complexidade do ambiente offshore, com destaque para atuacao em atividades preventivas aos agravos de saude do trabalhador.

Cenário de contratações para a Estratégia Saúde da Família do município do Rio de Janeiro: análise dos anos 2000

Helicobacter pylori is a Gram negative bacterium that cause chronic gastritis, duodenal ulcers and can predispose the gastric cancer. The study aimed to determinate the prevalence of H. pylori infection by different methods of diagnosis in patients submitted to endoscopy. Of the 145 patients included in the study, were collected fragments of gastric mucosa for histological analysis, and for the rapid urease test. The breath test was also performed. The H. pylori infection was detected in 84 (57.9%) patients by histological study, the rapid test of urease was positive in 81 (55,8%) and the breath test in 62 (56,3%). There was no statistically significant difference when comparing the prevalence of infection by different methods of diagnosis. The prevalence of H. pylori infection in our community was lower than that found in the literature for patients with age similar to this study (mean = 53.19 years).