Programa De Texto A Voz Em Inglês
Marisol Stgermain
qualitative, exploratory, descriptive, comprehensive research carried out from August to December 2015. 16 interviews were carried out in four Basic Health Units that hired doctors who spoke the Spanish language. Systematic observation was performed with 30 hours of registration, and the respondents answered a socio-demographic questionnaire and a semi-structured interview. The analysis followed the triangulation of data from participant observation, interviews and the theoretical framework, using thematic analysis in the light of dialectical hermeneutics. Three operational categories have been developed: Quality and welcoming in consultation, Doctor-patient communication and foreign Doctor
the interviewees stated that making an appointment for a medical appointment, unlike before, became possible and less time consuming with the arrival of new doctors. The interviewees were satisfied with the medical care received, highlighting the quality of care.
the medical reception received at the consultation, and the prescribed medications, seem to have a greater weight for the perception of the quality of the consultation, and to be more important for users than the understanding of the foreign language and the doctor's language. The low structural and operational competence of Primary Care remains the limit for the Mais Mdicos Program.
investigacin cualitativa, exploratoria, descriptiva, exhaustiva, realizada entre agosto y diciembre de 2015. Se realizaron 16 entrevistas en cuatro Unidades Bsicas de Salud que contrataron mdicos que hablaban espaol. La observacin sistemtica se realiz con 30 horas de registro, y los encuestados respondieron un cuestionario sociodemogrfico y una entrevista semiestructurada. El anlisis sigui la triangulacin de datos de la observacin participante, entrevistas y el marco terico, utilizando anlisis temticos a la luz de la hermenutica dialctica. Se han desarrollado tres categoras operativas: calidad y bienvenida en la consulta, comunicacin mdico-paciente y mdico extranjero.
los entrevistados declararon que hacer una cita para una cita mdica, a diferencia de antes, se hizo posible y llev menos tiempo con la llegada de nuevos mdicos. Los entrevistados quedaron satisfechos con la atencin mdica recibida, destacando la calidad de la atencin.
la recepcin mdica recibida en la consulta, y los medicamentos recetados, parecen tener un mayor peso para la percepcin de la calidad de la consulta, y son ms importantes para los usuarios que la comprensin del idioma extranjero y el idioma del mdico. La baja competencia estructural y operativa de Atencin Primaria sigue siendo el lmite para el Programa Mais Mdicos.
pesquisa qualitativa, exploratria, descritiva, de natureza compreensiva, realizada no perodo de agosto a dezembro de 2015. Foram realizadas 16 entrevistas em quatro Unidades Bsicas de Sade que contrataram mdicos que se expressavam no idioma espanhol. Foi realizada observao sistemtica com 30 horas de registro, e os depoentes responderam a um questionrio scio demogrfico e a uma entrevista semiestruturada. A anlise obedeceu triangulao dos dados da observao participante, das entrevistas e do referencial terico, utilizando-se a anlise temtica luz da hermenutica dialtica. Foram elaboradas trs categorias operacionais: Qualidade e acolhimento na consulta, Comunicao mdico-paciente e Mdico estrangeiro.
os entrevistados afirmaram que marcar uma consulta mdica, diferente de antes, tornou-se possvel e menos demorado com a chegada dos novos mdicos. Os entrevistados mostraram-se satisfeitos com o atendimento mdico recebido, realando a qualidade na assistncia.
o acolhimento mdico recebido na consulta, e as medicaes prescritas, parecem ter um peso maior para a percepo da qualidade da consulta, e serem mais importantes para os usurios do que a compreenso do idioma estrangeiro e da linguagem do mdico. A baixa competncia estrutural e operacional da Ateno Bsica permanece como limite para o Programa Mais Mdicos.
Only with the creation of the Mais Mdicos Program, the country allocated, in just one year, 14,462 doctors in 3,785 municipalities. The great novelty of this program was to allow the hiring of foreign doctors, mainly from Cuba, through international agreements. In order to meet the needs that motivated its creation, the Mais Mdicos Program had three guidelines: a) Emergency Provision: immediate hiring of doctors; b) Education - restructuring in the country's medical training; c) Infrastructure - through the construction, expansion and refurbishment of basic health units (unidades bsicas de sade, UBS).88. Ministry of Health (BR). Secretria de Gesto do Trabalho e da Educao na Sade. Programa Mais Mdicos: dois anos: mais sade para os brasileiros. Braslia, DF(BR): MS; 2015 [cited 2017 Dec 22]. Available from:
Demonstrations against the program, protests and the promotion of strikes were carried out by various entities of the class, mainly disturbed by the failure to revalidate the diploma and hire Cuban professionals, on the grounds that their training would be precarious and unable to assist patients in the Brazilian reality.99. Gonalves O Jr, Gava GB, Silva MS. Programa Mais Mdicos, aperfeioando o SUS e democratizando a sade: um balano analtico do programa. Sade Soc [Internet]. 2017 [cited 2018 Jan 10];26(4):872-87. Available from: -12902017170224
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In view of the Law that created the Mais Mdicos Program, considering the heated discussion produced by the collegiate bodies representing medical professionals, and in view of the conflicting opinions between those who support this program and those who criticize it, it was evaluated as important to better understand this reality from the perspective of the users, for whom the program was created. It is expected to obtain, through their narrative, an analysis of the value, acceptability and understanding in relation to the program. The present study aimed to analyze the narrative of users about the assistance received by the professionals of the Mais Mdicos Program.
It was a qualitative, exploratory, descriptive, comprehensive research, carried out from August to December 2015. We opted for a municipality with a larger number of foreign doctors linked to the Mais Mdicos Program. 16 interviews were carried out in four UBS that hired more doctors who spoke the Spanish language.
Systematic observation was performed with 30 hours of recording. The systematic observation was done through the participation in the daily life of the group under study, to verify the daily situations that they normally face, and how they behave, before them, in this case, the daily life of a UBS. The researcher engaged in conversation with some, or all, involved in the situation, and discovered the interpretations they had about the events they observed. The empirical data obtained in this way required three stages of analysis: selection of problems, control over the frequency and distribution of phenomena and the incorporation of individual findings into the model of the organization under study (in this case, consultations within the Mais Mdicos Program).1010. Morse JM. Critical analysis of strategies for determining rigor in qualitative inquiry. Qual Health Res[Internet]. 2015 [cited 2018 Mar 10];25(9):1212-22. Available from:
The interviewees were users of the health system and answered a socio-demographic questionnaire and a semi-structured interview. Data analysis observed the triangulation of data obtained by participant observation, interviews and the theoretical framework.
For analysis of the empirical material, content analysis was used, thematic modality, following the steps of pre-analysis, categorization and interpretation.1111. Minayo MCS. Amostragem e saturao em pesquisa qualitativa: consensos e controvrsias. Rev Pesquisa Qualit[Internet]. 2017 [cited 2018 Mar 10];5(7):1-12. Available from:
The data were analyzed in the light of Hermeneutics-dialectics, based on the subjectification of the object and the objectification of the subject. Hermeneutics is based on the understanding of meaning, symbol, intentionality, while dialectic is based on the idea of criticism and change, process and contradiction. Hermeneutics deals with the art of understanding texts, in the extended sense (biographies, narratives, interviews, books, etc.) where, more than an unveiling of the truth of the object, what is sought is the revelation of what the other exposes as a truth, not an essentialist truth, but the semantics that the interviewee wanted to express. Three operational categories were elaborated: quality and welcome in the consultation, doctor-patient communication and foreign doctor. These categories served to approximate the object of research and proved to be appropriate for observation and fieldwork.1111. Minayo MCS. Amostragem e saturao em pesquisa qualitativa: consensos e controvrsias. Rev Pesquisa Qualit[Internet]. 2017 [cited 2018 Mar 10];5(7):1-12. Available from:
I came because I got sick, I was very thin, with weak legs. One day I tried my urine and saw that it was sweet... then when she went to the consultation, the doctor said that I was diabetic (E1).
The respondents stated that making a medical appointment, different from before, became possible and less time consuming, with the arrival of "new doctors". The appointment was scheduled by the health agent, who, in turn, could be herself accessed by cell phone, changing the suffering routine of long lines at dawn to obtain a medical consultation password, which did not always happen due to the great patient demand;
Before the program it was more difficult to make an appointment, it was difficult to get it, because it was more people. I had to come here at the clinic to make an appointment. Not now, for some time now it is the Health Agent who scheduled appointments (E8).
It was found that, despite this new quantitative configuration of more medical professionals for care, self-education in health, constituting primary health care (APS), remains a deficit as a concept. There are several examples of patients who neglect and/or underestimate their health status, missing scheduled appointments and returning months later, with significant injuries, resulting from hypertension or diabetes mellitus.
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