Abstract
ABSTRACT Objective: to analyze the narrative of users about the assistance received by the professionals of the Mais Médicos (More Doctors) Program. Method: 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 Results: 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. Conclusion: 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 Médicos Program.
Highlights
The reality of access to health services in the country differs
The interviewed group consisted of women, aged between 33 and 68 years old, self-reported brown.It should be noted that the group sought the consultation already showing symptoms of Systemic Arterial Hypertension (SAH) or with a clear clinical picture of diabetes mellitus installed, with classic, evident and self-perceived symptoms: I came because I got sick, I was very thin, with weak legs
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
Summary
To try to resolve the issue of poor distribution of doctors across the country, the Government implemented several initiatives in university extension, in offering incentives and benefits for professionals who wanted to work in the poorest areas of the country. After the SUS was created, the Program for the Interiorization of the Brazilian Public Health System (Programa de Interiorização do Sistema Único de Saúde, PISUS), in 1993, the Program for the Interiorization of Health Work (Programa de Interiorização do Trabalho em Saúde, PITS), in 2001, and the Program for the Enhancement of Healthcare Professionals (Programa de Valorização do Profissional da Atenção Básica, PROVAB), in 2012 None of these measures managed to fully guarantee the equitable supply of doctors in the country.[2,3,4]
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