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Avalia??o do Programa Mais M?dicos para o Brasil: valida??o de conte?do de um instrumento

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Previous issue date: 2016-08-02 / O Programa Mais M?dicos ? uma iniciativa do governo brasileiro para minimizar a
escassez de m?dicos em locais de prioridade. V?rios pa?ses apresentam
dificuldades no recrutamento de profissionais de sa?de para ?reas vulner?veis,
lan?ando m?o de diferentes estrat?gias, dentre elas, o chamamento de estrangeiros.
O objetivo do trabalho foi elaborar e validar o conte?do dos indicadores para
avalia??o da efetividade do componente de provimento emergencial de m?dicos
para a Aten??o Prim?ria ? Sa?de, um dos eixos do PMM. O estudo foi metodol?gico,
realizado em Natal, Brasil, entre mar?o e julho de 2016. A amostra foi de 10
especialistas em avalia??o de Aten??o Prim?ria ? Sa?de; e de 9 profissionais do
programa, com 6 m?dicos de diferentes nacionalidades, 2 supervisores e 1 tutor. A
t?cnica de valida??o foi Delphi em 3 etapas e com uso de escala psicom?trica 0 a 10
para relev?ncia atribu?da a cada item, com c?lculo da m?dia das opini?es e desvio
padr?o para o grau de consenso entre os especialistas. Os pontos de corte foram
M?dia ? 7 e Desvio Padr?o ? 1. Para verificar a compreens?o e clareza do
instrumento, realizou-se o estudo piloto em cidade pr?xima. O instrumento final
validado, com 37 quest?es, cont?m as dimens?es: Motiva??o, Fixa??o e Inova??o;
Processo de Trabalho; Gest?o, Especializa??o, Supervis?o, Tutoria, Facilidades e
Dificuldades. Apresentou-se como uma alternativa de f?cil compreens?o e aplica??o
para avalia??o das potencialidades e desafios do Programa, com subs?dios para
gestores, m?dicos e outros profissionais. A aplica??o generalizada do instrumento
requer outros tipos de valida??o, al?m da de conte?do. / The More Doctors Program is an initiative of the brazilian government to minimize the
shortage of doctors in priority locations. Several countries have difficulties in the
recruitment health professionals to vulnerable areas, making use of different
strategies, among them, the call of foreign. The aims was to develop and validate the
content indicators for evaluation of the effectiveness of the emergency provision of
medical component for Primary Health Care, one of the axes of the program. The
study was methodological, held in Natal, Brazil, between march and july 2016. The
sample consisted of 10 experts in primary health care evaluation; and 9 professional
of Program, with 6 doctors of different nationalities, 2 supervisors and 1 tutor. The
validation technique was Delphi in 3 rounds and use of psychometric scale 0 to 10
relevance assigned to each item, with the average of the opinions and standard
deviation for the degree of consensus among experts. Cutoffs were Average ? 7 and
Standard Deviation ? 1. To check the understanding and instrument clarity, it was
held the pilot study in the next town. The final validated instrument with 37 questions,
has the dimensions: Motivation, Fixation and Innovation; Work Process;
Management, Specialization, Supervision, Mentoring, Facilities and Difficulties.
Proved as an alternative for easy understanding and application to assess the
potential and challenges of the Program with subsidies for managers, doctors and
other professionals. The widespread application of the instrument requires other
types of validation, as well as content.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22159
Date02 August 2016
CreatorsLemos, Juliana Ferreira
Contributors45175993615, http://lattes.cnpq.br/8414233332373275, Sousa, Claudia Santos Martiniano, 51819961400, http://lattes.cnpq.br/6402590026361880, Macedo, Mauricio Roberto Campelo de, 43006698720, http://lattes.cnpq.br/3673586188321966, Rocha, Paulo de Medeiros, 08609314472, http://lattes.cnpq.br/3633596483807678, Rocha, Nadja de S? Pinto Dantas, Uchoa, Severina Alice da Costa
PublisherPROGRAMA DE P?S-GRADUA??O EM SA?DE DA FAM?LIA NO NORDESTE, UFRN, Brasil
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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