a geografia da saúde no cruzamento de saberes

Propaganda
A GEOGRAFIA DA SAÚDE NO
CRUZAMENTO DE SABERES
Paula Santana e Paulo Nossa, Coordenação
GeoSaúde 2014, Universidade de Coimbra, Portugal | 2014
A equidade na formação de sanitaristas
para o sistema único de saúde do Brasil
Joel Saraiva FERREIRA1; Ana Rita BARBIERI2; Luiza Helena de O.
CAZOLA2; Marina Lopes F. MATEUS1; Mariza Pereira SANTOS1;
1
6HWRUGH3HVTXLVDGD(VFRODGH6D~GH3~EOLFDGH0DWR*URVVRGR6XO%UDVLO2UniYHUVLGDGH)HGHUDOGH0DWR*URVVRGR6XO%UDVLO
IDOHFRPMRHO#KRWPDLOFRP-RHO6DUDLYD)HUUHLUD
E3 | COMUNICAÇÕES OR AIS
3DODYUDVFKDYHHTXLGDGHVD~GHS~EOLFDVDQLWDULVWDIRUPDomRSURÀVVLRQDO
Introdução
1R%UDVLODSUHRFXSDomRFRPDIRUPDomRGHSURÀVVLRQDLVGHVD~GHFRPERDTXDOLÀFDomRpUHODWLYDPHQWHDQWLJDSRLVQDGpFDGDGHMiKDYLDDOJXPDGLVFXVVmR
QRVPHLRVFLHQWtÀFRVVREUHRDVVXQWR>@1DpSRFDMiVHFRJLWDYDDHODERUDomRGH
FXUUtFXORVGHJUDGXDomRHSyVJUDGXDomRFRPDERUGDJHQVHVSHFtÀFDVSDUDSURÀVVLRQDLVTXHDWXDULDPQDVD~GHS~EOLFD0DVIRLDSDUWLUGD&RQVWLWXLomRSURPXOJDGDHP
TXDQGRRSDtVLQVWLWXLXR6LVWHPDÔQLFRGH6D~GH686TXHDOpPGHRIHUHFHU
DWHQGLPHQWRjSRSXODomRWDPEpPVHWRUQRXFRUHVSRQViYHOSHODRUGHQDomRGHUHFXUVRVKXPDQRVHPVD~GHFRPDÀQDOLGDGHGHIRUPDUSURÀVVLRQDLVFRPSURPLVVDGRV
FRPDLPSODQWDomRGDSROtWLFDS~EOLFDGHVD~GHHPWRGRVRVQtYHLVGHIRUPDomRGR
WpFQLFRDSyVJUDGXDomR>@
(P UHODomR DRV UHFXUVRV KXPDQRV VRPHQWH HP KRXYH XPD DomR PDLV
HIHWLYDGRJRYHUQREUDVLOHLURQRVHQWLGRGDFRQGXomRGDIRUPDomRGHSURÀVVLRQDLV
HPVD~GHRTXHRFRUUHXSHODLQVWLWXLomRGD3ROtWLFD1DFLRQDOGH(GXFDomR3HUPDQHQWHHP6D~GHSRUPHLRGD3RUWDULD>@,QLFLDOPHQWHDSURSRVWDIRL
GH RUJDQL]DomR GH WDLV Do}HV SRU PHLR GRV 3yORV GH (GXFDomR 3HUPDQHQWH PDV
DOJXQVDQRVGHSRLVIRLUHIRUPXODGDGHYLGRDHGLomRGD3RUWDULD>@TXH
GHOLPLWRXXPDQRYDHVWUXWXUDSDUDDHGXFDomRSHUPDQHQWHHPVD~GHGHVGHHQWmR
RUJDQL]DGDHP&ROHJLDGRVGH*HVWmR5HJLRQDO&*5H&RPLVV}HV3HUPDQHQWHVGH
,QWHJUDomR(QVLQR6HUYLoR&,(6
,QGHSHQGHQWHPHQWH GD FRQÀJXUDomR HVWUXWXUDO FRP SyORV GH HGXFDomR SHUPDQHQWHRXFRP&*5H&,(6DSURSRVWDPDLVDPELFLRVDGDSROtWLFDGHHGXFDomR
SHUPDQHQWHHPVD~GHpRGHVHQYROYLPHQWRGHDo}HVYROWDGDVjTXDOLÀFDomRGRV
SURÀVVLRQDLVGHVD~GHWHQWDQGRDWHQGHUDVGHPDQGDVRULXQGDVGHOHVSUySULRVHQmR
GDVLQVWLWXLo}HVIRUPDGRUDV>@3DUDLVVRpQHFHVViULDXPDLQFRUSRUDomRSRUSDUWH
GDVLQVWLWXLo}HVIRUPDGRUDVHPHVSHFLDODTXHODVGLUHWDPHQWHYLQFXODGDVDR686
GHVVHPRGHORGHIRUPDomRGHUHFXUVRVKXPDQRVHPVD~GH
1RWDVHTXHDSDUWLUGRSHUtRGRGHLPSODQWDomRGD3ROtWLFD1DFLRQDOGH(GXFDomR3HUPDQHQWHHP6D~GHQRDQRGHPXLWRVFXUVRVGHIRUPDomRGHSURÀVVLRQDLVSDUDR686WDPEpP SDVVDUDP SRUDOJXP WLSRGHUHHVWUXWXUDomR ,QFOXLVH
QHVVHFRQWH[WRRFXUVRGHHVSHFLDOL]DomRHPVD~GHS~EOLFDTXHWHPRSURSyVLWRGH
IRUPDUVDQLWDULVWDVSDUDR686RIHUHFLGRSHOD(VFRODGH6D~GH3~EOLFDGRHVWDGR
de Mato Grosso do Sul.
152
GEOSAÚDE’201 4 - I Congresso de Geografia da Saúde dos Países de Língua Portuguesa
Coimbra, Portugal, 21-24 Abril 201 4
FERREIRA et al. | Equidade na formação de sanitaristas
1RHQWDQWRGHVGHDLPSODQWDomRGD3ROtWLFDQmRKiUHJLVWURVGHLQYHVWLJDo}HVSRU
PHLRGHSHVTXLVDFLHQWtÀFDTXHGHVFUHYDPDVFDUDFWHUtVWLFDVSURÀVVLRQDLVGRVVDQLWDULVWDVIRUPDGRVHP0DWR*URVVRGR6XOVREUHWXGRQRTXHVHUHIHUHDGLVWULEXLomRGHPRJUiÀFDHLQVHUomRSURÀVVLRQDOGHDWXDomRGHVVHVVXMHLWRV&RQVLGHUDVHTXHHVVHWLSRGHLQIRUPDomRpUHOHYDQWHSRLVpFRPEDVHQHVVHVGDGRVTXHGHYHPVHUHVWUXWXUDGDVDOJXPDV
SROtWLFDVS~EOLFDVFRPYLVWDVDRDOFDQFHGDHTXLGDGHQDIRUPDomRSURÀVVLRQDOHPVD~GH
Objetivos
Gerais:
'LVFXWLUDHTXLGDGHGRSURFHVVRIRUPDWLYRGHVDQLWDULVWDVSDUDRVLVWHPD~QLFR
GHVD~GH686GR%UDVLOQRHVWDGRGH0DWR*URVVRGR6XO
E3 | COMUNICAÇÕES OR AIS
(VSHFtÀFRV
- 'HVFUHYHUDVFDUDFWHUtVWLFDVGHIRUPDomRJUDGXDomRHGLVWULEXLomRJHRJUiÀFD
GRVVDQLWDULVWDVIRUPDGRVSHOR686QRHVWDGRGH0DWR*URVVRGR6XO
- $QDOLVDUDGLVWULEXLomRGRVVDQLWDULVWDVIRUPDGRVSHOR686QRHVWDGR
GH0DWR*URVVRGR6XOHPIXQomRGRÌQGLFHGH'HVHQYROYLPHQWR+XPDQR
,'+GHFDGDPXQLFtSLR
Metodologia
&RPSXVHUDPRFRQMXQWRGHVXMHLWRVGHHVWXGRRXQLYHUVRGHSURÀVVLRQDLVTXH
FRQFOXtUDPRVFXUVRVGHHVSHFLDOL]DomRHPVD~GHS~EOLFDRIHUHFLGRVSHOD(VFRODGH
6D~GH3~EOLFDGRHVWDGRGH0DWR*URVVRGR6XO%UDVLOQRSHUtRGRGHD
$VYDULiYHLVDQDOLVDGDVIRUDPVH[RSURÀVVmRHPXQLFtSLRGHUHVLGrQFLD3RVWHULRUPHQWHRVGDGRVIRUDPRUJDQL]DGRVFRQIRUPHDGLVWULEXLomRGRVSURÀVVLRQDLV
SRUUHJLmRGHVD~GHHSRUHVWUDWRGHÌQGLFHGH'HVHQYROYLPHQWR+XPDQR,'+GRV
PXQLFtSLRVGRHVWDGRGH0DWR*URVVRGR6XO
3DUDDDQiOLVHGRVGDGRVDSOLFRXVHDHVWDWtVWLFDGHVFULWLYDREWHQGRVHDVVLPRV
YDORUHVDEVROXWRVHSHUFHQWXDLVSDUDFDGDYDULiYHO1RFDVRGR,'+RSWRXVHSHOD
HVWUDWLÀFDomRGRVPXQLFtSLRVGH0DWR*URVVRGR6XOVHQGRTXHDDPSOLWXGHGHFDGD
HVWUDWRIRLGHSRVLo}HVQRrankingGHFODVVLÀFDomRGHVVHFULWpULR
2SURMHWRGHSHVTXLVDIRLVXEPHWLGRjDSUHFLDomRGHXP&RPLWrGHeWLFDHP
3HVTXLVDFRP6HUHV+XPDQRVHREWHYHDSURYDomRVRERQ~PHURGHSDUHFHU
Resultados
)RUDP UHDOL]DGRV WUrV FXUVRV GH HVSHFLDOL]DomR HP VD~GH S~EOLFD QR SHUtRGR
HVWXGDGRIRUPDQGRVDQLWDULVWDV
3UHGRPLQRXRVH[RIHPLQLQRHQWUHRVVDQLWDULVWDVHGHQWUHDVFDWHJRULDV
SURÀVVLRQDLVSURÀVVL}HVGLIHUHQWHVIRUDPHQFRQWUDGDVPDVKRXYHFRQFHQWUDomR
PDLRUQDViUHDVGHHQIHUPDJHPRGRQWRORJLDSVLFRORJLDH
ÀVLRWHUDSLD$VGHPDLVSURÀVV}HVWLYHUDPUHSUHVHQWDWLYLGDGHPHQRVH[SUHVVLYDFRQIRUPHSRGHVHUREVHUYDGRQDÀJXUD
GEOSAÚDE’201 4 - I Congresso de Geografia da Saúde dos Países de Língua Portuguesa
Coimbra, Portugal, 21-24 Abril 201 4
153
E3 | COMUNICAÇÕES OR AIS
FERREIRA et al. | Equidade na formação de sanitaristas
)LJXUD'LVWULEXLomRGRVVDQLWDULVWDVIRUPDGRVSHOD(VFRODGH6D~GH3~EOLFDGR
HVWDGRGH0DWR*URVVRGR6XO%UDVLOQRSHUtRGRGHD
FRQIRUPHDIRUPDomRSURÀVVLRQDOQ 0DWR*URVVRGR6XOSRVVXLPXQLFtSLRVGLVWULEXtGRVHPTXDWURUHJL}HVGHVD~GH&DPSR*UDQGH'RXUDGRV7UrV/DJRDVH&RUXPEiAo se observar a distribuição
GRVVDQLWDULVWDVQRSHUtRGRHVWXGDGRQRWDVHJUDQGHFRQFHQWUDomRQDVUHJL}HVFRP
PDLRUQ~PHURGHKDELWDQWHVTXHVmRDVUHJL}HVGH&DPSR*UDQGHH'RXUDGRVDV
TXDLVUHSUHVHQWDPDSUR[LPDGDPHQWHGHWRGDDSRSXODomRGRHVWDGR7DEHOD
0XQLFtSLRV
3URÀVVLRQDLV
5HJLmRGHVD~GHGH0DWR*URVVR
do Sul, Brasil
N
N
Campo Grande
10
'RXUDGRV
7UrV/DJRDV
2
10
&RUXPEi
2
10
4
727$/
20
100
100
7DEHOD'LVWULEXLomRGRVVDQLWDULVWDVIRUPDGRVSHOD(VFRODGH6D~GH3~EOLFDGH0DWR
*URVVRGR6XOQRSHUtRGRGHDFRQIRUPHDVUHJL}HVGHVD~GHQ $SHVDU GH WRGDV DV UHJL}HV WHUHP VLGR FRQWHPSODGDV RV VDQLWDULVWDV WrP
UHJLVWURGHUHVLGrQFLDHPDSHQDVDSHQDVPXQLFtSLRV1RYDPHQWHREVHUYRXVHD
PDLRUFRQFHQWUDomRGRVVDQLWDULVWDVQRVPXQLFtSLRVFRPPDLRUGHQVLGDGHSRSXODFLRQDOHQTXDQWRQRVPXQLFtSLRVPHQRUHVKRXYHDXVrQFLDGHSDUWLFLSDQWHVQDIRUPDomRGHVVHVSURÀVVLRQDLV0DSD
$ GLVWULEXLomR GH SURÀVVLRQDLV SRU PXQLFtSLR FRQIRUPH R ,'+ HYLGHQFLRX XPD
FRQFHQWUDomRGHVDQLWDULVWDVQRVPXQLFtSLRVGH0DWR*URVVRGR6XOFODVVLÀFDGRVQRV
HVWUDWRVFRPPHOKRUHVYDORUHVGHVVHtQGLFH2VPXQLFtSLRVHPPHOKRUVLWXDomRGH
GHVHQYROYLPHQWRKXPDQRFRQFHQWUDUDPPDLVGHGRVSURÀVVLRQDLVHQTXDQWRRV
PXQLFtSLRVHPSLRUHVFRQGLo}HVQmRIRUDPEHQHÀFLDGRVFRPDIRUPDomRGHVDQLWDULVWDV7DEHOD
154
GEOSAÚDE’201 4 - I Congresso de Geografia da Saúde dos Países de Língua Portuguesa
Coimbra, Portugal, 21-24 Abril 201 4
E3 | COMUNICAÇÕES OR AIS
FERREIRA et al. | Equidade na formação de sanitaristas
0DSD'LVWULEXLomRGRVVDQLWDULVWDVIRUPDGRVSHOD(VFRODGH6D~GH3~EOLFDGH
0DWR*URVVRGR6XOQRSHUtRGRGHDFRQIRUPHPXQLFtSLRGHUHVLGrQFLD
Q &ODVVLÀFDomRGR,'+HQWUHRVPXQLFtSLRVGH
Mato Grosso do Sul, Brasil
0XQLFtSLRV
3URÀVVLRQDLV
N
N
DFRORFDomRQRHVWDGR
4
DFRORFDomRQRHVWDGR
4
20
DFRORFDomRQRHVWDGR
2
10
2
DFRORFDomRQRHVWDGR
0
0
0
0,0
DFRORFDomRQRHVWDGR
2
10
2
DFRORFDomRQRHVWDGR
DFRORFDomRQRHVWDGR
DFRORFDomRQRHVWDGR
0
0
0
0
727$/
20
100
100
7DEHOD'LVWULEXLomRGRVVDQLWDULVWDVIRUPDGRVSHOD(VFRODGH6D~GH3~EOLFDGH
0DWR*URVVRGR6XOQRSHUtRGRGHDFRQIRUPHRÌQGLFHGH'HVHQYROYL¤PHQWR+XPDQR,'+Q GEOSAÚDE’201 4 - I Congresso de Geografia da Saúde dos Países de Língua Portuguesa
Coimbra, Portugal, 21-24 Abril 201 4
155
FERREIRA et al. | Equidade na formação de sanitaristas
Conclusões
$SROtWLFDS~EOLFDGHVD~GHGR%UDVLODLQGDFDUHFHGHDMXVWHVHDYDQoRVQRFDPSRGDIRUPDomRSURÀVVLRQDO
'HQWUHRVDYDQoRVQHFHVViULRVDEXVFDSHODHTXLGDGHQDIRUPDomRHGLVWULEXLomRGRVVDQLWDULVWDVpRIDWRPDLVHYLGHQWHQRSUHVHQWHHVWXGRFRQVLGHUDQGRTXH
HVVDFRQGLomRGHSUHVWDomRGHXPDDWHQomRHTXkQLPHjSRSXODomRQmRGHYHVHUHVWULQJLUDRDFHVVRDRVVHUYLoRVGHVD~GHPDVWDPEpPGHIRUPDDPSOLDGDjIRUPDomR
dos trabalhadores do SUS.
Agradecimentos
E3 | COMUNICAÇÕES OR AIS
­ )XQGDomR GH DSRLR DR GHVHQYROYLPHQWR GR HQVLQR FLrQFLD H WHFQRORJLD GR
HVWDGRGH0DWR*URVVRGR6XO)81'(&7
Referências
[1] 6RX]D-035HFXUVRVKXPDQRVHPVD~GHS~EOLFD5HYLVWDGHVD~GH
S~EOLFD6mR3DXORYSS
[2] %UDVLO/HLQƒGHGHVHWHPEURGH'LVS}HVREUHDVFRQ-
GLo}HVSDUDDSURPRomRSURWHomRHUHFXSHUDomRGDVD~GHDRUJDQL]DomRHR
IXQFLRQDPHQWRGRVVHUYLoRVFRUUHVSRQGHQWHVHGiRXWUDVSURYLGrQFLDV'LiULR
2ÀFLDOGD8QLmR%UDVtOLD')VHWS'LVSRQtYHOHPKWWS
ZZZSODQDOWRJRYEUFFLYLOB/HLV/KWP!$FHVVRHPMXO
[3] %UDVLO0LQLVWpULRGD6D~GH6HFUHWDULDGH*HVWmRGR7UDEDOKRHGD(GXFDomRQD6D~GH$HGXFDomRSHUPDQHQWHHQWUDQDURGDSRORVGHHGXFDomRSHUPDQHQWHHPVD~GH²FRQFHLWRVHFDPLQKRVDSHUFRUUHU%UDVtOLD0LQLVWpULRGD6D~GH
[4] %UDVLO0LQLVWpULRGD6D~GH6HFUHWDULDGH*HVWmRGR7UDEDOKRHGD(GXFDomRQD6D~GH3ROtWLFD1DFLRQDOGH(GXFDomR3HUPDQHQWHHP6D~GH%UDVtOLD0LQLVWpULRGD6D~GH
[5] &HFFLP 5 % (GXFDomR SHUPDQHQWH HP VD~GH GHVDÀR DPELFLRVR H
QHFHVViULR,QWHUIDFH²&RPXQLFDomRVD~GHHGXFDomRSS
156
GEOSAÚDE’201 4 - I Congresso de Geografia da Saúde dos Países de Língua Portuguesa
Coimbra, Portugal, 21-24 Abril 201 4
Download