Physicians in the external assessment process of the National Program for Access and Quality Improvement in Primary Care, cycles I and II - Brazil

Cavalli, Luciana Osorio; Rizzotto, Maria Lucia Frizon; Guimarães, Ana Tereza Bittencourt

doi:10.1590/0103-1104201611107

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ORIGINAL ARTICLE • Saúde debate 40 (111) • Oct-Dec 2016 • https://doi.org/10.1590/0103-1104201611107 copy

Physicians in the external assessment process of the National Program for Access and Quality Improvement in Primary Care, cycles I and II - Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Evaluative research that examined aspects of work management and education of physicians who participated in the National Program for Access and Quality Improvement in Primary Care, cycles I and II, in Brazil. Secondary data obtained from public databases revealed that in cycles I and II medical representation among respondents of Module II was 5.77% and 5.66% respectively; the majority were in practice for less than two years (51% and 53%); had public administration as hiring agency (60.73% and 61.80%); were civil servants (37.26% and 35.41%); were hired through public service entrance exams (41.61% and 41.40%); and had no right for a career plan (67.47% and 70.23%). The conclusion is that medical education should also include political education to favor physicians' active participation in decision-making and work processes in Primary Health Care teams.

KEYWORDS
Primary Health Care; Health personnel; Health evaluation

		PMAQ-AB CYCLE I		PMAQ-AB CYCLE II
Variable	Category	AF^* * AF – Absolute Frequency.	%	AF^* * AF – Absolute Frequency.	%
Hiring Agency	Public Administration	603	60,73	1042	61,80
	Public law inter-municipal consortium	17	1,71	26	1,54
	Private law inter-municipal consortium	4	0,40	4	0,24
	Public law public foundation	40	4,03	87	5,16
	Private law public foundation	17	1,71	33	1,96
	Social Organization (SO)	154	15,51	184	10,91
	Civil Society Organization of Public Interest (Oscip)	44	4,43	4	0,24
	Philanthropic Organization	27	2,72	41	2,43
	Non-Governmental Organization (NGO)	5	0,50	11	0,65
	Private company	25	2,52	43	2,55
	Cooperative	7	0,70	14	0,83
	Other	42	4,23	185	10,97
	Doesn’t know/No answer	8	0,81	12	0,71
	Total	993	100	1686	100
Type of employment relationship	Civil servant	370	37,26	597	35,41
	Commissioned post	11	1,11	20	1,19
	Temporary contract with public administration, ruled by special legislation (municipal/state/federal)	110	11,08	246	14,59
	Temporary contract for services rendered	97	9,77	208	12,34
	Public employee (CLT)	60	6,04	105	6,23
	Contract (CLT)	315	31,72	398	23,61
	Freelancer	9	0,91	15	0,89
	Other	16	1,61	89	5,28
	Doesn’t know/No answer	5	0,50	8	0,47
	Total	993	100,00	1686	100,00
Way of Entrance	Public service entrance examination	414	41,69	698	41,40
	Public selection	263	26,49	449	26,63
	Indication	312	31,42	214	12,69
	Other	4	0,40	325	19,28
	Total	993	100	1686	100

		PMAQ-AB CYCLE I		PMAQ-AB CYCLE II
Specialization	Categories of answers	AF^* * AF – Absolute Frequency.	%	AF^* * AF – Absolute Frequency.	%
Specialization in Family and Community Medicine	No specialization	563	56,70	958	56,82
	Concluded	191	19,23	288	17,08
	Ongoing	42	4,23	63	3,74
	Not applicable	193	19,44	377	22,36
	No answer	4	0,40	------	------
	Total	993	100	1686	100
Specialization in Family Health	No specialization	532	53,58	864	51,25
	Concluded	185	18,63	334	19,81
	Ongoing	79	7,96	111	6,58
	Not applicable	193	19,44	377	22,36
	No answer	4	0,40	------	------
	Total	993	100	1686	100
Specialization in Public Health/Collective Health	No specialization	696	70,09	1157	68,62
	Concluded	86	8,66	127	7,53
	Ongoing	14	1,41	25	1,48
	Not applicable	193	19,44	377	22,36
	No answer	4	0,40	------	------
	Total	993	100	1686	100
Has another specialization?	Yes	436	43,91	628	37,25
	No	360	36,25	557	33,04
	Ongoing	------	0	124	7,35
	Not applicable	193	19,44	377	22,36
	No answer	4	0,40	------	------
	Total	993	100	1686	100

		PMAQ-AB CYCLE I		PMAQ-AB CYCLE II
Residency	Categories of answers	AF^* * AF – Absolute Frequency.	%	AF^* * AF – Absolute Frequency.	%
Residency in Family and Community Medicine	No residency	692	69,69	1165	69,10
	Concluded	90	9,06	121	7,18
	Ongoing	14	1,41	23	1,36
	Not applicable	193	19,44	377	22,36
	No answer	4	0,40	------	------
	Total	993	100	1686	100
Residency in Family Health	No residency	765	77,04	1263	74,91
	Concluded	24	2,42	39	2,31
	Ongoing	7	0,70	7	0,42
	Not applicable	193	19,44	377	22,36
	No answer	4	0,40	------	------
	Total	993	100	1686	100
Residency in Public Health/Collective Health	No residency	782	78,75	1206	71,53
	Concluded	10	1,01	12	0,71
	Ongoing	4	0,40	1	0,06
	Not applicable	193	19,44	377	22,36
	No answer	4	0,40	------	------
	Total	993	100	1686	100
Has another residency?	Yes	196	19,74	369	21,89
	No	600	60,42	940	55,75
	Not applicable	193	19,44	377	22,36
	No answer	4	0,40	------	------
	Total	993	100	1686	100

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[1] Conflict of interests: non-existent