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

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.

【摘要】本评价性研究针对参与巴西初级卫生保健可及性与质量改善国家计划（National Program for Access and Quality Improvement in Primary Care）第一、二轮的医师的工作管理与教育情况展开分析。研究采用从公共数据库获取的二手数据，结果显示：在两轮调研的模块二（Module II）受访者中，医师占比分别为5.77%与5.66%；其中多数医师从业时长不足两年（占比分别为51%与53%）；聘用单位为公共行政部门（占比分别为60.73%与61.80%）；为公职人员（占比分别为37.26%与35.41%）；通过公共服务招录考试聘用（占比分别为41.61%与41.40%）；且未纳入职业发展规划体系（占比分别为67.47%与70.23%）。研究结论指出，医学教育应增设政治教育内容，以助力医师更积极地参与初级卫生保健团队的决策制定与工作流程。