Trajectory of the National Policy of Permanent Education in Health in Brazil

Abstract The Brazilian National Policy of Permanent Education in Health establishes as an assumption the centrality in the work processes to guide the qualification activities of health workers. The present study aims to discuss the trajectory of institutionalization of the National Policy of Permanent Education in Health according to the perception of the representative actors of this public policy (federal managers, state and municipal managers, and researchers), considering the 16 years of its institutionalization until the year of this study (2004-2020). This is a qualitative research, with the application of the Delphi method. The results showed that the policy is fragile regarding its implementation. Regarding the impacts, it was found that it facilitated the strengthening of the relationship between health services and educational institutions, and promoted significant changes in teamwork processes, regardless of their composition.

摘要：巴西国家卫生终身教育政策（National Policy of Permanent Education in Health）将工作流程中的核心地位确立为指导卫生工作者资质提升活动的核心前提。本研究旨在依托该公共政策的代表性参与主体（联邦管理者、州级与市级管理者及研究人员）的认知视角，探讨该政策自2004年至本研究开展之年（2020年）共计16年的制度化演进轨迹。本研究属于质性研究范畴，采用德尔菲法（Delphi method）作为研究方法。研究结果表明，该政策在实施环节仍存在明显薄弱之处。就政策影响而言，研究发现其不仅推动了卫生服务机构与教育机构间合作关系的强化，且无论团队原有构成如何，均促进了团队工作流程的显著变革。