Mobilizando competências: mais médicos ou mais saúde?

Abstract

This study aims to clarify if there are differences between doctors of MDP and doctors who are not of the MDP on mobilization of competences while the practice of the profession. Taking as reference the prospects of competences brought primarily by Le Boterf and Zarifian, MDP deployment history in the health system and the historical constructions of the medical profession, the definition of thirteen key competences for doctors who work in primary care was created. To this end, nineteen variables were selected from the instrument for external evaluation of the National Program for Improving Access and Quality of Basic Care to analyze the competences established, on which were applied Chi-square tests and t tests when possible, with a sample of 27,086 teams and 78,875 respondent users. It was noted that for all the analyzed competences there was little difference between the results of mobilization of the teams that have doctors that are of the MDP and doctors who are not, especially in the South and Southeast regional analyses, with a slight preponderance of positive results brought by doctors of the teams that are not from the MDP. This can be explained, since the sample refers to the initial cycles of MDP and, more than that, competences are being analyzed by the lens powers of National Curriculum Guidelines, which allows to infer about how results of doctors from teams which have doctors in the MDP are satisfactory.