O processo de reorientação da formação de profissionais de saúde : uma experiência do programa pró-saúde em Belo Horizonte

Abstract

Although the curriculum guidelines would already determine a change in the ranks of health, the Ministry of Health and the Ministry of Education stimulate this process by launching the Reorientation Training Process of Health Professionals Program (Pro Health) that, once focused on teaching and service integration, questions how professionals and services are equipping themselves before the Brazilian model of health care and how the curriculum guidelines are being implemented in the courses. From a Pro Health experience at a private university, in a descriptive and exploratory and way, document analysis, participant observations and interviews with teachers were used. The study portrayed both the university context and the program development in its structural axes, as well as the continuing education discourse and the teaching and service integration to which the movements of reorientation of health training are part of, in Brazil, and the inter-ministerial program studied. Having as a guiding thread the interaction between school and health services, the analysis revealed approaches, strains and discontinuities in health training reorientation in relation to actions and also political and institutional strategies and in relation to the conducting of curricular training programs. The envisioned horizon of changes relies on covenants and professional relationships, as well as in interests and very specific institutional arrangements, establishing processes at different times and spaces, without warranties of absolute changes, but stirring institutions and agents, moving them in the reinvention of health social practices.