J I Pedrosa1, J B Teles. 1. Departmento de Medicina Communitária, Universidade Federal do Piauí, Teresina, PI, Brasil. jivo@ufpi.br
Abstract
OBJECTIVE: To identify issues that promote agreement and disagreement among doctors, nurses, and health care professionals who integrate the Family Health Care Program team. METHODS: A qualitative study using focus groups was carried out. The participants were male and female health care professionals, doctors and nurses from the Family Health Care Program team in Teresina, Brazil. Group sessions were conducted by a coordinator and with the participation of an observer and the following issues were raised: insertion in the program, capacitating process, main concepts of the program, relation with the organization and the prevailing health care model, relationships between the team members and the community, required and available services, work conditions and legal work situation, positive and negative factors. RESULTS: General issues such as community work, preventative care and teamwork brought out agreement among the three categories of professionals. Issues that reinforced the disagreement of the professional categories were salary levels, relationship with the community and team responsibility. CONCLUSIONS: Issues that brought out more disagreement were those that reinforced the corporate aspects of each professional category, while issues that promoted internal disagreement in each group were discussed based on external references, suggesting the need for better defining specific matters in the Family Health Care Program. Strategies to meet the community needs have proven to be a matter of urgency for the health care professionals since they are the first ones responsible for solving community health care services problems.
OBJECTIVE: To identify issues that promote agreement and disagreement among doctors, nurses, and health care professionals who integrate the Family Health Care Program team. METHODS: A qualitative study using focus groups was carried out. The participants were male and female health care professionals, doctors and nurses from the Family Health Care Program team in Teresina, Brazil. Group sessions were conducted by a coordinator and with the participation of an observer and the following issues were raised: insertion in the program, capacitating process, main concepts of the program, relation with the organization and the prevailing health care model, relationships between the team members and the community, required and available services, work conditions and legal work situation, positive and negative factors. RESULTS: General issues such as community work, preventative care and teamwork brought out agreement among the three categories of professionals. Issues that reinforced the disagreement of the professional categories were salary levels, relationship with the community and team responsibility. CONCLUSIONS: Issues that brought out more disagreement were those that reinforced the corporate aspects of each professional category, while issues that promoted internal disagreement in each group were discussed based on external references, suggesting the need for better defining specific matters in the Family Health Care Program. Strategies to meet the community needs have proven to be a matter of urgency for the health care professionals since they are the first ones responsible for solving community health care services problems.
Authors: Mariza Alves Barbosa Teles; Mirna Rossi Barbosa; Andréa Maria Duarte Vargas; Viviane Elizângela Gomes; Efigênia Ferreira e Ferreira; Andréa Maria Eleutério de Barros Lima Martins; Raquel Conceição Ferreira Journal: Health Qual Life Outcomes Date: 2014-05-15 Impact factor: 3.186