Percepção de gestores e profissionais sobre os problemas e desafios do projeto “Mais Médicos para o Brasil” no cenário de pandemia do coronavírus: um estudo de caso em um município do Sul da Bahia.

Abstract

He objective of this work is to analyze the perception of managers and professionals involved in the Mais Médicos Project about the challenges of providing and reorganizing the medical work process in light of the Coronavirus pandemic scenario in the city of Ilhéus/BA in 2020. This is a case study of insertion and performance in primary care units of doctors hired by the Mais Médicos program in the city. Data production was carried out through document review and interviews with municipal health managers and four medical professionals hired by the program. The analysis of the results included the perception of managers about the medical provision in the city, as well as the actions of monitoring, supervision and evaluation of the performance of professionals carried out by the coordination of primary care. The analysis of the medical work process, in turn, took as a reference the theory of the health work process, seeking to identify if there were changes in the objects, means of work used by professionals and forms of work organization in the daily life of practice before and during the outbreak of the Covid-19 pandemic. The conclusions point out that despite the number of places being insufficient to meet the needs of the city, with regard to the increase in the coverage of Primary Care, the provision and retention of doctors through the PMMB, presents important advances in terms of access to the population to the network and humanization of care and meeting health needs related to precarious socioeconomic conditions and the epidemiological profile of the population, characterized by the high prevalence of chronic diseases, malnutrition, domestic violence and, more recently, with the outbreak of the pandemic of Covid-19.