Fusos horarios

ARTIGO ARTICLE

Saúde da família no Estado de Mato Grosso,
Brasil: perfis e julgamentos dos médicos e enfermeiros
Family health in Mato Grosso State, Brazil: profile and assessment by physicians and nurses

Ana Maria Canesqui 1
Maria Angélica dos Santos Spinelli

2

Abstract
1 Faculdade de Ciências
Médicas, Universidade
Estadual de Campinas,
Campinas, Brasil.
2 Instituto de Saúde Coletiva,
Universidade Federal de
Mato Grosso, Cuiabá, Brasil.
Correspondência
A. M. Canesqui
Departamento de Medicina
Preventiva e Social,
Faculdade de Ciências
Médicas, Universidade
Estadual de Campinas.
Cidade Universitária
Zeferino Vaz, C. P. 6111,
Campinas, SP
13083-970, Brasil. [e-mail] Introdução

This article addresses the profile and assessment of the Family Health Program by physicians and nurses regarding the following aspects: profile characteristics; degree of agreement with the program’s proposals; and application of methods for planning and implementing primary care activities. This was an evaluative study with health professionals, and the conclusions highlighted the following: (1) the professional profile reinforcing feminization of the healthcare work force; prevalence of precarious work contracts and worker turnover; wage disparity between professional categories; and efforts at training to achieve the program profile; (2) alteration of the healthcare model by the program, favoring social control and epidemiological surveillance as well as healthcare promotion; and (3) a high degree of implementation of several basic healthcare activities, although implementation of educational and inter-sector activities and control of chronic and endemic diseases was more limited.

O Programa Saúde da Família (PSF) foi criado em 1994 pelo Ministério da Saúde, vinculado ao processo de descentralização da política de saúde, visando a inovar e reestruturar o modelo assistencial e o processo de trabalho dos
profissionais