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Mobilidade e incentivos: a política pública convence os médicos?
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Orientador(es)
Resumo(s)
É comum os governos definirem políticas de incentivos para atrair médicos para
zonas consideradas, legalmente, mais carenciadas. No entanto, estas políticas nem sempre
alcançam os resultados pretendidos, pelo que os responsáveis pela sua formulação devem
considerar quais os objetivos políticos, os mecanismos de influência e os grupos de médicos
alvo. Neste sentido, este artigo pretende obter resposta para a seguinte questão de
investigação: Quais os fatores de atratividade para a fixação dos médicos internos de
formação específica em zonas carenciadas, especificamente na Unidade Local de Saúde no
Nordeste, E.P.E. (ULSNE)? O pressuposto principal visa compreender quais os fatores de
atratividade, intrínsecos e extrínsecos, para a fixação dos médicos internos que se
encontram a frequentar a formação especializada, nesta zona carenciada, de modo a
perceber o que os motivaria, após o término da especialidade, a nela permanecer para o
exercício da prática médica. Com a resposta a esta questão de investigação pretende-se
contribuir para o desenvolvimento e implementação de políticas públicas mais adequadas
para corrigir os desequilíbrios da distribuição geográfica dos médicos. A informação
recolhida através da realização das entrevistas semiestruturas permitiu averiguar que
fatores intrínsecos e extrínsecos contribuem para a escolha, por parte dos médicos internos
de formação específica da ULSNE, da zona para a prática médica. Permitiu verificar,
também, o impacto reduzido que os incentivos atribuídos pelo Governo apresentam
relativamente à decisão dos médicos internos em permanecer na ULSNE, ou noutra zona
carenciada, mostrando a necessidade de reformulação da política de incentivos.
It's common for the governments to set political initiatives to lure doctors to deprived areas. However, these policies do not always reach their wanted results. Their success depends on the process of development and implementation. In this sense, policy makers should carefully consider which are the policy goals, mechanisms of influence, and target doctors. Therefore, this article aims to answer to the following research question: Which are the attractiveness factors for the establishment of interns with specific training in deprived areas, specifically in the Northeast Local Health Unit, E.P.E. (ULSNE)? The main assumption aims to understand the attractiveness factors, intrinsic and extrinsic, for the establishment of internal doctors, who are attending specialized training in this deprived area, to understand what would motivate them, after the end of their training, to remain in the deprived area for the exercise of medical practice. The answer to this research question intends to contribute to the development and implementation of more appropriate public policies to correct the imbalances in the geographical distribution of doctors. The information gathered through the semi structured interviews allowed us to verify that intrinsic and extrinsic factors contribute to the choice made by internal doctors with ULSNE specific training of the area for medical practice. It also verified the reduced impact that the incentives granted by the Government have in relation to the decision of the internal doctors to stay in ULSNE, or in another deprived area, showing the need for reformulation of the incentives policy.
It's common for the governments to set political initiatives to lure doctors to deprived areas. However, these policies do not always reach their wanted results. Their success depends on the process of development and implementation. In this sense, policy makers should carefully consider which are the policy goals, mechanisms of influence, and target doctors. Therefore, this article aims to answer to the following research question: Which are the attractiveness factors for the establishment of interns with specific training in deprived areas, specifically in the Northeast Local Health Unit, E.P.E. (ULSNE)? The main assumption aims to understand the attractiveness factors, intrinsic and extrinsic, for the establishment of internal doctors, who are attending specialized training in this deprived area, to understand what would motivate them, after the end of their training, to remain in the deprived area for the exercise of medical practice. The answer to this research question intends to contribute to the development and implementation of more appropriate public policies to correct the imbalances in the geographical distribution of doctors. The information gathered through the semi structured interviews allowed us to verify that intrinsic and extrinsic factors contribute to the choice made by internal doctors with ULSNE specific training of the area for medical practice. It also verified the reduced impact that the incentives granted by the Government have in relation to the decision of the internal doctors to stay in ULSNE, or in another deprived area, showing the need for reformulation of the incentives policy.
Descrição
Palavras-chave
Fixação de médicos Zonas carenciadas Política pública de incentivos Jovens médicos
Contexto Educativo
Citação
Mesquita, Sofia; Costa, Cláudia S.; Pires, Rui A.R. (2022). Mobilidade e incentivos: a política pública convence os médicos?. In III Encontro Internacional de Língua Portuguesa e Relações Lusófonas - LUSOCONF2021: livro de atas. Bragança: Instituto Politécnico. p. 173-182. ISBN 978-972-745-295-8