ATRAÇÃO E RETENÇÃO DE PROFISSIONAIS DE SAÚDE EM ZONAS CARENCIADAS: REVISÃO DAS EVIDÊNCIAS
Resumo
Este art igo revê a literatura recente sobre os problemas de at ração e retenção de t rabalhadores de saúde qualificados em zonas carenciadas. Os mot ivos que fazem com que os t rabalhadores evitem essas zonas são conhecidos. A literatura oferece propostas de est ratégias para melhorar a at ração e a retenção, mas a evidência em apoio da sua eficácia ainda é fraca. O que é mais consensual é que não há intervenções que, por si mesmas, permitam resolver o problema e que os que formulam as polít icas podem ser mais eficazes se t iverem acesso a informação válida sobre as expectat ivas dos t rabalhadores de saúde e sobre os fatores que influenciam a sua escolha de onde praticar a sua profissão.
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Referências
BARNIGHAUSEN, T., BLOOM, D. E. (2009) – “Financial incentives
for return of service in underserved areas: a systemat ic review”. BMC
Health Serv. Res., 9: 86.
BUCHAN, J., FRONTEIRA, I. & DUSSAULT, G. (2011) –
“ Cont inuit y and change in human resources policies for healt h:
Lessons from Brazil”. Human Res. Health, 9: 17.
CABRAL, J., BUCHAN, J., FERRINHO, P. & DUSSAULT, G.
(2012) – “ Scaling-up the medical workforce in Timor-Leste:
challenges of a great leap forward”. Soc. Sci. Med. (submet ido).
DUSSAULT, G., FRANCESCHINI, M. C. (2006) – “Not enough
there, too many here: understanding geographical imbalances in the
dist ribut ion of t he healt h workforce”. Human Res. Health, 4: 12.
DUSSAULT, G., CODJIA, L., KANTENGWA, K. & TULENKO, K.
(2008) – “ Assessing t he capacit y t o produce healt h personnel in
Rwanda”. Leadership Health Serv., 21: 290-306.
FERRINHO, P., SIDAT, M., FRESTA, M., RODRIGUES, A.,
FRONTEIRA, I., da SILVA, F., MERCER, H., CABRAL, J. &
DUSSAULT, G. (2011) – “The t raining and professional expectations
of medical students in Angola, Guinea-Bissau and Mozambique”.
Human Res. Health, 9: 9.
FRENK, J., CHEN, L., BHUTTA, Z. A., COHEN, J., CRISP, N.,
EVANS, T., FINEBERG, H., GARCIA, P., HORTON, R., YANG, K.,
KELLEY, P., KISTNASAMY, B., MELEIS, A., NAYLOR, D.,
PABLOS MENDEZ, A., REDDY, S., SCRIMSHAW, S.,
SEPULVEDA, J., SERWADDA, D. & ZURAYK, H. (2010) –
“ Healt h professionals for a new cent ury: t ransforming educat ion to
st rengt hen healt h syst ems in an int erdependent world”. Lancet, 376:
1923-1958.
GIRASEK, E., EKE, E. & SZÓCSKA, M. (2010) – “Analysis of a
survey on young doctors' willingness to work in rural Hungary”.
Human Res. Health, 8: 13.
JOINT LEARNING INITIATIVE (2004) - Human resources for
Health:overcoming the crisis. Harvard University Press, Cambridge
(Mass.).
MCCAFFERY, J., JOYCE, S. & MASSIE, B. (2009) - Health worker
retention and performance initiatives: making better strategic choices.
Technical Brief 16, Capacity Project . [online].
http://www.capacityproject.org/images/stories/files/techbrief_16.pdf.
ORGANIZAÇÃO MUNDIAL DA SAÚDE (2006) - Trabalhando
Juntos para Saúde. Relatório mundial da saúde 2006. OMS, Genebra.
TEMIDO, M. & DUSSAULT, G. (2012) – “ P apéis profissionais de
médicos e enfermeiros em P ort ugal: limit es normat ivos à mudança”.
Rev. Port. Saúde Públ. (submet ido).
WILSON, N. W., COUPER, I. D., DE VRIES, E., REID, S., FISH, T.
& MARAIS, B. J. (2009) – “ A crit ical review of intervent ions to
redress the inequitable dist ribut ion of healthcare professionals to rural
and remote areas”. Rural Remote Health, 9: 1060.
WISMAR, M., MAIER, C. B., GLINOS, I. A., DUSSAULT, G. &
FIGUERAS, J. (2011) - Health Professional Mobility and Heath
Systems: evidence from 17 European countries. European Observatory
of Health Systems and Policies, Bruxelas.
WITTER, S., HA, B. T. T., SHENGALIA, B. & VUJICIC, M. (2011)
– “ Underst anding t he 'four direct ions of t ravel': qualitat ive research
into the factors affect ing recruitment and retent ion of doctors in rural
Viet nam”. Human Res. Health, 9: 20.
WORLD HEALTH ORGANIZATION (2010) - Increasing access to
health workers in remote and rural areas through improved retention:
Global policy recommendations. WHO, Genebra.
for return of service in underserved areas: a systemat ic review”. BMC
Health Serv. Res., 9: 86.
BUCHAN, J., FRONTEIRA, I. & DUSSAULT, G. (2011) –
“ Cont inuit y and change in human resources policies for healt h:
Lessons from Brazil”. Human Res. Health, 9: 17.
CABRAL, J., BUCHAN, J., FERRINHO, P. & DUSSAULT, G.
(2012) – “ Scaling-up the medical workforce in Timor-Leste:
challenges of a great leap forward”. Soc. Sci. Med. (submet ido).
DUSSAULT, G., FRANCESCHINI, M. C. (2006) – “Not enough
there, too many here: understanding geographical imbalances in the
dist ribut ion of t he healt h workforce”. Human Res. Health, 4: 12.
DUSSAULT, G., CODJIA, L., KANTENGWA, K. & TULENKO, K.
(2008) – “ Assessing t he capacit y t o produce healt h personnel in
Rwanda”. Leadership Health Serv., 21: 290-306.
FERRINHO, P., SIDAT, M., FRESTA, M., RODRIGUES, A.,
FRONTEIRA, I., da SILVA, F., MERCER, H., CABRAL, J. &
DUSSAULT, G. (2011) – “The t raining and professional expectations
of medical students in Angola, Guinea-Bissau and Mozambique”.
Human Res. Health, 9: 9.
FRENK, J., CHEN, L., BHUTTA, Z. A., COHEN, J., CRISP, N.,
EVANS, T., FINEBERG, H., GARCIA, P., HORTON, R., YANG, K.,
KELLEY, P., KISTNASAMY, B., MELEIS, A., NAYLOR, D.,
PABLOS MENDEZ, A., REDDY, S., SCRIMSHAW, S.,
SEPULVEDA, J., SERWADDA, D. & ZURAYK, H. (2010) –
“ Healt h professionals for a new cent ury: t ransforming educat ion to
st rengt hen healt h syst ems in an int erdependent world”. Lancet, 376:
1923-1958.
GIRASEK, E., EKE, E. & SZÓCSKA, M. (2010) – “Analysis of a
survey on young doctors' willingness to work in rural Hungary”.
Human Res. Health, 8: 13.
JOINT LEARNING INITIATIVE (2004) - Human resources for
Health:overcoming the crisis. Harvard University Press, Cambridge
(Mass.).
MCCAFFERY, J., JOYCE, S. & MASSIE, B. (2009) - Health worker
retention and performance initiatives: making better strategic choices.
Technical Brief 16, Capacity Project . [online].
http://www.capacityproject.org/images/stories/files/techbrief_16.pdf.
ORGANIZAÇÃO MUNDIAL DA SAÚDE (2006) - Trabalhando
Juntos para Saúde. Relatório mundial da saúde 2006. OMS, Genebra.
TEMIDO, M. & DUSSAULT, G. (2012) – “ P apéis profissionais de
médicos e enfermeiros em P ort ugal: limit es normat ivos à mudança”.
Rev. Port. Saúde Públ. (submet ido).
WILSON, N. W., COUPER, I. D., DE VRIES, E., REID, S., FISH, T.
& MARAIS, B. J. (2009) – “ A crit ical review of intervent ions to
redress the inequitable dist ribut ion of healthcare professionals to rural
and remote areas”. Rural Remote Health, 9: 1060.
WISMAR, M., MAIER, C. B., GLINOS, I. A., DUSSAULT, G. &
FIGUERAS, J. (2011) - Health Professional Mobility and Heath
Systems: evidence from 17 European countries. European Observatory
of Health Systems and Policies, Bruxelas.
WITTER, S., HA, B. T. T., SHENGALIA, B. & VUJICIC, M. (2011)
– “ Underst anding t he 'four direct ions of t ravel': qualitat ive research
into the factors affect ing recruitment and retent ion of doctors in rural
Viet nam”. Human Res. Health, 9: 20.
WORLD HEALTH ORGANIZATION (2010) - Increasing access to
health workers in remote and rural areas through improved retention:
Global policy recommendations. WHO, Genebra.
Publicado
2018-09-10
Como Citar
1.
Dussault G. ATRAÇÃO E RETENÇÃO DE PROFISSIONAIS DE SAÚDE EM ZONAS CARENCIADAS: REVISÃO DAS EVIDÊNCIAS. ihmt [Internet]. 10Set.2018 [citado 19Abr.2024];11:146-53. Available from: https://anaisihmt.com/index.php/ihmt/article/view/229
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