Educação permanente em saúde: o programa de residência multiprofissional em saúde do Hospital Universitário Getúlio Vargas de Manaus-AM

Abstract

The Politics of Permanent Education in Health proposes the practice of transformative actions taking education as a coping strategy in the health / disease. In 2009, it was created by the Ministry of Health and Education Multidisciplinary Residency in Health - RMS as a training modality sharing possibilities and contributions to the consolidation of the principles governing the SUS. In 2010, in Manaus started the first RMS class at the University Hospital of the capital. Motivated by better understand this new reality the research had the general objective: To analyze the Multidisciplinary Residency Program in Health University Hospital Getulio Vargas Manaus, training workers for SUS from the perspective of comprehensiveness. The specific objectives were to examine the theoretical basis leading to oriented training for the NHS and the principles of comprehensiveness and interdisciplinarity; Identify how the principle of comprehensiveness and interdisciplinarity are experienced in teaching and service of RMS; Check the RMS's contribution to the training of workers for SUS from the perspective of those principles. In seeking to achieve these objectives, methodologically the research was a critical approach, qualitative and quantitative techniques. The method procedure was Case Study. The site at the University Getulio Vargas Hospital - HUGV. The sample was intentional and consists of a population of forty-one (41) trained graduates between the years 2012-2015 and twelve (12) multi-professional residents (R2 in 2015) with a total population of fifty-three (53) respondents, these trinte-three (33) agreed to participate. As the technique used the same was due in indirect documentation, through literature and right documentation with the use of evaluative questionnaire techniques using a Likert scale of five points with the graduates and residents and audio recorded interviews with semi-structured only residents. Data were analyzed from the qualitative perspective. The results show that the search for train skilled professionals to work in the SUS RMS is configured as an important strategy. Throughout the assessment in the research it was found that the theoretical and practical basis of the SUS has good concept since 94% of respondents assessed positively. In contrast to the low quality assigned subjects (40%) who treated the principles of multidisciplinary and interdisciplinary. Also were identified in the interviews, some shortcomings such as the organization of practical and theoretical-practical activities in and out of HUGV. Regarding the experiences of the principles of comprehensiveness and interdisciplinarity by the team it was identified that despite the shallow understanding of these principles was possible to notice the change initiative in acting professional front health issues / disease mostly know each other professions (91% ) and manage to identify other needs of users beyond their area of training (70%). Appointed as higher contribution provided by the residence (55%) that they have known and worked in the three health care levels and act in a multidisciplinary team. So the Multidisciplinary Residency is posited as a reality of great potential for change, requiring its expansion within the capital and in the interior of Amazonas state.