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RESUMO - Apesar de uma série de políticas públicas com vista à eliminação da escassez de médicos – aumento do
numerus clausus, contratação de médicos estrangeiros, aumento do número de internos e políticas
organizacionais a escassez de médicos no Serviço Nacional de Saúde (SNS) persiste. Essa escassez é
particularmente nos cuidados de saúde primários do SNS onde mais de um milhão de utentes inscritos
continua sem médico de família.
Com o presente estudo pretendeu-se analisar o contributo da contratação de médicos aposentados
relativamente à melhoria do acesso aos cuidados de saúde primários, bem como registar a perceção dos
diversos players quanto a eventuais expetativas e constrangimentos associados a esta política.
Entre 2011 e 2015 aposentaram-se 1126 médicos de medicina geral e familiar. Esta política permitiu
recuperar 143 médicos aposentados, ou seja, uma taxa de retorno de 12,70%. Esta política também existe
nos EUA e no Reino Unido. Contudo, não se encontraram estudos relativos à taxa de retorno que
possibilitassem comparar os resultados obtidos. Por sua vez, entre 2012 e 2015 entraram 702 internos de
medicina geral e familiar (62,34% do número de aposentações) pelo que esta política é a que melhores
resultados produz a médio longo prazo, pela necessidade de quatro anos da especialidade e aquisição de
experiência adicional. Por sua vez, a contratação de médicos aposentados permite obter resultados
imediatos. Estima-se que a contratação de médicos de família aposentados para o SNS tenha atribuído
médico de família a 221 650 utentes.
ABSTRACT - Despite a series of public policies to eliminate the shortage of doctors - increased numerus clausus, hiring foreign doctors, increasing the number of family doctors in specialized training and organizational policies the shortage of doctors in the National Health Service (NHS) persists. This shortage is particularly in primary health care in the NHS where more than one million registered users is still without a family doctor. The present study aimed to analyze the contribution of retired hiring doctors on improving access to primary health care, and record the perception of many players as possible the expectations and constraints associated with this policy. Between 2011 and 2015, 1126 family doctors retired in NHS primary care. This policy has recovered 143 retired doctors, a rate of return of 12,70%. This policy also exists in the US and UK. However, there were no studies on the rate of return that would enable to compare with obtain results. In turn, between 2012 and 2015 new 702 doctors have initiated specialized training to achieve family doctor title (62.34% of the number of retirements) so this policy is the one that better results produces the medium term. However the need for four years of specialty and acquisition additional experience delays this policy results. In turn, hiring retired doctors allows for immediate results. It is estimated that hiring retired family doctors to the NHS has assigned family doctor to 221,650 users.
ABSTRACT - Despite a series of public policies to eliminate the shortage of doctors - increased numerus clausus, hiring foreign doctors, increasing the number of family doctors in specialized training and organizational policies the shortage of doctors in the National Health Service (NHS) persists. This shortage is particularly in primary health care in the NHS where more than one million registered users is still without a family doctor. The present study aimed to analyze the contribution of retired hiring doctors on improving access to primary health care, and record the perception of many players as possible the expectations and constraints associated with this policy. Between 2011 and 2015, 1126 family doctors retired in NHS primary care. This policy has recovered 143 retired doctors, a rate of return of 12,70%. This policy also exists in the US and UK. However, there were no studies on the rate of return that would enable to compare with obtain results. In turn, between 2012 and 2015 new 702 doctors have initiated specialized training to achieve family doctor title (62.34% of the number of retirements) so this policy is the one that better results produces the medium term. However the need for four years of specialty and acquisition additional experience delays this policy results. In turn, hiring retired doctors allows for immediate results. It is estimated that hiring retired family doctors to the NHS has assigned family doctor to 221,650 users.
Descrição
Trabalho Final do Curso de Especialização em Administração Hospitalar
Palavras-chave
Políticas Públicas na Saúde Escassez de médicos de família Médicos aposentados Acesso aos cuidados de saúde primáriosA Public Health Policies Shortage of family physicians Retired physicians Access to primary health care
Contexto Educativo
Citação
Editora
Universidade Nova de Lisboa, Escola Nacional de Saúde Pública