{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,4]],"date-time":"2024-05-04T14:36:39Z","timestamp":1714833399428},"reference-count":36,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>O estudo objetiva analisar o processo em que as pol\u00edticas de recursos humanos em sa\u00fade (RHS), que visam melhorar a distribui\u00e7\u00e3o geogr\u00e1fica dos m\u00e9dicos, s\u00e3o (ou n\u00e3o) informadas por evid\u00eancia cient\u00edfica no Brasil e em Portugal. Foi realizado um estudo de caso-m\u00faltiplo sobre o processo de decis\u00e3o das pol\u00edticas de RHS no Brasil e em Portugal. Para compor os estudos de caso, as pol\u00edticas escolhidas foram o Programa Mais M\u00e9dicos (PMM) e a estrat\u00e9gia de contrata\u00e7\u00e3o de m\u00e9dicos estrangeiros por acordos bilaterais para o trabalho no Servi\u00e7o Nacional de Sa\u00fade (SNS) portugu\u00eas. Foram entrevistados 27 atores-chave no processo de formula\u00e7\u00e3o das pol\u00edticas em an\u00e1lise nos seguintes t\u00f3picos: fatores que influenciaram a formula\u00e7\u00e3o, atores que eram esperados ganhar ou perder, evid\u00eancias cient\u00edficas e os dados dispon\u00edveis utilizados para a formula\u00e7\u00e3o, entre outros. Os fatores mais evidentes identificados nas entrevistas como sendo influenciadores do PMM foram: Institui\u00e7\u00f5es; Fatores Externos (elei\u00e7\u00f5es presidenciais); Interesses de grupos (por exemplo, associa\u00e7\u00f5es de profissionais m\u00e9dicos), governos (brasileiro e cubano), organiza\u00e7\u00e3o internacional e sociedade civil; e Ideias (evid\u00eancia cient\u00edfica). Os fatores mais listados em Portugal foram: Institui\u00e7\u00f5es e Interesses dos governos (portugu\u00eas e envolvidos nos acordos bilaterais), sociedade civil e grupos (associa\u00e7\u00f5es de profissionais m\u00e9dicos). Ao contr\u00e1rio do que se verificou no estudo de caso do Brasil, em que reconhecidamente a evid\u00eancia teve um papel importante na formula\u00e7\u00e3o da pol\u00edtica em an\u00e1lise, em Portugal a evid\u00eancia cient\u00edfica n\u00e3o foi identificada como contributo para a formula\u00e7\u00e3o da interven\u00e7\u00e3o em estudo.<\/jats:p>","DOI":"10.1590\/0102-311x00220416","type":"journal-article","created":{"date-parts":[[2018,3,3]],"date-time":"2018-03-03T23:14:47Z","timestamp":1520118887000},"source":"Crossref","is-referenced-by-count":2,"title":["Fatores que influenciaram o processo de formula\u00e7\u00e3o de pol\u00edticas de recursos humanos em sa\u00fade no Brasil e em Portugal: estudo de caso m\u00faltiplo"],"prefix":"10.1590","volume":"34","author":[{"given":"Ana Paula Cavalcante de","family":"Oliveira","sequence":"first","affiliation":[{"name":"Universidade Nova de Lisboa,  Portugal"}]},{"given":"Mario Roberto Dal","family":"Poz","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil"}]},{"given":"Isabel","family":"Craveiro","sequence":"additional","affiliation":[{"name":"Universidade Nova de Lisboa,  Portugal"}]},{"given":"Mariana","family":"Gabriel","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}]},{"given":"Gilles","family":"Dussault","sequence":"additional","affiliation":[{"name":"Universidade Nova de Lisboa,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2018,3,1]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1186\/1478-4505-7-S1-S1","article-title":"SUPPORT Tools for evidence-informed health Policymaking (STP) 1 what is evidence-informed policymaking?","volume":"7","author":"Oxman AD","year":"2009","journal-title":"Health Res Policy Syst"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4102\/sajs.v106i5\/6.249","article-title":"Evidence-based policymaking a review","volume":"106","author":"Strydom WF","year":"2010","journal-title":"S Afr J Sci"},{"key":"ref3","author":"Campbell S"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1258\/jhsrp.2009.008120","article-title":"Developing a framework for transferring knowledge into action a thematic analysis of the literature","volume":"14","author":"Ward V","year":"2009","journal-title":"J Health Serv Res Policy"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1002\/chp.47","article-title":"Lost in knowledge translation time for a map?","volume":"26","author":"Graham ID","year":"2006","journal-title":"J Contin Educ Health Prof"},{"key":"ref6","series-title":"World report on knowledge for better health: strengthening health systems","year":"2004"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/1472-6963-14-2","article-title":"A systematic review of barriers to and facilitators of the use of evidence by policymakers","volume":"14","author":"Oliver K","year":"2014","journal-title":"BMC Health Serv Res"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1258\/135581902320432778","article-title":"Health policy-makers' perceptions of their use of evidence a systematic review","volume":"7","author":"Innvaer S","year":"2002","journal-title":"J Health Serv Res Policy"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1649","DOI":"10.1016\/j.socscimed.2005.03.032","article-title":"Research use in children's mental health policy in Canada maintaining vigilance amid ambiguity","volume":"61","author":"Waddell C","year":"2005","journal-title":"Soc Sci Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1590\/1413-81232017224.31382016","article-title":"Desafios para assegurar a disponibilidade e acessibilidade \u00e0 assist\u00eancia m\u00e9dica no Sistema \u00danico de Sa\u00fade","volume":"22","author":"Oliveira APC","year":"2017","journal-title":"Ci\u00eanc Sa\u00fade Coletiva"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s12960-017-0194-3","article-title":"Challenges and strategies to improve the availability and geographic accessibility of physicians in Portugal","volume":"15","author":"Oliveira APC","year":"2017","journal-title":"Hum Resour Health"},{"key":"ref12","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1001186","article-title":"Guidance for evidence-informed policies about health systems linking guidance development to policy development","volume":"9","author":"Lavis JN","year":"2012","journal-title":"PLoS Med"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1215\/03616878-2010-025","article-title":"Do provincial drug benefit initiatives create an effective policy lab? 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