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Challenges of education scenarios in primary care in the light of the Previne Brasil neoselectivity

Challenges of education scenarios in primary care in the light of the Previne Brasil neoselectivity

Authors :
Karina Magrini Carneiro Mendes
Leonardo Carnut
Lucia Dias da Silva Guerra
Claudia Camilo
Source :
Acta Scientiarum. Health Sciences, Vol 46, Iss 1 (2024)
Publication Year :
2024
Publisher :
Universidade Estadual de Maringá, 2024.

Abstract

Primary Health Care (PHC) is considered a privileged space for the inclusion of students in the Unified Health System (UHS), which is most desirable the pedagogical scenario for the health course graduate education profile. However, its new financing model induces a neoselectivity that may mischaracterize UHS principles in primary care. This study is a qualitative meta-synthesis to understand the challenges of teaching practice scenarios in PHC, identified in the research, in order to discuss them in light of the limits imposed by the neoselectivity, induced by the Previne Brasil Program (Prevent Brazil Program). A search was conducted on the Virtual Health Library (VHL) portal. The search strategy was designed using the following keywords: ‘practice scenarios in higher education’ (object), ‘challenges’ (qualifier) and ‘PHC’ (amplitude/limit). The selection of publications was carried out using the PRISMA protocol by two independent reviewers, and data analysis was performed in the thematic modality. The quality analysis of the articles was based on the CASP protocol and the internal validation of the excerpts was done by a third evaluator. From the 17 articles included in the review, it was possible to extract 5 analytical dimensions of the scenarios' challenges, which are related to: ‘care’, ‘teaching’, ‘management’, ‘health professionals' attitude’, ‘community attitude’. All dimensions presented several sub-themes, except for 'community attitude'. Given the existing challenges, the neoselectivity induced in PHC tends to intensify most of the problems. It is assumed that the impacts on PHC settings may, in the future, place it as a non-viable practice scenario.

Details

Language :
English, Portuguese
ISSN :
16799291 and 18078648
Volume :
46
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Acta Scientiarum. Health Sciences
Publication Type :
Academic Journal
Accession number :
edsdoj.4d0c8bb7fe054d4c896a85b2752e5d38
Document Type :
article
Full Text :
https://doi.org/10.4025/actascihealthsci.v46i1.65883