Contributions and work practices of Cuban doctors from the perspective of family health teams

Abstract

Objective: To describe, from the perspective of family health team members, the contributions and work practices of Cuban doctors in the Mais Médicos Program (PMM). Method: Descriptive research with a qualitative approach developed in Tangará da Serra, a protagonist municipality in the state of Mato Grosso in joining the PMM. Family health team members interviewed through a semi-structured instrument participated. The interviews were audio-recorded, transcribed and analyzed through thematic content analysis in three dimensions: expansion of access; Cuban physician practices and team perceptions. Results: Thirty-two members of the family health teams participated in the study. The expansion of access was due to the establishment of the doctor, which consequently increased the number of consultations, demonstrating the responsibility with the workday in the unit. The work process proved to be guided by care planning with the use of user monitoring and teamwork to strengthen care. It evidenced the recognition of professional practice and also comparisons of work experience with other doctors who worked in the local PHC. Conclusions: The Cuban physician uses elements of the medical clinic and subjective, socioeconomic and environmental factors to get to know the user and establish care plans accompanied by multidisciplinary monitoring, in order to strengthen care. Traits that expanded the possibility of teamwork in an interprofessional perspective can be seen.