[Educational actions in Healthcare Planning: professionals' perceptions in two Health Regions of Brazil]

【医疗保健规划中的教育行动:巴西两个卫生区域专业人员的看法】

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Abstract

Healthcare Planning (HP) aims to support states and municipalities in the reorganization of healthcare networks in their territories, offering a set of educational actions, in the form of workshops, tutorials and courses. This article analyzes the educational actions of HP in two Health Regions of Brazil, one in the Northeast (region A) and one in the North (region B). The survey covered health professionals and HP tutors, totaling 17 interviewees. Data were collected via individual semi-structured interviews, which sought to understand opinions about learning, behavior changes, difficulties and suggestions for improvement. The interviews were recorded, transcribed and submitted to thematic content analysis. The analysis categories were listed according to the integrated training impact evaluation model. Results indicated the acquisition of knowledge, skills and attitudes related to the processes of territorialization; family risk classification; population risk stratification; management of patients with chronic diseases, pregnant women and children under two years; planning, monitoring and evaluation; among others. There were important changes in behavior, with improved communication, collaboration, and job satisfaction. The main difficulties refer to the resistance of professionals; the implementation of block scheduling; the use and responses to instruments, and access to specialized care. The main suggestions were the continuity of face-to-face educational actions with the participation of local facilitators and managers, and the guarantee of protected time dedicated to educational actions.

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