Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

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This article is a product of research work about initiatives of curricular innovation based on the National Curricular Guidelines (DCN) and carried out in State medical schools in the states of Minas Gerais and Rio de Janeiro. One of these schools is connected with the Programme to Promote Curricular Changes in Medical Education (Promed). In the analysis of the empirical material, three questions - respectively of a methodological, political and historic-cultural and scientific nature - correspond to what we present in this article, namely: the discussion about the innovation concept; the various developments of the analysis of the speeches, that enable us to draw a profile of the current situation of the medical education in the selected institutions, and thus to have a clear picture of the pedagogical perspectives and conceptions in medical education and estimate the knowledge levels of the DCN, from the teachers' and pupils' points of view; and the students' expectations with regard to the training and its connection with the world of work. The methodology selected follows the principles of qualitative research and, for this reason, we used the focal group interview technique. This technique gives us the empirical material that, analyzed theoretically, is presented once more to the actors (teachers, administrators, and students) inserted in practical activities oriented to the curricular innovations.

The objective of this work is to verify the nature of the relationship between the members of family health teams and also how they perform at work. This was done by identifying themes that promote convergence and divergence between professionals that were divided, for this purpose, into two groups: those with high education and those with secondary education. Methodologically, we developed a qualitative study, using focal group technique, to determine the views and perceptions of the PSF team members about the training courses they attended and about the activities developed in the Family Health Units. The themes covered were five, namely: team's training, team's responsibilities, stand-by support for the PSF, relationship with the community and the PSF as a care model. The themes that led to greater consensus between the two groups were team's training and stand-by support for the PSF. The other themes - team's responsibilities, relationship with the community and PSF as a care model - led to disagreements. The research also enabled us to verify that are some problems in the relationship between team members and limitations in their performance with respect to integrated and interdisciplinary actions.

This study is an assessment survey that reconstitutes and analyzes the objectives of the teaching-health service integration program instituted by the Federal University of Mato Grosso (UFMT), by the Mato Grosso State Health Department, and by the Inter-municipal Consortium of Health of the Teles Pires Region (Mato Grosso), in 2000. It is a case study based the qualitative and quantitative approach. Data were collected from secondary and primary sources by means of semi-structured interviews conducted with managers and agents who implemented the institutions. The results show, among other aspects, that there was no previous and common formulation of program objectives among the institutions; when reconstituted, it was noticed that the index of unachieved objectives was very high; the activities that were carried out were insufficient to reach the objectives; even among the players of a same institution, the objectives were distinct; of the reconstituted objectives, 75% were service organization or academic objectives. The study concludes that each institution sought its specific objectives and recommends the establishment of a theoretical referential on the teaching-health service integration process to guide the definition of the objectives, goals, activities, responsibilities, and indicators for future systematic program assessments.

This study proposes to analyze the conceptions of professional education for public health agents (agentes de saúde pública - ASP) that are present in the formulation of the Training Programme for Local Agents of Surveillance in Health (Proformar) and assess how well these conceptions are understood by the programme's tutors in the municipality of Rio de Janeiro. This is an empirical research, using a qualitative approach, with analysis of documentary sources and semi-structured interviews with the Proformar tutors working in Rio de Janeiro. The research results show that Proformar's objective of training the ASP to become environmental surveyors with a critical vision is understood by the tutors in so far as they understand that the construction of the identity of the Brazilian Health System's secondary level worker happens in his/her work process through the understanding of the territory-population as a space for the social production of health. The tutors assimilate the conceptions of the ASP's professional education that point to a rupture with the concept of competence based on the market/production logic and move on to an appreciation of the workers' experiences and of their development as political subjects.

This article proposes a methodology to estimate the occupational dimension of the Health Care sector and emphasizes the essential role played by this sector in the generation of jobs and in the improvement of the qualification profile of the Brazilian labour market. The assumption underlying the analysis is that, for the health care sector, as for the other segments connected with social policy, labour is the central element in the organization of their activities. Although the new technologies may help, they can only replace the human resources in a very limited number of activities. Since an important part of the risks inherent to care cannot be reversed, and must, therefore, be systematically prevented, health care requires the constant elaboration of policies concerned with the qualification and regulation of human resources in health. The analysis is based on data from the 2000 Demographic Census and from the Annual Relation of Social Information for the year 2001.