Análise do projeto de Residência Multiprofissional do Estado do Rio de Janeiro: uma proposta de interiorização da Estratégia de Saúde da Família

Abstract

The State Department of Health's mission is to induce, monitor and support public policies in health in the municipalities, promoting the organization and qualification of the Assistance Network in the guarantee of comprehensive health care. To this end, the current state health management in Rio de January established the qualification and expansion of the Health Strategy as a government goal. of the Family in the interior of the state of Rio de Janeiro. One of the actions implemented for achieving this objective was the creation of the Multiprofessional Residency Program in Health of the Family, from the Rio de Janeiro State Health Department (SES-RJ). The purpose of this work is to contextualize and critically analyze the modeling proposed for this project. For Therefore, a narrative review of the literature was carried out in order to investigate the origin and the legal milestones of residency programs and other experiences of creative processes lived by municipal and state administrations, to make a counterpoint between the strategies and the resources used between the SES-RJ project and other municipalities and states. The results of this investigation brought 5 examples of residency programs implemented in three regions of Brazil, in the areas of Primary Care and Hospital Care, both multidisciplinary and uniprofessionals. The reading of these experiences allowed the elaboration of categories of analysis as a guiding thread for problematizing the suggestions that the SES-RJ project brings to the implantation of the residence. The study concludes that the project of the Program of SES-RJ's Multiprofessional Residency brings some innovations in an attempt to enhance the preceptorship and tutoring. Strategies that encourage the migration process are also observed by students to the interior of the state, as well as strategies that encourage future residents to choose Family Health as a specialization. However, the absence of a process of collective construction with local managers to formulate a health action which should be carried out in its territory, and disregarding the social political context current at the time of implementation of the program, may compromise the adhesion of municipalities the project and, consequently, the execution of the same.