Analise da distribuicao e mobilidade geografica de ex-alunos de uma instituicao de ensino medico/Analisis de la distribucion y movilidad geografica de exalumnos de una institucion de ensenanza medica

• Published in: GeSec : Revista de Gestão e Secretariado Vol. 15; no. 5
• Main Authors: de Sousa, Milena Nunes Alves, Paulo, Monalisa Maria de Souza Fernandes, Sousa, Luiz Henrique Celestino Camboim, Lima, Joao Eduardo Miranda, dos Santos, Debora Oliveira, Becerra, Andre Luiz Dantas, Almeida, Elzenir Pereira de Oliveira, da Silva, Luana Idalino, Nogueira, Tiago Bezerra de Sa de Sousa
• Format: Journal Article
• Language: Portuguese
• Published: Sindicato das Secretarias e Secretarios do Estado de Sao Paulo 01-05-2024
• Subjects: Analysis; Education parks; Education, Higher; Educational software; Primary health care; School facilities
• ISSN: 2178-9010; 2178-9010
• DOI: 10.7769/gesec.v15i5.3755

In 2015-2022, 135 new Higher Education Institutions with medicine courses were opened, but there are few studies that contemplate the dynamics of graduates in the country. The objective was to describe the geographic distribution and movements of graduates from a medical teaching institution in Paraiba. A documentary and quantitative study was carried out, with an active search in public databases and in the Studus System of the University Center of Patos (UNIFIP). Data collection included information from 100% (N=225) of the graduates of the institution's medical course. Data were analyzed using the Statistical Package for the Social Sciences software, version 25. Descriptive tests of measures of central tendency (mean), measures of dispersion (standard deviation) and measures of relative and absolute frequency were used. In addition, inferential tests such as the Mann-Whitney U test were used to compare groups and Pearson's chi-square test (2x2) to verify the prevalence and association between variables. Effect size (r) calculations were performed. Statistical significance was p < 0.05. The study was approved by the Research Ethics Committee, according to CAAE 69769223.2.0000.5181. Most graduates are women (58.2%), aged up to 30 years (76.4%) and single (96%). The prevailing place of work of physicians was in institutions of the Unified Health System (84.4%), in Primary Health Care (PHC) (68.2%) and in the countryside (85.8%). There was a prevalence of 64.0% of physicians working in PHC (x2(1) = 6.559, p < 0.01), as physicians were prevalent (56.1%) in Tertiary Care (x2(1) = 7.861, p < 0.00). Graduates settled in the interior and have essentially worked in PHC, guaranteeing the requirements of the previous "Mais Medicos" legislation. Keywords: Medicine. Primary Health Care. Medical Residence. De 2015-2022 foram abertas 135 novas Instituicoes de Ensino Superior (IES) com curso medicina. Ainda assim, poucos estudos contemplam a dinamica destes egressos pelo pais. Objetivou-se neste estudo descrever a distribuicao e as movimentacoes geograficas dos egressos de uma IES da Paraiba. Realizou-se um estudo documental e quantitativo, com busca ativa em bases de dados publicas e no Sistema Studus do Centro Universitario de Patos. A coleta de dados contemplou as informacoes de 100% (N=225) dos egressos. Os dados foram analisados atraves do software Statistical Package for the Social Sciences, versao 25. A significancia estatistica foi de p < 0,05. O estudo foi aprovado pelo Comite de Etica em Pesquisa, conforme CAAE 69769223.2.0000.5181. Maioria foram mulheres (58,2%), com ate 30 anos (76,4%) e solteiros (96%). Houve prevalencia de medicos em instituicoes do Sistema Unico de Saude (84,4%), na Atencao Primaria a Saude (APS) (68,2%) e no interior (85,8%). Prevaleceu 64,0% de mulheres atuantes na APS (x2(1) = 6,559, p < 0,01), a medida que 56,1% dos homens foram prevalentes na Atencao Terciaria (x2(1) = 7,861 , p < 0 ,00). Os egressos se fixaram no interior e tem atuado essencialmente na APS, garantido o preconizado pela legislacao anterior do "Mais Medicos". Palavras-chave: Medicina. Atencao Primaria a Saude. Residencia Medica. En 2015-2022, se abrieron 135 nuevas Instituciones de Educacion Superior con cursos de medicina, pero son pocos los estudios que contemplan la dinamica de egresados en el pais. El objetivo de este estudio es describir la distribucion y los movimientos geograficos de los egresados de una IES de Paraiba. Se realizo un estudio documental y cuantitativo, con busqueda activa en bases de datos publicas y en el Sistema Studus del Centro Universitario de Patos. La recoleccion de datos incluyo la informacion del 100% (N=225) de los egresados. Los datos fueron analizados mediante el software Statistical Package for the Social Sciences, version 25. La significancia estadistica fue de p < 0,05. El estudio fue aprobado por el Comite de Etica en Investigacion, conforme a CAAE 69769223.2.0000.5181. La mayoria de los graduados son mujeres (58,2%), con edad hasta 30 anos (76,4%) y solteras (96%). El lugar de actuacion predominante de los medicos fue en instituciones del Sistema Unico de Salud (84,4%), en la Atencion Primaria de Salud (APS) (68,2%) y en el interior (85,8%). Hubo una prevalencia de 64,0% de medicos que actuan en la APS (?2(1) = 6,559, p < 0,01), asi como prevalecieron los medicos (56,1%) en el Terciario de Atencion (U2(l) = 7,861, p < 0,00). Los egresados se radicaron en el interior y se han desempenado fundamentalmente en la APS, garantizando lo recomendado por la anterior legislacion "Mais Medicos". Palabras clave: Medicina. Atencion Primaria de Salud. Residencia.