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Abstract(s)
Introdução: Sabemos que o interesse pelos serviços privados de saúde por parte da população tem crescido, os seguros de saúde têm aumentado, o número de clínicas e hospitais privados tem aumentado com o tempo. Os hospitais privados aumentaram de 89 em 2009 para 107 em 2013, as camas disponíveis aumentaram de 7803 para 10500 durante esse período de tempo. Houve também um aumento de 33% no número de médicos especialistas no setor privado entre 2001 e 2009, refletindo o aumento real desse serviço no nosso país. Estarão os futuros médicos dispostos a trabalhar e a aderir a essa área de trabalho? Serão mais homens ou mulheres? Será que vamos estagnar esse crescimento por falta de profissionais nessa área de cuidados? Serão os médicos que proveem de classes sociais mais elevadas a preferir o serviço privado para trabalharem? Pretendemos responder a esta e a muitas outras questões com este trabalho.
Objetivo: Identificar a preferência dos alunos que estão a concluir o curso de Medicina da Faculdade de Ciências da Saúde, pelo Serviço Nacional de Saúde ou pelo serviço privado, como futura área de trabalho estabelecendo relação entre essa escolha e o género, classe social e presença de um familiar médico.
Métodos: O trabalho foi desenvolvido como um estudo transversal, realizado em 3 momentos diferentes no tempo. Em cada ano, 2016, 2017 e 2018 foi aplicado o mesmo questionário aos estudantes do 6º ano de Medicina da Faculdade de Ciências da Saúde, constituindo estes estudantes a nossa população de estudo. Os resultados obtidos pelo questionário foram tratados como estatística descritiva, utilizando ainda os mesmos para se estabelecerem algumas relações através do programa SPSS, versão 23.0 para Windows.
Resultados: A preferência dos futuros médicos recai na opção de trabalhar em ambos os sectores de saúde tendo sido selecionada pela maioria dos estudantes nos três anos do estudo, 77,3%, 90% e 75,6%, respetivamente. Foram definidos e encontrados os parâmetros que levam e justificam a opção por trabalhar no serviço público ou no serviço privado. A larga maioria, mais de 80%, manifestam-se contra a aprovação do regime de exclusividade. O coeficiente de contingência tomou o valor de 0,14, 0,289 e 0,123, para a relação entre a opção efetuada para futura área de trabalho com o género, o rendimento do agregado familiar e a existência de um familiar médico, respetivamente. Ao longo do estudo os estudantes de medicina, notam uma posição de pouca satisfação por parte da população face ao atual serviço púbico sendo sempre o número 3 (de 0 a 5) o mais selecionado sendo seguido do número 2.
Conclusão: Existe uma preferência por trabalhar em ambos os setores de saúde, posição esta mantida ao longo dos três anos em que o estudo decorreu, rejeitando os estudantes a aprovação de um regime de exclusividade. Não existe forte associação entre trabalhar no serviço público ou em ambos os setores com o tipo de posição socioeconómica, género ou existência de um familiar médico. A reduzida amostra, foi uma limitação do estudo.
Introduction: We know that the population's interest in private health services has grown, health insurance has increased, the number of private clinics and hospitals has increased over time. Private hospitals increased from 89 in 2009 to 107 in 2013, available beds increased from 7803 to 10500 during that time period. There was also a 33% increase in the number of specialist physicians in the private sector between 2001 and 2009, reflecting the real increase of this service in our country. Are future doctors willing to work and join this area of work? Are they more men or women? Will we stagnate this growth due to lack of professionals in this area of care? Are physicians who provide higher social classes prefer private service to work? We intend to answer this and many other questions with this work. Objective: To identify the preference of students who are completing the medical course of the Faculdade de Ciências da Saúde, by the National Health Service or by the private service, as a future work area, establishing a relationship between this choice and gender, social class and presence of a medical relative. Methods: The study was developed as a cross-sectional study, carried out in 3 different moments in time. In each year, 2016, 2017 and 2018, the same questionnaire was applied to the students of the 6th year of Medicine of the Faculdade de Ciências da Saúde, these students being our study population, the results obtained by the questionnaire were treated as descriptive statistics, using the same ones to establish some relationships through the SPSS program, version 23.0 for Windows. Results: The preference of future physicians falls to the option of working in both health sectors, having been selected by the majority of the students in the three years of the study, 77.3%, 90% and 75.6% respectively. The parameters that lead to and justify the option to work in the public service or in the private service were defined and found. The vast majority, more than 80%, are protesting against the approval of the exclusivity regime. The contingency coefficient took the value of 0.14, 0.289 and 0.123 for the relation between the option made for future work area with the gender, household income and the existence of a medical relative, respectively. Throughout the study medical students note a position of low satisfaction on the part of the population compared to the current pubic service, always being the number 3 (from 0 to 5) the most selected being followed by the number 2. Conclusion: There is a preference for working in both health sectors, a position maintained throughout the three years in which the study took place, rejecting students to approve an exclusive regime. There is no strong association between working in the public service or in both sectors with the type of socioeconomic position, gender or the existence of a medical relative. The reduced sample population was a limitation of the study.
Introduction: We know that the population's interest in private health services has grown, health insurance has increased, the number of private clinics and hospitals has increased over time. Private hospitals increased from 89 in 2009 to 107 in 2013, available beds increased from 7803 to 10500 during that time period. There was also a 33% increase in the number of specialist physicians in the private sector between 2001 and 2009, reflecting the real increase of this service in our country. Are future doctors willing to work and join this area of work? Are they more men or women? Will we stagnate this growth due to lack of professionals in this area of care? Are physicians who provide higher social classes prefer private service to work? We intend to answer this and many other questions with this work. Objective: To identify the preference of students who are completing the medical course of the Faculdade de Ciências da Saúde, by the National Health Service or by the private service, as a future work area, establishing a relationship between this choice and gender, social class and presence of a medical relative. Methods: The study was developed as a cross-sectional study, carried out in 3 different moments in time. In each year, 2016, 2017 and 2018, the same questionnaire was applied to the students of the 6th year of Medicine of the Faculdade de Ciências da Saúde, these students being our study population, the results obtained by the questionnaire were treated as descriptive statistics, using the same ones to establish some relationships through the SPSS program, version 23.0 for Windows. Results: The preference of future physicians falls to the option of working in both health sectors, having been selected by the majority of the students in the three years of the study, 77.3%, 90% and 75.6% respectively. The parameters that lead to and justify the option to work in the public service or in the private service were defined and found. The vast majority, more than 80%, are protesting against the approval of the exclusivity regime. The contingency coefficient took the value of 0.14, 0.289 and 0.123 for the relation between the option made for future work area with the gender, household income and the existence of a medical relative, respectively. Throughout the study medical students note a position of low satisfaction on the part of the population compared to the current pubic service, always being the number 3 (from 0 to 5) the most selected being followed by the number 2. Conclusion: There is a preference for working in both health sectors, a position maintained throughout the three years in which the study took place, rejecting students to approve an exclusive regime. There is no strong association between working in the public service or in both sectors with the type of socioeconomic position, gender or the existence of a medical relative. The reduced sample population was a limitation of the study.
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Keywords
Futuros Médicos Relação Serviço Privado Sns