tendências do sistema educativo no brasil: medicina, enfermagem

183

Tendências do sistema educativo no Brasil:medicina, enfermagem e odontologia1

Ana Luiza Stiebler Vieira, Ana Claudia Pinheiro Garcia, Antenor Amâncio Filho, Célia Regina Pierantoni,

Clarice Aparecida Ferraz, Eliane dos Santos Oliveira, Janete Rodrigues da Silva Nakao, Sérgio Pacheco de Oliveira,

Silvana Martins Mishima, Tania França e Thereza Christina Varella

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Observatório de Recursos Humanos em Saúde no Brasil. Estudos e Análises – Volume 2

Graduações em saúde�* A'0Y*%* %' ��" & ��1 * O/&%0* 8'0&+ %* ($(-',& '%/.&-$)* %&

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As tendências das graduações em medicina, enfermagem e odontologia

O crescimento da oferta

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185

Tendências do sistema educativo no Brasil: medicina, enfermagem e odontologia

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Tabela 1 – Cursos, vagas e egressos da graduação em medicina por regiões, segundo unidadesfederadas. Brasil, 1995-2001

Graduação Medicina

Cursos Vagas Egressos

Região/UF 1995 2001 1995 2001 1995 2001

Brasil 85 106 8247 11282 7622 8004

Norte 4 4 360 310 319 241

Acre 0 0 0 0 0 0Amapá 1 1 80 80 75 48Amazonas 0 0 0 0 0 0Pará 2 2 250 210 244 179Rondônia 0 0 0 0 0 0Roraima 1 1 30 20 0 14Tocantins 0 0 0 0 0 0

Nordeste 14 18 1574 1493 1281 1376Alagoas 2 2 150 130 128 133Bahia 2 3 560 400 310 391Ceará 1 4 140 330 136 169Maranhão 1 1 70 63 121 61Paraíba 2 2 164 290 158 118Pernambuco 3 2 290 0 219 284Piauí 1 2 50 110 52 58Rio G. do Norte 1 1 80 90 83 80Sergipe 1 1 70 80 74 82

Sudeste 46 53 4757 7258 4550 4838Espírito Santo 2 2 200 200 216 232Minas Gerais 10 11 1054 1190 1039 1079Rio de Janeiro 15 16 1930 3685 1700 1719São Paulo 19 24 1573 2183 1595 1808

Sul 17 23 1298 1711 1222 1261Paraná 5 6 406 516 395 372Rio G. do Sul 10 11 752 816 729 754Santa Catarina 2 6 140 379 98 135

Centro-Oeste 4 8 258 510 250 288Distrito Federal 1 2 60 95 46 82Goiás 1 1 110 110 105 110Mato Grosso 1 2 40 140 44 52Mato G. do Sul 1 3 48 165 55 44

Fonte: Inep/ME, adaptado pela Rorehs em 2004.

188


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189


Tabela 2 – Cursos, vagas e egressos da graduação em enfermagem por regiões, segundo unidadesfederadas. Brasil, 1995-2001

Graduação Enfermagem


Região/UF 1995 2001 1995 2001 1995 2001

Brasil 108 215 8068 22133 4373 6355

Norte 7 13 270 753 280 245

Acre 1 1 30 30 16 14Amapá 1 1 30 35 0 19Amazonas 1 2 40 200 37 16Pará 3 6 140 258 214 177Rondônia 1 2 30 130 13 19Roraima 0 0 0 0 0 0Tocantins 0 1 0 100 0 0

Nordeste 22 29 1615 2314 1023 1244Alagoas 1 2 40 280 31 26Bahia 5 6 370 560 240 412Ceará 4 5 290 440 167 233Maranhão 2 2 140 67 77 103Paraíba 3 3 280 240 214 141Pernambuco 3 3 320 350 165 179Piauí 1 4 50 240 43 41Rio G. do Norte 2 2 85 97 68 57Sergipe 1 2 40 40 18 52

Sudeste 51 105 4384 13565 2135 3485Espírito Santo 1 4 60 520 12 54Minas Gerais 8 19 580 1463 338 480Rio de Janeiro 12 25 1104 3386 743 637São Paulo 30 57 2640 8196 1042 2314

Sul 23 54 1485 4429 782 1048Paraná 7 21 345 1749 268 312Rio G. do Sul 12 21 880 2026 395 559Santa Catarina 4 12 260 654 119 177

Cento-Oeste 5 14 314 1072 153 333Distrito Federal 1 3 56 212 30 60Goiás 2 4 168 510 74 183Mato Grosso 1 3 50 170 29 40Mato G. do Sul 1 4 40 180 20 50


190


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191


A&0& & 0'8$G*H �'8/#%* %&%*( %$(A*#Y)'$( %* �!�1 4F /, ,*)$,'#-* .0'(.'#-'%' (&Y%& %' A0*?$(($*#&$( %' ('/( '(-&%*( %' *0$8', A&0& & 0'8$G* �/%'(-'1&(($, .*#?$8/0&%*� %* �/+ ,$80&, ��1"`] %* �'#-0*��'(-'1 "�1M`] %*�*0%'(-'1 M1�` ' %* �*0-'1 �D1=` W�!�1 ��JXH

Tabela 3 – Cursos, vagas e egressos da graduação em odontologia por regiões, segundo unidadesfederadas. Brasil, 1995-2001

Graduação Odontologia


Região/UF 1995 2001 1995 2001 1995 2001

Brasil 89 150 8351 13672 6741 7698Norte 2 9 150 614 72 84Acre 0 0 0 0 0 0Amapá 0 0 0 0 0 0Amazonas 1 5 60 334 31 31Pará 1 2 90 170 41 53Rondônia 0 1 0 60 0 0Roraima 0 0 0 0 0 0Tocantins 0 1 0 50 0 0Nordeste 14 22 978 1787 765 894Alagoas 1 2 60 180 41 60Bahia 2 3 180 300 128 155Ceará 2 2 180 190 92 169Maranhão 1 3 48 245 41 34Paraíba 2 2 130 140 124 123Pernambuco 3 3 240 250 185 216Piauí 1 3 40 190 47 42Rio G. do Norte 1 2 60 152 68 58Sergipe 1 2 40 140 39 37Sudeste 50 80 5672 8093 4641 5109Espírito Santo 1 2 60 130 70 60Minas Gerais 12 15 1520 1640 1247 1180Rio de Janeiro 11 18 964 1841 763 1179São Paulo 26 45 3128 4482 2561 2690Sul 17 30 1219 2456 957 1283Paraná 9 14 576 1072 400 621Rio G. do Sul 6 9 483 864 434 504Santa Catarina 2 7 160 520 123 158Centro-Oeste 6 9 332 722 306 328Distrito Federal 2 3 100 212 95 105Goiás 2 2 120 180 124 119Mato Grosso 1 2 80 220 58 74Mato G. do Sul 1 2 32 110 29 30Fonte: Inep/ME, adaptado pela Rorehs em 2004.

192


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193


Gráfico 1 – Cursos privados de medicina, enfermagem e odontologia. Brasil, 1995 e 2001


Gráfico 2 – Cursos públicos de medicina, enfermagem e odontologia. Brasil, 1995 e 2001


� .0'(.$,'#-* %& 0'%' A0$)&%& %& 80&%/&:G* ', 1�-('(�� #* A'0Y*%*'(A'+4& ', �� & A0',$((& ,'0.&%*+P8$.& %& '%/.&:G* (/A'0$*0 W20F?$.*JXH �* �/%'(-' ' #* �/+1 0'8$Z'( ,&$( %'('#)*+)$%&( %* A&Y(1 4*/)' .0'(.$,'#-*A0&-$.&,'#-' (P %' ./0(*( A0$)&%*( &* +*#8* %* A'0Y*%*1 .*, %'(-&O/' A&0&*( �(-&%*( %' �G* �&/+*1 �$* %' >&#'$0* ' �&#-& �&-&0$#& W#* �/%'(-'1 %' �"./0(*( A0$)&%*( ', ��" A&((& A&0& J� ', ��] ' #* �/+1 %' = A&0& �� ./0(*(A0$)&%*(XH �* �'#-0*��'(-'1 4*/)' & .0$&:G* %' J ./0(*( A0$)&%*( W�!1 �1��X ', %'-0$,'#-* %' &A'#&( ,&$( � ./0(* AE3+$.* #* �(-&%* %' �&-* 20*((*%* �/+H �& 0'8$G* �*0%'(-'1 4*/)' &.07(.$,* %' � ./0(*(1 J AE3+$.*( ' %'&A'#&( ,&$( � ./0(* A0$)&%* #* �(-&%* %* �'&0FH 0'8$G* �*0-' A'0,&#'.'/

194


'(-F)'+ %/0&#-' -*%* * A'0Y*%*1 .*, & *?'0-& %' � ./0(*( AE3+$.*(H �'((&,'(,& %$#N,$.&1 *3('0)&�(' * .0'(.$,'#-* %&( )&8&( A&0& & 80&%/&:G* ',,'%$.$#& #* A'0Y*%* %' ��" & �� W20F?$.* �X1 */ ('I&1 /, .0'(.$,'#-* %'DM1�` %' )&8&( A0$)&%&( ' %' &A'#&( �1�` %' )&8&( AE3+$.&( #* A&Y(H �*�/%'(-'1 *( ./0(*( A0$)&%*( ', �� A&((&0&, & *?'0-&0 ��1�` %* -*-&+ 8'0&+%' )&8&( #* A&Y(1 ' &$#%&1 M�1D` %* -*-&+ %&( )&8&( %$(A*#Y)'$( #& 0'8$G*H�&(1 #&( %',&$( 0'8$Z'(1 ',3*0& ', &+8/,&( -'#4& 4&)$%* .0'(.$,'#-* %'./0(*( A0$)&%*(1 A0')&+'.' & ,&$*0 %$(A*#$3$+$%&%' %' )&8&( AE3+$.&(H

Gráfico 3 – Cursos de medicina por regiões segundo entidade mantenedora. Brasil, 2001


Gráfico 4 – Vagas de medicina por regiões segundo entidade mantenedora. Brasil, 2001


195


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Gráfico 5 – Cursos de enfermagem por regiões segundo entidade mantenedora. Brasil, 2001


196


Gráfico 6 – Vagas de enfermagem por regiões segundo entidade mantenedora. Brasil, 2001


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Gráfico 8 – Vagas de odontologia por regiões segundo entidade mantenedora. Brasil, 2001


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7,��#B/��#3#�)d,#-��$��_`-�$��#3#�)d,#-��\�$/�� 0�� )��/��)�� '��0��.�� '��0�� )��3�� ) �� /�7� �;�� DCCJ�%��/'��DCCJ*/

�-3�$B�-��$�$,�B��$�-�-3)-B-9#�/�7��'0�>�� ,� �.�� (�� #�� 7� �� $�� (�� A�� W�#*� �� *��DCCG/

��B��$��*�� b��b/�5��7�� FK��*�� DCCG/��;�� +��H&&444F/6��+ /��/��/*�&6��+ &�� &��GCI�FJCFF/�+��/�� FD�� DCCJ/

B#��)+ ;� �9.��/��/��/M�7��)#�)��:��5 /��*�� H �� 6�� $�� ,��8 ��/� ��;��"��,��8 ��/�E��/�G��/�GIL�GQJ��5/�DCCD/

��9�B�`$��B�� )+�� /�<�� '�� 6�� 6�� /�� DCCC/�FCK�/�)��%�� '��$�� $6�� /

�#$,�3)-3#�� ,�� /��6�� $�� +�� H��*�� /�-��-��#��/�E��/�D��/�GJF�GEC/�,��8 ��H�*� ��DCCF/

�#$,�3)-3#�� ,�� M� �,�3_��)@� M�?�,$BB��)+�5 ��+�� /$�� 6�� 6��7� ��H��*�� 6�� /�#H��3)-��3$)-��M��-�)�� %-��/'/�<) ��#��+�� "�� $�� <��/�,��8 ��H��5��DCCG/��/�DQL�DLD/

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�#��#�� /� �/�� 6�� #�� <�� $6�� 7� ��W��W� �� <��(�� ;��,�*��W�� /�#H��#�3��)@� ��M�3)�3$�� 8�� %-��/'/��-�� 0��,�� 7�.�� '��-��#�� !�-�� 7� �;�� H�� 7� �� $6�� FLLL/

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203

Educação profissional em saúde: uma análise a partirdo censo escolar 20021

Júlio César França Lima , Luciane Velasque, Mônica Vieira,

Renata Reis, Rita Elisabeth da Rocha Sório e Valdemar de Almeida Rodrigues

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As matrículas por subáreas de formação

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A relação de gênero presente na formação em saúde

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A formação que ocorre (a)pós o trabalho

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A tendência à formação tardia dos técnicos médios de saúde

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Sobre os concluintes

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�-3�$B�-��$�$,�B��$�$3�$,��9$�/�,�� FLQ&LQ/� $�� *�� +�� &�� (� ��6�� 6�� 6�� /�� ). �� K/��/�3 � �H��6��FLLQ/��/FJJ/

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Residência médica: prioridades do Sistema Único deSaúde que determinam a distribuição de vagas

Adriana Rosa Linhares Carro, Aniara Nascimento Corrêa Araújo,

Nosor Orlando de Oliveira Filho e Paulo Henrique D`Ângelo Seixas

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229


Quadro 1

Especialidades Custo das vagas ocupadas (R$) %

Clínica médica 8.351.179,32 12,95Pediatria 7.226.711,76 11,21Cirurgia geral 6.322.935,48 9,81Obst. e ginec. 5.850.029,64 9,07Ortopedia e traum. 3.860.318,04 5,99Anestesiologia 2.497.646,16 3,87Oftalmologia 2.595.730,68 4,03Rad. e diag. imag. 2.466.119,76 3,83Cardiologia 2.136.837,48 3,31Infectologia 1.800.550,70 2,79Psiquiatria 1.954.680,12 3,03Dermatologia 1.590.367,20 2,47Otorrinolaringologia 1.331.143,80 2,06Neurocirurgia 1.324.138,08 2,05Neurologia 1.208.538,48 1,87Cirurgia plástica 1.047.400,56 1,62Patologia 938.806,80 1,46Angiol.e cir. vasc. 984.346,32 1,53Nefrologia 788.177,40 1,22Urologia 879.255,72 1,36Hematologia 711.111,12 1,10Endoc. e metab. 858.237,72 1,33Pneumologia 641.050,92 0,99Gastroenterologia 521.948,52 0,81Cancerologia 574.493,64 0,89Reumatologia 469.403,40 0,73Med. fam. comunid. 462.397,32 0,72Cir. apar. digest. 669.075,00 1,04Med. prev. e soc. 462.397,32 0,72Cir. pediátrica 374.822,16 0,58Medicina nuclear 378.325,08 0,59Pat. clín.e med. lab. 336.288,96 0,52Cir. torácica 287.246,88 0,45Cir. cardiovascular 311.768,16 0,48Cir. cab. e pescoço 304.761,96 0,47Geriatria 280.240,80 0,43Cir. oncológica 266.228,76 0,41Neuropediatria 294.252,84 0,46Radioterapia 266.228,76 0,41Coloproctologia 245.210,88 0,38Med. intensiva 126.108,36 0,20Alergia e imunol. 126.108,36 0,20Genética médica 126.108,36 0,20Cir. do trauma 98.084,28 0,15Med. fís. e reab. 70.060,20 0,11Nutrologia 56.048,16 0,09Total 64.472.921,42 100,00

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232


Quadro 2

Especialidades Concedidas

Nefrologia 08Medicina da família e comunidade 13Neurologia 04Cancerologia 04Neonatologia 13Medicina intensiva 10Clínica médica 30Anestesiologia 10UTI pediátrica 06Neurocirurgia 00Nefrologia pediátrica 01Cirurgia pediátrica 01Cirurgia do trauma 00Cancerologia pediátrica 07Total 107

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Quadro 3

Natureza jurídica No de vagas recebidas

Instituições filantrópicas 6Hospitais de administração direta 5Faculdades de medicina não estaduais 24Faculdades de medicina estaduais 56Organizações sociais de saúde 7Autarquias 9Total 107

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233


Quadro 4

Especialidades Concedidas Ocupadas

Nefrologia 08 00Med. família e comunidade 13 07Neurologia 04 01Cancerologia 04 01Neonatologia 13 11Medicina intensiva 10 08Clínica médica 30 29Anestesiologia 10 09UTI pediátrica 06 06Neurocirurgia 00 00Nefrologia pediátrica 01 01Cirurgia pediátrica 01 01Cirurgia do trauma 00 00Cancerologia pediátrica 07 07Total 107 81

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237

Rede de recursos humanos em saúde: os nósconstituintes da integralidade em saúde

Maria Ysabel Barros Bellini, Décio Ignácio Angnes e Suzane de Mendonça e Silva

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Formação

238


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239

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247


Quadro 1

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Redes/ NTICs

Entendemos redes no atualcontexto de comunicação einformação como: entrela-çamento de sistemas e/ouconjuntos constituídos porrelações horizontalizadas, dinâ-micas e inter-relacionadas. Viasde comunicação e informaçãoflexíveis, descentralizadas, queatuam na articulação social,instrumentalizando práticas pormeio do espaço virtual.

Observatório de RecursosHumanos em Saúde

Entendido como organizaçãosociogovernamental com vistasà produção e à difusão deconhecimentos referentes àtemática de recursos humanosem saúde. Ocupa-se com oacompanhamento e o desen-volvimento de articulações sobreos processos complexos quecircundam a formação e autilização dos recursos humanosem saúde. Favorece a criação deespaços e de redes sinérgicasde gestão e pesquisa na área derecursos humanos em saúde.

Recursos Humanos em Saúde

Visto como o sujeito prota-gonista dos processos deorganização, planejamento,gestão e práticas em saúde.Agente profissionalizado e/ouespecializado em saúde,comprometido com a cons-trução e a garantia de práticasuniversalistas, integralizantese eqüitativas. Capacitado aatuar na defesa e na conso-lidação do SUS.

248


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249


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250


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251


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252


Anexo

Buscamos a constituição de uma rede virtual de comunicação e articulação entreos diferentes envolvidos na área da saúde, a fim de garantir fluxos deinformações com perspectivas de socialização e otimização das característicasprofissionais do panorama de recursos humanos em saúde da SecretariaEstadual de Saúde através da utilização de uma banco de dados, tendo emmãos, dados da realidade da qualificação profissional podendo assim,identificar expressivamente as características desses agentes no momento atual.

REDE RECURSOS HUMANOS DA SAÚDE

OBJETIVOS DA PESQUISA:

• MAPEAR A REDE DOS RECURSOS HUMANOS DA SECRETARIA DA SAÚDE DO RIO

GRANDE DO SUL EM NÍVEL DE ESPECIALIZAÇÃO, MESTRADO E DOUTORADO ECRIAÇÃO DE UM BANCO DE DADOS.

• IDENTIFICAR OS RECURSOS HUMANOS EXISTENTES NA SES COMFORMAÇÃO EM NÍVEL DE ESPECIALIZAÇÃO, MESTRADO E DOUTORADO.

• IDENTIFICAR OS RECURSOS HUMANOS QUALIFICADOS PELA ESP NOSDIFERENTES NÍVEIS.

• CRIAR UM BANCO DE DADOS DA SES QUE IDENTIFIQUE ESSES RECURSOS

HUMANOS E PERMITA A ATUALIZAÇÃO DOS DADOS PELOS PRÓPRIOS

PROFISSIONAIS.

• ARTICULAR ESSES RECURSOS HUMANOS E POTENCIALIZAR A PARTICIPAÇÃO

NAS ATIVIDADES DA ESP E NAS ATIVIDADES DA SES EM GERAL.

253


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-3�� B�� ,��/�<� ��#�� #�� -�� "�� <� �� *�/�G/��/�� H��5��DCCF/

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254


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tendências do sistema educativo no brasil: medicina, enfermagem

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