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Advisor(s)
Abstract(s)
Apesar da intenção de unificação da saúde militar remontar a várias décadas e ter
atravessado vários governos, apenas avançou efetivamente em 2008, por intermédio da
Resolução do Conselho de Ministros n.º 39/2008, de 28 de fevereiro, que determinava a
criação do Hospital das Forças Armadas.
Desde essa data, não só foram criados os dois polos desse Hospital, mas também se
realizaram outros avanços, com o intuito de unificar a Saúde Militar. Um deles foi a
centralização, na Direção de Saúde Militar, da gestão dos Quadros Especiais de Saúde.
Este processo de centralização, ainda em curso, apresenta vários aspetos a esclarecer,
um deles é o papel das Direções de Saúde dos Ramos.
Com base em entrevistas a cinco responsáveis envolvidos nesse processo, seis peritos
em Saúde militar, dois militares de países congéneres e um inquérito respondido por 147
médicos militares (57,4% da totalidade dos médicos militares no ativo), este estudo de caso,
sustentado numa estratégia qualitativa e num raciocínio indutivo, propõe contributos para
um modelo organizacional para as Direções de Saúde, conclui que serão ainda mais
importantes que no quadro anterior, por passarem a aconselhar uma estrutura central, com
menos conhecimento dos Ramos das Forças Armadas, sua cultura e idiossincrasias.
Despite the intention to unify the military health dating back several decades, having crossed several governments, it only advanced effectively in 2008, through the resolution of the Council of Ministers that determined the creation of armed forces hospital. Since that date, not only have the two poles of this hospital been created, but other advances have been made, with the aim of unifying military health. One of them was the centralization, in the directorate of military health, of the management of Health Staff. This centralization process, still in progress, have many aspects to be clarified, one of them is the role of the Health Departments of the armed forces branches. Based on interviews with five officers involved in this process, six experts in Military Health, two officers from similar countries and a survey answered by 147 military doctors (57.4% of all active military doctors), this case study, supported by a qualitative strategy and inductive reasoning, proposes contributions to an organizational model for the Health Directorates and concludes that they will be even more important than in the previous picture, as they start to advise a central structure, with less knowledge of the Armed Forces Branches, their culture and idiosyncrasies.
Despite the intention to unify the military health dating back several decades, having crossed several governments, it only advanced effectively in 2008, through the resolution of the Council of Ministers that determined the creation of armed forces hospital. Since that date, not only have the two poles of this hospital been created, but other advances have been made, with the aim of unifying military health. One of them was the centralization, in the directorate of military health, of the management of Health Staff. This centralization process, still in progress, have many aspects to be clarified, one of them is the role of the Health Departments of the armed forces branches. Based on interviews with five officers involved in this process, six experts in Military Health, two officers from similar countries and a survey answered by 147 military doctors (57.4% of all active military doctors), this case study, supported by a qualitative strategy and inductive reasoning, proposes contributions to an organizational model for the Health Directorates and concludes that they will be even more important than in the previous picture, as they start to advise a central structure, with less knowledge of the Armed Forces Branches, their culture and idiosyncrasies.
Description
Keywords
Sistema de saúde militar Saúde militar Direção de Saúde Centralização Military health system Military health Health Directorate Centralization