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Medicina operacional : como melhorar a atratividade e quais as especialidades mais vocacionadas
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Advisor(s)
Abstract(s)
Nos últimos cinco anos ficou evidenciada a dificuldade na “alimentação” dos Quadros
Especiais de Saúde, que a par da crescente e preocupante tendência de “erosão” dos
mesmos, fruto da saída precoce de um número considerável de Médicos Militares (MM),
determinam a necessidade do estabelecimento de mecanismos e critérios de gestão que
permitam mitigar as disfunções referenciadas no decurso do processo de implementação
da reforma do Sistema de Saúde Militar (SSM). Esta temática assume especial relevância,
na medida em que visa compreender as atuais dificuldades de recrutamento, gestão, assim
como a retenção de MM nas estruturas que compõem o SSM. Assim, este estudo centra-se
na análise de medidas que contribuam para melhorar a atratividade da Medicina Militar,
recorrendo a uma metodologia de raciocínio essencialmente indutivo, assente numa
estratégia de investigação qualitativa com reforço quantitativo, substanciada no estudo de
caso como desenho de pesquisa. No final concluiu-se que a motivação e o compromisso
organizacional são a pedra angular do garante da retenção dos MM nas Forças Armadas.
Pese embora a falta de consenso entre Ramos para definir quais as especialidades médicas
mais vocacionadas para a Medicina Operacional, procurou-se identificar as especialidades
mais consensuais. Como contributo para a melhoria dos processos de recrutamento, gestão e retenção de MM, sugere-se um conjunto de medidas passíveis de melhorar a atratividade
da Medicina Militar.
Over the last five years, it has become increasingly difficult to “fill” the Specialised Medical Staff. This difficulty is compounded by a worrying trend that shows an increase in the number of Military Physicians (MP) who opt for early separation. Therefore, there is a need for management mechanisms and criteria to address the gaps that have been identified during the implementation of the Military Health System (MHS) reforms. The value of exploring this topic is that it can help explain the current difficulties in the recruitment, management, and retention of MP in the services of the MHS. Thus, this study will use an inductive reasoning methodology, a qualitative research strategy reinforced by quantitative elements, and a case study research design to analyse measures that can improve the attractiveness of Military Medicine. The study findings showed that motivation and organizational commitment are the cornerstone of retaining MP in the Armed Forces. Although the Branches do not agree on which medical specialties are most relevant to the practice of Operational Medicine, this work attempted to identify the specialties that garnered the most consensus. A list of measures is proposed which aim to increase the attractiveness of Military Medicine, thus improving the recruitment, management and retention of MP.
Over the last five years, it has become increasingly difficult to “fill” the Specialised Medical Staff. This difficulty is compounded by a worrying trend that shows an increase in the number of Military Physicians (MP) who opt for early separation. Therefore, there is a need for management mechanisms and criteria to address the gaps that have been identified during the implementation of the Military Health System (MHS) reforms. The value of exploring this topic is that it can help explain the current difficulties in the recruitment, management, and retention of MP in the services of the MHS. Thus, this study will use an inductive reasoning methodology, a qualitative research strategy reinforced by quantitative elements, and a case study research design to analyse measures that can improve the attractiveness of Military Medicine. The study findings showed that motivation and organizational commitment are the cornerstone of retaining MP in the Armed Forces. Although the Branches do not agree on which medical specialties are most relevant to the practice of Operational Medicine, this work attempted to identify the specialties that garnered the most consensus. A list of measures is proposed which aim to increase the attractiveness of Military Medicine, thus improving the recruitment, management and retention of MP.
Description
Keywords
Medicina militar Médico militar Medicina operacional Atratividade Especialidades Military medicine Military physician Operational medicine Attractiveness Specialties