ANTONINA "MAIS MÉDICOS"
Autor: Amigos do Jekiti | Publicado: 2013-09-27T18:58:00-03:00



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Estava eu aqui pensando no
programa “Mais Médicos” do governo federal e a sua aplicabilidade em Antonina.
Confesso que não tenho a mínima ideia se a administração atual tentou se
inserir no projeto ou se por alguma razão legal ou administrativa não obteve
sucesso. Só sei que há muitos anos existe um consenso na população antoninense que
o seu sistema de saúde não atende, de um modo geral, as necessidades do seu
cidadão. 

No meu ponto de vista não é
falta de dotação orçamentária, nem de pessoal técnico e sim de um problema
recorrente nas administrações municipais, cuja característica principal é a
deficiente gestão pública que tem origem na ingerência política. 

É bem comum nas novas
administrações levar em conta o corporativismo político para ocupar funções
estratégicas da gestão e para que a máquina da saúde não emperre são alocados,
em cargos menores, pessoal de carreira sem amplo poder de decisão. Com isso a
eficiência do sistema dependerá exclusivamente de pessoas que estão muito mais ligadas
aos seus interesses pessoais e políticos que no desenvolvimento da saúde como
um todo. 

Como eu sei que a regra republicana
é essa, de nada adianta querer mudá-la, mas é bem possível evitar o
sucateamento do sistema de saúde através da boa política, desde que os agentes
envolvidos saibam reivindicar programas patrocinados pelo Ministério da Saúde.

Se por um lado o sucateamento
do sistema de saúde pode ser evitado, através desses programas, por outro a
gestão de profissionais da área pode ser outro entrave. Não falo apenas de médicos, mas de uma política que eleve o nível técnico do pessoal e
visões mais humanitárias por parte do corpo clínico e administrativo.

&nbsp;Mas a questão dramática está justamente no
modelo atual e na maneira pela qual a medicina é exercida. Sou do tempo em que
a prática médica era exercida não por especialistas e sim por clínicos gerais
de grande riqueza prática e humanitária. Esses médicos atendiam e resolviam os
problemas das doenças mais frequentes&nbsp;e faziam partos, curavam fraturas,
qualquer tipo de infecções e ainda situações de urgência e emergência.&nbsp; Esses
clínicos gerais eram chamados de médicos de família e tinham uma relação quase
de amizade com seus pacientes. O fator de morarem em Antonina ajudava na
prevenção de doenças e na promoção de saúde, além de não onerarem os cofres
do município com grandes investimentos.
Justamente é esse legado que o programa "Mais Médicos" quer resgatar, agregando a ele infraestrutura adequada e investimentos estruturais, muito comum em cidades que seguem os ditames do Conselho Mundial de Saúde.

Não sei exatamente como é o sistema de saúde
municipal, mas pelo que sinto o atendimento médico é terceirizado, através de
contrato de licitação com uma empresa privada. Como o plantão é feito por
médicos que não moram na cidade, isso provoca um distanciamento com o paciente
e falta de comprometimento com as questões clínicas e de investimentos.

Com o “Mais Médicos”, além das
questões preventivas, os profissionais seriam avaliados pelas universidades e ainda
poderiam propor investimentos em estudos, treinamentos, junto ao Ministério da
Educação, bem como propor à administração local investimentos e infraestrutura junto
ao Ministério da Saúde.

Portanto, meios e recursos existem,
como foi colocado, mas para obtê-los é preciso que se combata o corporativismo
médico, evite a má gestão e o fisiologismo político, com ênfase na saúde básica,
na solidariedade e princípios humanistas.
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  <w:LsdException Locked="false" Priority="69" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
  <w:LsdException Locked="false" Priority="70" SemiHidden="false"
   UnhideWhenUsed="false" Name="Dark List Accent 1"/>
  <w:LsdException Locked="false" Priority="71" SemiHidden="false"
   UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
  <w:LsdException Locked="false" Priority="72" SemiHidden="false"
   UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
  <w:LsdException Locked="false" Priority="73" SemiHidden="false"
   UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
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   UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
  <w:LsdException Locked="false" Priority="61" SemiHidden="false"
   UnhideWhenUsed="false" Name="Light List Accent 2"/>
  <w:LsdException Locked="false" Priority="62" SemiHidden="false"
   UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
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   UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
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   UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
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   UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
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   UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
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   UnhideWhenUsed="false" Name="Dark List Accent 2"/>
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   UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
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   UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
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   UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
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   UnhideWhenUsed="false" Name="Light List Accent 3"/>
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   UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
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   UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
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   UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
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   UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
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   UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
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   UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
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   UnhideWhenUsed="false" Name="Dark List Accent 3"/>
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   UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
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   UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
  <w:LsdException Locked="false" Priority="73" SemiHidden="false"
   UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
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   UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
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   UnhideWhenUsed="false" Name="Light List Accent 4"/>
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   UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
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   UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
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   UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
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   UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
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   UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
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   UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
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   UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
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   UnhideWhenUsed="false" Name="Dark List Accent 4"/>
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   UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
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   UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
  <w:LsdException Locked="false" Priority="73" SemiHidden="false"
   UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
  <w:LsdException Locked="false" Priority="60" SemiHidden="false"
   UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
  <w:LsdException Locked="false" Priority="61" SemiHidden="false"
   UnhideWhenUsed="false" Name="Light List Accent 5"/>
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   UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
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   UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
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   UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
  <w:LsdException Locked="false" Priority="65" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
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   UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
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   UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
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   UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
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   UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
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   UnhideWhenUsed="false" Name="Dark List Accent 5"/>
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   UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
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   UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
  <w:LsdException Locked="false" Priority="73" SemiHidden="false"
   UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
  <w:LsdException Locked="false" Priority="60" SemiHidden="false"
   UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
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   UnhideWhenUsed="false" Name="Light List Accent 6"/>
  <w:LsdException Locked="false" Priority="62" SemiHidden="false"
   UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
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   UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
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   UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
  <w:LsdException Locked="false" Priority="65" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
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   UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
  <w:LsdException Locked="false" Priority="67" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
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   UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
  <w:LsdException Locked="false" Priority="69" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
  <w:LsdException Locked="false" Priority="70" SemiHidden="false"
   UnhideWhenUsed="false" Name="Dark List Accent 6"/>
  <w:LsdException Locked="false" Priority="71" SemiHidden="false"
   UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
  <w:LsdException Locked="false" Priority="72" SemiHidden="false"
   UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
  <w:LsdException Locked="false" Priority="73" SemiHidden="false"
   UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
  <w:LsdException Locked="false" Priority="19" SemiHidden="false"
   UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
  <w:LsdException Locked="false" Priority="21" SemiHidden="false"
   UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
  <w:LsdException Locked="false" Priority="31" SemiHidden="false"
   UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
  <w:LsdException Locked="false" Priority="32" SemiHidden="false"
   UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
  <w:LsdException Locked="false" Priority="33" SemiHidden="false"
   UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
  
  
 
<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
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 mso-style-qformat:yes;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:10.0pt;
 mso-para-margin-left:0cm;
 line-height:115%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri","sans-serif";
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 mso-fareast-theme-font:minor-fareast;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;}

<![endif]-->