Banca de DEFESA: LAIANNY KRÍZIA MAIA PEREIRA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : LAIANNY KRÍZIA MAIA PEREIRA
DATE: 11/08/2025
TIME: 08:30
LOCAL: Natal/RN
TITLE:

Impacts of Technology-Mediated Health Education Targeted at Professionals of the Mais Médicos Program in Primary Health Care.

KEY WORDS:

Continuing Education. Technology-Mediated Training. Primary Health Care. More Doctors Program.

PAGES: 128
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Primary Health Care (PHC) constitutes the foundation of the Brazilian Unified Health System (SUS) and requires continuous strategies to strengthen and qualify the health workforce. In this context, technology-mediated health education has emerged as a powerful alternative to expand the reach and effectiveness of Continuing Health Education (Educação Permanente em Saúde – EPS). This thesis aimed to analyze the impacts of technology-mediated training, directed at physicians participating in the Mais Médicos Program (PMM), on work processes and health outcomes in PHC. The investigation was structured into four axes, integrating distinct methodological approaches at each stage of the research. Initially, a descriptive study was conducted using N-gram analysis applied to intervention plans developed by physicians participating in the Family Health Continuing Education Program (PEPSUS), in order to identify priority themes and strategies implemented in local health territories. A scoping review was subsequently carried out, following the Arksey and O’Malley framework and PRISMA-ScR guidelines, with systematic searches in national and international databases and a narrative synthesis of scientific evidence on the impacts of continuing education on PHC in Brazil. The impact of the training on health indicators was assessed through a quasi-experimental study, based on statistical analysis of secondary data from official SUS databases. The comparison between municipalities with and without PEPSUS-trained physicians included both process and outcome indicators, with stratification by Municipal Human Development Index (MHDI) and the application of association and correlation tests to identify significant effects. Lastly, the qualitative stage involved semi-structured interviews with PMM physicians, analyzed using thematic content analysis to explore their perceptions regarding the strengths, weaknesses, and contributions of the training process. The results revealed that the interventions implemented by the physicians focused on priority areas of PHC, such as Women’s Health, Child Health, Non-Communicable Diseases, and Mental Health, in addition to cross-cutting themes such as reception and teamwork. The scoping review indicated a predominance of studies evaluating changes in work processes, but also revealed gaps in the measurement of clinical outcomes and direct impacts of continuing education on health indicators. The analysis of secondary data showed positive correlations between training and indicators such as prenatal care coverage, cancer screening, and childhood vaccination, with stronger effects observed in municipalities with higher Human Development Index (HDI), suggesting that socioeconomic context may moderate the impact of the training. Finally, the participants reported that the distance-learning course—grounded in active methodologies and contextualized content—was meaningful and applicable, despite existing challenges. It is concluded that technology-mediated training, such as that offered by PEPSUS, has the potential to improve healthcare practices, reorganize work processes, and contribute to better health outcomes in PHC. The findings reinforce the relevance of continuing education strategies that are integrated into the daily routine of health services, attentive to regional inequalities, and supported by institutional conditions that enable the effective application of knowledge. This thesis contributes to the field of Public Health by providing empirical evidence on the effects of professional training within the SUS, with implications for the advancement of public policies aimed at strengthening and retaining physicians in PHC.

COMMITTEE MEMBERS:
Externa ao Programa - 8277481 - LYANE RAMALHO CORTEZ - nullExterno ao Programa - 2488270 - RICARDO ALEXSANDRO DE MEDEIROS VALENTIM - nullExterna à Instituição - TALITHA RODRIGUES RIBEIRO FERNANDES PESSOA
Presidente - 1674688 - TATYANA MARIA SILVA DE SOUZA ROSENDO
Externa à Instituição - THAISA GOIS FARIAS DE MOURA SANTOS LIMA