SERAFIM-BR
a proposal for a research agenda in family and community medicine in Brazil
DOI:
https://doi.org/10.5712/rbmfc18(45)3631Keywords:
Family practice, Health research agenda, Primary health care.Abstract
Introduction: Family and community medicine (FCM) is essentially the medical specialty that operates in primary health care. In Brazil, we have the organization of the health system being built based on primary health care. The latest national data on Family Health Strategy coverage in November 2022 was 48,601 teams). Objective: The objective of our study was to develop a proposal for an FCM research agenda. Methods: Quantitative and qualitative study that combined and adapted the Delphi and CHNRI methodologies. Through wide dissemination, FCM doctors from all over Brazil (only SBMFC associates), were invited. The SERAFIM-Q1 questionnaire was then sent to each FCM physician. In addition to sociodemographic information, they were asked to send 2 suggestions for research topics in FCM in Brazil. In the second phase, a new questionnaire (SERAFIM-Q2) was sent to all FCM doctors who participated in the first phase, where the 20 most frequent topics of SERAFIM-Q1 were presented and the respondents were asked to give a score (zero to 10) for each topic. Finally, the scores of each respondent were added and hierarchized. Results: A total of 304 FCM physicians responded to SERAFIM-Q1. After exclusions, 200 participants were obtained, who generated 397 responses (three individuals sent only 1 topic) with suggestions for research topics in FCM. The 20 most frequent topics were: teaching FCM; Health management — macro level; Access; Mental health; Teaching FCM in undergraduate medicine; Quaternary prevention; Care coordination; Communication skills; FCM in supplementary health; Teaching FCM in medical residency; Health management — micro level; Planetary health; Health technology — telemedicine; Health of rural population; FCM tools — clinic management; Teaching FCM— training of preceptors; Quality assessment — health indicators; FCM performance indicators; Access — access models; and Public health. In SERAFIM-Q2, the list of 10 priority themes was: 1) Access; 2) Mental health; 3) Teaching in undergraduate medicine; 4) Teaching FCM in medical residency; 5) Quaternary prevention; 6) Quality assessment — Health indicators; 7) Teaching FCM; 8) Communication skills; 9) Teaching FCM — training of preceptors; and 10) Care coordination. Conclusions: This is, a priori, the first study that proposes a FCM research agenda in Brazil. We hope that the 10 most voted priority research topics will help investigators, both by guiding studies in this field and by improving the health of all Brazilians.
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Copyright (c) 2023 Leonardo Moscovici, Jéssica da Cruz Arantes, Sandro Rodrigues Batista, Leonardo Ferreira Fontenelle, Alisson Oliveira dos Santos , Lariza Laura de Oliveira , Newton Shydeo Brandão Miyoshi, Luciane Loures dos Santos, João Mazzoncini de Azevedo Marques, João Paulo Souza, Marcelo Pellizzaro Dias Afonso , Thiago Dias Sarti
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