Contributions to the transformation of practices in healthcare training pathways:
A study on the production and reproduction of violence in the residency system in the Buenos Aires province, Argentina (period 2021-2022)
Keywords:
Internship and Residency, Argentine, Violence, Health workforceAbstract
This study presents the results of the research coordinated by the Provincial Directorate of Healthcare Policies for the Eradication of Violence, along with the Directorate of Training and Continuous Education at the Floreal Ferrara School of Health Governance, on
the production and/or reproduction of violence in the Public Residency System of the Buenos Aires province (PBA). It also presents the responses provided by institutions to strengthen public policies for addressing and preventing violence. The general objective is to investigate how this violence is configured and the institutional responses during the period from 10/2021 to 11/2022. Interviews with key informants (KI=5) were conducted, as well as a survey aimed at the entire population of residents (N=1031). The lines of inquiry were characteristics of violence produced/ reproduced in training pathways; characteristics of those who perpetrate violence; operative determinants in its
production/reproduction; consequences of experiencing situation of violence; individual, collective and/or institutional strategies
against violence; and perceptions of violence, particularly in the healthcare environment. As a result of the data analysis, the prevalence of the problem became evident in first-person
responses describing situations of violence experienced during training in both medical and non-medical residencies. Besides, an
assessment of individual, collective, and institutional responses showed the need for strengthening care policies for the healthcare
workforce. A high percentage of residents had not reported the violent situations they experienced, the level of participation or
collective organization was low, and most participants were unaware of the actions and mechanisms implemented by the Ministry of Health of Buenos Aires province.
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