O papel da atividade médico-pericial no aprestamento das Forças Armadas: perícias médicas na MB

Abstract

This monograph aims to identify how the medical-expert activity in the Brazilian Navy (MB) can contribute to National Defense (DN). Thus, it begins with a review of the literature on medical-expert activity in general, legal medicine, from which it originates, and evidence-based medicine. The bibliographic research expands the understanding of medical expertise and clarify the possibilities of its use that promote the increase in the performance of the Navy in its contribution to the defense of the Homeland. The analysis of the documents that deals with the planning of defense actions in Brazil shows evidence of the link between the National Defense Objectives (OND) and the corresponding Defense Strategies (ED) and Strategic Defense Actions (AED). It also offers a broader view of the role of the Armed Forces (FA) and the relevance of its participation, especially in this area. In addition, this study presents the concepts extracted from the laws and regulations that underlie and guide the performance of medical-expert activities within the Navy. The field study conducted at the Navy Medical Expertise Center provides information obtained through the direct observation of the work carried out by its professionals. Furthermore, the paper presents an analysis of the Naval Computerized Health Inspection System (SINAIS), used for the recording and monitoring of all medical expertise performed in the Force. The study of the data obtained shows that Brazilian Navy has a well-structured Medical-Expert Subsystem (SMP) nationwide, with the distribution of a significant number of medical-expert agents (AMP) across the nine Naval Districts of the country, whose production is registered centrally in the SINAIS. It is a large database, from which it can be extracted important information for the rationale of management actions. Its analysis reveals the need to update the software to include research tools and statistical analysis, in order to optimize its use. To conclude, the work presents the medical-expert activity of the Brazilian Navy as a resource capable of contributing to the improvement of the National Defense, through measures that enable the Institution to increase the level of psychophysical health of its people, in order to ensure the required effective readiness of the Force for the fulfillment of its mission. Finally, the author presents actions to achieve this purpose. This research, therefore, contributes to promote a fruitful discussion about the need for investment in technological and human resources for the best performance of the Armed Forces.