Avaliando a implementação do Programa Mais Médicos 2013-2015 (Port., Eng. e Esp)

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Resumo

O Programa Mais Médicos foi criado em 2013 para enfrentar desafios que condicionavam a expansão e o desenvolvimento da Atenção Básica (AB), sobretudo, a insuficiência e má distribuição de médicos e o perfil de formação inadequado às necessidades da população. O programa é composto por três eixos: provimento emergencial, qualificação da infraestrutura e mudança da formação. Neste artigo realizamos análise documental, análise de bancos de dados oficiais e revisão de literatura, com o objetivo de avaliar resultados do provimento de médicos alcançados até 2015. Identificamos avanços importantes na alocação dos médicos com equidade; na ampliação da cobertura da AB; na ampliação do acesso da população às ações de AB; no impacto nos indicadores de saúde; e na avaliação positiva que usuários, médicos e gestores têm do programa. Na conclusão, são apontados desafios enfrentados pelo programa para alcançar efetivamente seus objetivos. Palavras-chave: Atenção primária à saúde. Escassez de médicos. Programa Mais Médicos.

Abstract

The More Doctors Program was created in 2013 to address challenges that constrained the expansion and development of PC, mainly the insufficiency and maldistribution of physicians and the inadequate training profile related to the needs of the population. The program consists of three axes: emergency provision, improvement of infrastructure and changes in training. This paper performs documentary and literature review as well as analysis of official databases with the objective of evaluating the results achieved up to 2015 with regards to physicians supply. We identified important advances in the allocation of physicians with equity; in the expansion of PC coverage; in expanding access to basic health care for the population; its impact on health indicators; and the positive evaluation made by users, physicians and managers regarding the program. As a conclusion, challenges faced by the program to effectively achieve its objectives are pointed out. Keywords: Primary health care. Physicians shortage. More Doctors Program.

Resumen

El Programa Más Médicos fue creado en 2013 para enfrentar desafíos que condicionaban la expansión y el desarrollo de la AB, principalmente la insuficiencia y la mala distribución de médicos y el perfil de formación inadecuado a las necesidades de la población. El programa se compone de tres ejes: provisión de emergencia, calificación de la infraestructura y cambio de la formación. En este artículo realizamos análisis documental, análisis de bancos de datos oficiales y revisión de literatura con el objetivo de evaluar los resultados de la provisión de médicos alcanzados hasta 2015. Identificamos avances importantes en la asignación de los médicos con equidad, en la ampliación de la cobertura de la AB, en la ampliación del acceso de la población a las acciones de atención básica, en el impacto en los indicadores de salud y en la evaluación positiva que usuarios, médicos y gestores realizan del programa. En la conclusión se señalan desafíos enfrentados por el programa para alcanzar efectivamente sus objetivos. Palabras clave: Atención básica de salud. Escasez de médicos. Programa Más Médicos.

The Program More Doctors for Brazil and the strengthening of primary health care

Scientific article written by the authors: Hêider Aurélio Pinto, Mozart Julio Tabosa Sales, Felipe Proenço de Oliveira, Regina Brizolara, Alexandre Medeiros de Figueiredo e Jerzey Timóteo dos Santos.

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Or to see the article in the periodical on the internet

ABSTRACT:

This article uses the theoretical framework of policy analysis to study the Program More Doctors for Brazil. Analyzes and organizes information and studies related to social issues taken as object of this policy, namely, the insufficiency of physicians in the country to meet the needs of the population and the inadequacy, from the perspective of the Unified Health System, of the current medical training model, and studies the context that enabled the creation of the Program. Describes and analyzes the innovations and policy tools, created by Law 12,871, and analyzes the current status of its implementation in three dimensions: the training and the performance of doctors in the most vulnerable locations and with the greatest needs; the change of medical training, from graduation to medical residency; and finally, in growth and reorientation of the vacancy at the undergraduate and residence aiming that Brazil reaches in 2026 the ratio of 2.7 doctors per 1,000 inhabitants.

 

“Mais Médicos”: a Brazilian program in an international perspective

Scientific article written by the authors: Felipe Proenço de Oliveira, Tazio Vanni,  Hêider Aurélio Pinto, Jerzey Timoteo Ribeiro dos Santos, Alexandre Medeiros de Figueiredo, Sidclei  Queiroga  de  Araújo, Mateus Falcão Martins Matos, Eliana Goldfarb Cyrino.

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And in the period on the internet

Abstract:
The shortage of health professionals in remote and vulnerable areas is an important obstacle for universal access to health in several countries. This paper examines the policies of provision of health professionals in Australia, in the United States of America, and in Brazil. In spite of the partial success of previous initiatives, it was only with the “Mais Médicos” (“More Physicians”) Program that the provision of physicians in vulnerable areas had the magnitude and the response in adequate time to respond to the demands of the Brazilian municipalities. Quantitative and qualitative changes in the training of physicians are in course and they seek to assure not only universality, but also integrality and sustainability in the Brazilian National Health System (Sistema Único de Saúde – SUS). The success of these initiatives will depend on the continuity of the intefederative articulation, of State regulation policies, as well as of the continuous monitoring and improvement of the program.