Primary care in Brazil, and the Mais Medicos (More Doctors) Program in the Unified Health System: achievements and limits

被引：5
|
作者：
de Sousa Campos, Gastao Wagner [1 ]
Pereira Junior, Nihon [2 ]
机构：
[1] Univ Estadual Campinas, Fac Ciencias Med, Dept Saude Colet, R Tessalia Vieira de Camargo 126, BR-13083970 Campinas, SP, Brazil
[2] Univ Fed Uberlandia, Fac Med, Dept Saude Colet, Uberlandia, MG, Brazil
来源：
CIENCIA & SAUDE COLETIVA | 2016年 / 21卷 / 09期
关键词：
Primary Healthcare; Family Health Strategy; Mais Medicos Program; Health policy; RETENTION;
D O I：
10.1590/1413-81232015219.18922016
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
An historical analysis of Brazil's policies in Primary Healthcare, with emphasis on the Family Health Strategy (FHS), and the Mais Medicos Program (PMM). Studies were made of documents and secondary official data, and the bibliography that has been produced on this theme. It was found that primary healthcare has been established and successfully consolidated as an option in healthcare for a great part of the population of Brazil. There have, however, been structural hurdles, which have tended to compromise the effectiveness and sustainability of this policy. It was identified that these obstacles arise principally from insufficient financing and from inefficient modes of planning and management. The Mais MEdicos Program has widened care coverage and made the distribution of primary healthcare doctors more equitable, although it has not resolved the structural problems of the public system.
引用
收藏
页码：2655 / 2663
页数：9
相关论文
共 50 条
  • [31] Mais Medicos Program: an effective action to reduce health inequities in Brazil
    Pacheco Santos, Leonor Maria
    Costa, Ana Maria
    Girardi, Sybado Nicolau
    CIENCIA & SAUDE COLETIVA, 2015, 20 (11): : 3547 - 3552
  • [32] A comparative analysis of the implementation of the Mais Medicos (More Doctors) Program in municipalities in the State of Rio Grande do Sul, Brazil
    de Miranda, Alcides Silva
    Melo, Diego Azevedo
    CIENCIA & SAUDE COLETIVA, 2016, 21 (09): : 2837 - 2848
  • [33] Evaluation of user satisfaction and service responsiveness in municipalities enrolled in the Mais Medicos (More Doctors) Program
    Comes, Yamila
    Trindade, Joselia de Souza
    Shimizu, Helena Eri
    Hamann, Edgar Merchan
    Bargioni, Florencia
    Ramirez, Loana
    Sanchez, Mauro Niskier
    Pacheco Santos, Leonor Maria
    CIENCIA & SAUDE COLETIVA, 2016, 21 (09): : 2749 - 2759
  • [34] Challenges facing the More Doctors program (Programa Mais Medicos) in vulnerable and peri-urban areas in Greater Brasilia, Brazil
    Shimizu, Helena Eri
    Santos, Leonor Maria Pacheco
    Sanchez, Mauro Niskier
    Hone, Thomas
    Millett, Christopher
    Harris, Matthew
    HUMAN RESOURCES FOR HEALTH, 2021, 19 (01)
  • [35] Assessment of the scope of practice of physicians participating in the Mais Medicos (More Doctors) Program, and associated factors
    Girardi, Sabado Nicolau
    Carvalho, Cristiana Leite
    Pierantoni, Celia Regina
    Costa, Juliana de Oliveira
    de Sousa van Stralen, Ana Cristina
    Lauar, Thais Viana
    David, Renata Bernardes
    CIENCIA & SAUDE COLETIVA, 2016, 21 (09): : 2739 - 2748
  • [36] Participation of small municipalities in the Mais Medicos para o Brasil (More Doctors to Brazil) Program in the macro-region of Northern Parana
    Mendonca, Fernanda de Freitias
    Abucarub de Mattos, Luis Fernando
    Duarte de Oliveira, Emmeline Bernardes
    Domingos, Carolina Milena
    Okumura, Carlos Takeo
    Carvalho, Brigida Gimenez
    Polo de Almeida Nunes, Elisabete de Fatima
    CIENCIA & SAUDE COLETIVA, 2016, 21 (09): : 2907 - 2915
  • [37] Primary health care performance in Brazil and association with the More Doctors physician recruitment program
    Agostinho Rech, Milena Rodrigues
    Hauser, Lisiane
    Wollmann, Lucas
    Roman, Rudi
    Mengue, Sotero Serrate
    Kemper, Elisandrea Sguario
    Ramos Florencio, Alexandre de Souza
    Alfaro, Gerardo
    Tasca, Renato
    Harzheim, Erno
    REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH, 2018, 42
  • [38] Spatial distribution of the "Mais Medicos(More Doctors) Program" and social vulnerability: an analysis of the Brazilian metropolitan regions
    Oliveira, Aime
    Barreto, Jorge Otavio Maia
    de Araujo, Sidclei Queiroga
    Santos, Leonor Maria Pacheco
    HUMAN RESOURCES FOR HEALTH, 2020, 18 (01)
  • [39] Interview: Evaluating the impact of the of the Mais Medicos (More Doctors) Program: how can we measure outcomes?
    Tasca, Renato
    Pego, Raquel Abrantes
    CIENCIA & SAUDE COLETIVA, 2016, 21 (09): : 2917 - 2918
  • [40] More doctors, better health? A generalised synthetic control approach to estimating impacts of increasing doctors under Brazil's ' s Mais Medicos programme
    Thomas, Rhys Llewellyn
    Millett, Christopher
    Soares, Ricardo de Sousa
    Hone, Thomas
    SOCIAL SCIENCE & MEDICINE, 2024, 358
12345