The Mais Medicos (More Doctors) Program: the placement of physicians in priority municipalities in Brazil from 2013 to 2014

被引:23
作者
Alves Oliveira, Joao Paulo [1 ]
Sanchez, Mauro Niskier [1 ]
Pacheco Santos, Leonor Maria [1 ]
机构
[1] Univ Brasilia, Dept Saude Colet, Campus Univ Darcy Ribeiro, BR-70910900 Brasilia, DF, Brazil
来源
CIENCIA & SAUDE COLETIVA | 2016年 / 21卷 / 09期
关键词
Mais Medicos Program; Human Resources in health; Health evaluation;
D O I
10.1590/1413-81232015219.17702016
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The inadequate placement and distribution of health professionals are problems that occur in various countries. The scope of the "Programa Mais Medicos" (More Doctors Program) was to reduce the shortfall of physicians and diminish regional inequalities in health. A descriptive study on the placement of physicians between 2013 and 2014 using the Ministry of Health database is presented. There was an allocation of 14,168 physicians to the 3,785 municipalities that signed up to the program: 2,377 met the priority and/or vulnerability criteria and received 77.7% of the physicians; 1,408 received 22.3% of the physicians, but did not meet the established priorities. This study reveals the reduction in the lack of physicians, mainly in the North and Northeast. These regions account for 36% of the Brazilian population and 46.3% of the physicians were allocated there. However, the introduction of an eligibility profile, which allocated 3,166 physicians in 1,408 non-priority municipalities is questionable. The conclusion drawn is that this may have hindered the ability of the Mais Medicos Program to fully achieve its objectives as a public policy aimed at reducing regional inequalities of access to primary healthcare. Further studies are necessary to evaluate the impact of the Mais Medicos Program.
引用
收藏
页码:2719 / 2727
页数:9
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