Médicos, política e sistemas de saúde

Lima, Luciana Dias de; Carvalho, Marília Sá; Coeli, Cláudia Medina

doi:10.1590/0102-311x00237418

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…In 2018, the cooperation between Brasil and Cuba was interrupted, which culminated with 8 thousand Cuban doctors leaving the project. There was enormous difficulty in finding Brazilian physicians to fill out this new vacancies 1 .…”

Section: Methodsmentioning

confidence: 99%

More Doctors Program: health work process and socioeconomic indicators

Silveira

Freitas

Cortez

et al. 2020

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE To analyze the working process of the professionals of the More Doctors Program and its relationship with socioeconomic indicators. It is a quantitative study, in which secondary data from supervision reports of PMM were used. The dependent variable was the quality of work processes in Primary Care facilities, and the independent ones were the type of municipality, education, Gini index, Primary Health Care investments, and health facilities coverage. Data were analyzed with multiple modeling based on Poisson regression with robust variance. RESULTS 16,000 doctors within 3816 municipalities were analyzed. Variables related to the working process the remained significant in the final model were the investments in Primary Health Care and the health facilities coverage. The results expressed the equity principle, as those municipalities with more vulnerable conditions and with higher coverage are prone to perform more activities in their working process. CONCLUSIONS The implementation of the More Doctors Program and hence the provision of doctors in deprived regions promoted the consolidation of three main aspects, namely the health working process, primary health care and equity, making it possible to carry out a health working process focused on PHC. This implies performing a greater number of activities that are inherent to PHC, which were not carried out due to the absence of doctors. The More Doctors Program fulfills its role in the combat of inequalities, particularly regarding more vulnerable municipalities.

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Section: Methodsmentioning

confidence: 99%

More Doctors Program: health work process and socioeconomic indicators

Silveira

Freitas

Cortez

et al. 2020

Rev. Assoc. Med. Bras.

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“…O desafio de garantir a reposição de mais de oito mil médicos que saíram do país em novembro de 2018, persiste no obstáculo para a assistência de milhões de brasileiros, especialmente os residentes em regiões de difícil acesso 3,4 . Frente a isto, a Associação Brasileira de Saúde Coletiva propôs ao governo e ao Ministério da Saúde (MS) a adoção de medidas para evitar prejuízos ao atendimento à saúde, dentre elas, desencadear o processo de chamada pública de médicos para provimento das vagas ociosas 5 .…”

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Fragilidades que afastam e desafios para fixação dos médicos da Estratégia de Saúde da Família

Viana

Ribeiro

2021

REFACS

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O objetivo deste estudo é compreender quais aspectos contribuem para afastar os médicos da Estratégia Saúde da Família. Estudo descritivo, exploratório de cunho qualitativo com aporte na Teoria Fundamentada nos Dados. A coleta de dados foi feita entre janeiro e julho de 2016, com entrevistas semiestruturadas. Participaram 10 médicos que atuam na Estratégia da Saúde da Família, em municípios do sudoeste baiano. O processo de análise sistemática dos dados permitiu construir um modelo teórico interpretativo do fenômeno do estudo, intitulado: Fragilidades que afastam e desafios para a fixação dos médicos da Estratégia Saúde da Família e comprometem a assistência, sustentado por três categorias: Déficits na formação médica e falta de incentivo para atuação na APS, representando condições que comprometem a fixação do médico na ESF; Influência político-partidária e Comodidades para atuação na ESF, que destaca ações e interações que fragilizam o sistema; e, Rotatividade e prejuízos na assistência, apontando as consequências do déficit na operacionalização do sistema. Falhas na formação, ausência de um plano de carreira e déficits operacionais afastam os médicos da Estratégia de Saúde da Família, comprometendo o direito da população à saúde.

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Is there a social justice variant of South–South health cooperation?: a scoping and critical literature review

Birn

Muntañer

Afzal

et al. 2019

Global Health Action

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Background: In recent decades, global health scholars and policymakers have highlighted the burgeoning role of South-South cooperation (SSC) in health, claiming it constitutes a more just and even-handed approach to health cooperation. But the assertion that SSC inherently challenges power asymmetries and pursues egalitarian agendas and forms of interaction merits interrogation. Here we explore a transformative, counter-hegemonic, solidarity-oriented form of SSCsocial justice-oriented South-South cooperation (SJSSC)as differentiated from other types of health aid. Objective: The objectives of this scoping review are: 1) to determine what is known and discussed through peer-reviewed and grey literature about SJSSC in health; and 2) to identify the different features and principles of SJSSC. This review seeks to inform research agendas and identify implications for policy and practice around SJSSC. Methods: We conducted a search for relevant peer-reviewed and grey literature in eight languages and screened abstracts that met inclusion criteria. We carried out a full-text review and data extraction on included pieces and conducted a thematic analysis identifying a set of repeated themes related to the features and principles of SJSSC. Results: We identified 188 publications meeting our criteria. Through an iterative process, we developed two overarching categories: values and strategies. Each comprises four themes that allowed us to map the ideas and practices of SJSSC depicted in the literature. The values mapped are: an anti-hegemonic world view; equity-oriented and redistributive political values; egalitarian terms of cooperation; and reciprocity. The strategies encompass: solidarity-building; health justice approaches; mutual exchange and collective justice; and challenging interests of dominant classes in the health arena. Conclusion: This review rectifies ungrounded claims about SSC by identifying and mapping the research literature on SJSSC and has relevance for the conceptualization, policy development, and practice of equitable health cooperation.

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Médicos, política e sistemas de saúde

Cited by 4 publications

References 4 publications

More Doctors Program: health work process and socioeconomic indicators

More Doctors Program: health work process and socioeconomic indicators

Fragilidades que afastam e desafios para fixação dos médicos da Estratégia de Saúde da Família

Is there a social justice variant of South–South health cooperation?: a scoping and critical literature review

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