Impacto do Programa Mais Médicos na redução da escassez de médicos em Atenção Primária à Saúde

Abstract

The Mais Médicos (More Doctors) Program (PMM) was put in place in

Programa Mais Médicos, aperfeiçoando o SUS e democratizando a saúde: um balanço analítico do programa

“…The participation of physicians in PMM in municipalities with up to 10 thousand inhabitants was of 22.2%, as highlights Girardi et al (2016Girardi et al ( , p. 2679: "Smaller municipalities were the ones who better organized themselves around the offer of family health physicians, instead of other specialties, and were the more vulnerable in terms of health care". The impact of relative participation of physicians in the PMM in cities with over 100 thousand inhabitants, in addition to capital and metropolitan regions is smaller, since the professionals who work in the private sector fill this gap, among which are mainly general practitioners and pediatricians.…”

“…In addition to Girardi et al (2016), other authors (Campos;Pereira Junior, 2016;Miranda et al, 2017;Sanchez;Santos, 2016;Oliveira et al, 2015) reinforce that PMM enabled the population, especially the population of poorer municipalities, to access health, a right that is present in the Constitution of 1988 and is the foundation of the construction of SUS.…”

“…According to Girardi et al (2016), between the beginning of the implementation of the PMM until September 2015, 14,256 physicians were hired. The North region had the largest participation of physicians in the program (23.7%), followed by the Northeast (with 18.1%).…”

Cooperação internacional e escassez de médicos: análise da interação entre Brasil, Angola e Cuba

“…The program is also recognized by the PAHO as an innovative initiative, given the significant amount of financial resources invested in the recruitment of 11,400 doctors, the mobilization of doctors from a country like Cuba, which has a greater number of doctors per capita than Brazil, and the integration of these professionals into the SUS 40 . Recent assessments of the program show the following: 94.6% of the people attended under the program gave a good or very good satisfaction rating 41 ; the number of municipalities with a shortage of doctors decreased 42 ; there was an expansion in access to health care services in the most vulnerable regions 43 and a reduction in admissions for ambulatory care sensitive conditions in the Northeast Region 44 ; and a generally positive impact on admissions and access 45 . However, it is important to note that, given the recent creation of the program, academic evaluations and assessments by independent bodies are still underway.…”

Longitudinalidade e integralidade no Programa Mais Médicos: um estudo avaliativo

“…The results of the PMM have been observed in different dimensions, such as its impact on the shortage of doctors, mainly in the North and Northeast regions and in the small size municipalities 8 , the increase of procedures in regions of high social vulnerability 9 , the satisfaction of the users in relation to the service of the doctors of the program 10 and tensioning of the biomedical model of health work within the teams, based on a clinical performance sensitive to elements of culture, territory and living conditions of patients 11 . Although relevant to the understanding of the reach of the Program, production-centered analysis, such as the number of monthly consultations performed by doctors and the number of referrals 12 , as well as satisfaction studies of the population assisted, subject to the so-called gratitude bias 13 , may constitute a restricted parameter, since the occurrence of a large number of procedures and high satisfaction, if taken in isolation, may not be equivalent to the quality of care offered.…”