Monitoramento e avaliação do Projeto de Cooperação da OPAS/OMS com o Programa Mais Médicos: reflexões a meio caminho

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

“…It is evident that the Programa Mais Médicos represents a milestone for the PAHO, since it has added strategic value by closing the health equity gap and at the same time enhanced the unique experience of South-South cooperation between Cuba and Brazil made possible by the organization 40 . The focus of Angola/Cuba cooperation was medical training as an element of restructuring of human resources for health, which, notably, is the most common model of technical international cooperation between these two countries.…”

“…12,871/2013, including the emergency provision of overseas doctors and an increase in the number of doctors trained in Brazil in the medium and long term 39 . 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 .…”

Doctors’ perceptions on distance education and contribution of Family Health specialization

“…In some cities, cooperative members represent all doctors who work in primary healthcare. In other cities, on the other hand, they represent only 5% or less 6 . In certain health units, both Brazilian doctors and doctors from other countries work together.…”

“…They are registered in a higher education institution connected to UNA-SUS in order to have access to lato sensu courses of improvement and specialization. On late December 2015, the Pan American Health Organization's report showed that, from a total of 11,404 PMM doctors, 10,115 (88.7%) concluded or were taking a specialization course 6 .…”

Mapeamento da produção científica sobre o Programa Mais Médicos

“…Outro impacto apresentado foi o aumento da relação médico por 1.000 habitantes em diferentes localidades do país e a redução da carência em localidades tradicionalmente excluídas, como é o caso da região Norte do Brasil. Há ainda estudos que discutem o papel da cooperação internacional no provimento desses profissionais e sua importância na implantação do programa (Faria;Paula;Almeida, 2013;Molina et al, 2014;Pinho, 2014;Molina;Tasca;Suarez, 2016) As principais dificuldades enfrentadas no processo de fixação dos médicos dizem respeito ao fato de determinadas localidades não disporem de condições adequadas de trabalho nem infraestrutura para a realização das atividades primordiais ao exercício médico e sua remuneração, bem como a ausência dos programas de residência em localidades carentes e a ausência de carreira de Estado para os médicos no SUS (Jorge; Martins, 2013, Matte, 2015).…”