A contribuição do Programa Mais Médicos: análise a partir das recomendações da OMS para provimento de médicos

Carvalho, Viviane Karoline da Silva; Marques, Carla Pintas; Silva, Everton Nunes da

doi:10.1590/1413-81232015219.17362016

Cited by 29 publications

(25 citation statements)

References 16 publications

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“…In this respect, our findings disagree in part with those of Carvalho et al 59 , who assessed the Programa Mais Médicos against WHO recommendations and concluded that the program was successful in only 37.5% of the 16 recommendations. It should be noted, however, that a number of these recommendations, such as improvements in rural infrastructure, were outside the scope of the initiative, thus affecting its performance.…”

Section: Discussioncontrasting

confidence: 99%

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

Alves

Oliveira

Matos

et al. 2017

Ciênc. saúde coletiva

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Section: Discussioncontrasting

confidence: 99%

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

Alves

Oliveira

Matos

et al. 2017

Ciênc. saúde coletiva

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“…The migration of doctors from ESF teams to the PMM vacancies is especially worrying. For several years, the competition for doctors has been part of the daily challenges faced by municipal health secretariats in Brazil (28). The municipalities cannot compete with the federal government regarding salary conditions due to restrictions imposed by a Brazilian law of fiscal responsibility (27) that sets an upper limit on salaries for each level of public administration.…”

Section: Discussionmentioning

confidence: 99%

“…The PMM is the initiative that has had the best results in terms of attracting physicians to remote and disadvantaged areas and keeping them there (28). An abrupt change in the logic of the program might have consequences for the health needs of the Rev Panam Salud Publica 44, 2020 | www.paho.org/journal | https://doi.org/10.26633/RPSP.2020.31…”

Section: Discussionmentioning

confidence: 99%

Mortality associated with alternative policy options for primary care and the Mais Médicos (More Doctors) Program in Brazil: forecasting future scenarios

Francesconi

Tasca

Basu

et al. 2020

Revista Panamericana De Salud Pública

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Objective. To forecast the impact of alternative scenarios of coverage changes in Brazil’s Family Health Strategy (Estratégia Saúde da Família) (ESF)—due to fiscal austerity measures and to the end of the Mais Médicos (More Doctors) Program (PMM)—on overall under-5 mortality rates (U5MRs) and under-70 mortality rates (U70MRs) from ambulatory care sensitive conditions (ACSCs) up through 2030. Methods. A synthetic cohort of 5 507 Brazilian municipalities was created for the period 2017-2030. A municipal-level microsimulation model was developed and validated using longitudinal data. Reductions in ESF coverage, and its effects on U5MRs and U70MRs from ACSCs, were forecast based on two probable austerity scenarios, as compared to the maintenance of current ESF coverage. Fixed effects longitudinal regression models were employed to account for secular trends, demographic and socioeconomic changes, variables related to health care, and program duration effects. Results. In comparison to maintaining stable ESF coverage, with the decrease in ESF coverage due to austerity measures and PMM termination, the mean U5MR and U70MR would be 13.2% and 8.6% higher, respectively, in 2030. The end of PMM would be responsible for a mean U5MR from ACSCs that is 4.3% higher and a U70MR from ACSCs that is 2.8% higher in 2030. The reduction of PMM coverage due only to the withdrawal of Cuban doctors who have been working in PMM would alone be responsible for a U5MR that is 3.2% higher, and a U70MR that is 2.0% higher in 2030. Conclusions. Reductions in primary health care coverage due to austerity measures and the end of the PMM could be responsible for many avoidable adult and child deaths in coming years in Brazil.

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“…8 A contemporary health model for older adults needs to bring together the flux of health education, health promotion, the prevention of preventable diseases, the delayed onset of diseases, early care and disease rehabilitation. A line of care 9 for older adults which seeks to be effective and efficient should presuppose an articulated, referenced network, with an information system designed in keeping with this logic. We live in the age of technology and information.…”

Section: Impact and Relevance Of The Workmentioning

confidence: 99%

A contemporary care model for older adults should seek coordinated care, greater quality and the reduction of costs

Veras

Cordeiro

2019

IJFCM

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The present text discusses the creation of a health care model for older adults. The population aging arising from Brazil's new demographic and epidemiological reality, a relatively recent phenomenon, requires innovative and efficient responses. This article presents a proposal for care that emphasizes low intensity instances of care, focusing on health promotion, prevention, and the coordination of care. Integrated models aim to solve the problem of fragmented and poorly coordinated care in our current health systems, and the more health professionals know about a patient's history, the better the results. This is how resolutive models of care should function. A low intensity care unit, an epidemiological assessment, a client portfolio, with a doctor and nurse and a few gerontologists on staff, and a social center will make the difference. There will also be a high quality information system, including medical records that cover clinical and social characteristics. Everything is available via cloud computing and the cell phones of the doctors and clients, and high levels of technology and performance based pay for doctors make a further difference. In short, a higher quality, more resolutive and cost-effective care model is our aim. A contemporary care model for older adults should seek coordinated care, greater quality and the reduction of costs 211 Citation: Veras R, Cordeiro R. A contemporary care model for older adults should seek coordinated care, greater quality and the reduction of costs. Int J Fam Commun Med. 2019;3(5):210-214. Citation: Veras R, Cordeiro R. A contemporary care model for older adults should seek coordinated care, greater quality and the reduction of costs. Int J Fam Commun Med. 2019;3(5):210-214.

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A contribuição do Programa Mais Médicos: análise a partir das recomendações da OMS para provimento de médicos

Abstract: In order to examine whether Brazil's Mais Médicos (More Doctors)

Cited by 29 publications

References 16 publications

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

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

Mortality associated with alternative policy options for primary care and the Mais Médicos (More Doctors) Program in Brazil: forecasting future scenarios

A contemporary care model for older adults should seek coordinated care, greater quality and the reduction of costs

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