Modelo de atenção primária à saúde na Venezuela, misión barrio adentro I: 2003-2006

Henrique, Flávia; Ros, Marco Aurélio Da; Goronzi, Thaise Alana; Soares, Giovana Bacilieri; Gama, Lígia de Almeida

doi:10.1590/s1981-77462014000200006

Cited by 2 publications

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar experiences have also been observed in other countries [24][25][26] It is important to add that this study has limitations regarding the definition of the user population that participated. The users were selected in the health units which may, to some extent, have had a bearing on their positive assessment of the program's implementation and satisfaction with the care provided by the MDP physicians, since the interviewees were using the health services.…”

Section: ; 21(supl1):1181-92supporting

confidence: 71%

O desafio do Programa Mais Médicos para o provimento e a garantia da atenção integral à saúde em áreas rurais na região amazônica, Brasil

Pereira

Pacheco

2017

Interface (Botucatu)

View full text Add to dashboard Cite

The objective of this research was to assess how the More Doctors Program has been implemented in rural areas and the contributions made by providing physicians to ensure comprehensive health care. A study was conducted in a predominantly rural city in the state of Pará, involving 42 interviews with health professionals and managers, council members and users. The interviews then underwent content analysis. The results suggest that there have been improvements in primary health care -such as a higher number of consultations and expanded access to the primary care services offered -that can be attributed to the presence of the physicians and the use of more equitable strategies. However, there are still challenges to be confronted in order to ensure comprehensive health care in rural areas, such as maintenance of the program and overcoming recurrent problems, such as: lack of drugs and tests; limitations in follow-up on patients referred to other services; and weaknesses in the health care network.

show abstract

Section: ; 21(supl1):1181-92supporting

confidence: 71%

O desafio do Programa Mais Médicos para o provimento e a garantia da atenção integral à saúde em áreas rurais na região amazônica, Brasil

Pereira

Pacheco

2017

Interface (Botucatu)

View full text Add to dashboard Cite

show abstract

“…Thanks to this program, primary healthcare coverage has been expanded, with the training and deployment of health teams made up of doctors, nurses, dentists, and other professionals. It has also served to decentralize the offer of health services and foster their uptake by the population [12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

Pereira

Santos

et al. 2016

RRH

View full text Add to dashboard Cite

Introduction: The Mais Médicos program was introduced in 2013 with the aim of reducing the shortage of doctors in priority regions and diminishing regional inequalities in health. One of the strategies has been to offer 3-year contracts for doctors to work in primary healthcare services in small towns, inland, rural, remote, and socially vulnerable areas. This report describes the program's implementation and the allocation of doctors to these target areas in 2014. Methods: To describe the provision of doctors in the first year of implementation, we compared the doctor-to-population ratio in the 5570 municipalities of Brazil before and after the program, based on the Federal Board of Medicine database (2013), and the official dataset provided by the Ministry of Health (2014). Results: In its first public call (July 2013) 3511 municipalities joined the Mais Médicos program, requesting a total of 15 460 doctors; although the program prioritizes the recruitment of Brazilians, only 1096 nationals enrolled and were hired, together with 522 foreign doctors. As a consequence, an international cooperation agreement was set in place to recruit Cuban doctors. In 12 months the program recruited 14 462 doctors: 79.0% Cubans, 15.9% Brazilians and 5.1% of other nationalities, covering 93.5% of the doctors demanded; they were assigned to all the 3785 municipalities enrolled. The study reveals a major decrease in the number of municipalities with fewer than 0.1 doctors per thousand inhabitants, which dropped from 374 in 2013 to 95 in 2014 (75% reduction). Of the total, 294 doctors were sent to work in the country's 34 Indigenous Health Districts (100% coverage) and 3390 doctors were deployed in municipalities containing certified rural maroon communities (formed centuries ago by runaway slaves). After 1 year of implementation, the municipalities with maroon communities with less than 0.1 doctors per © James Cook University 2016, http://www.jcu.edu.au 2 thousand inhabitants were reduced by 87% in the poorest north region. More than 30% of municipalities with maroon communities in the richest regions had more than 1.0 doctors per thousand inhabitants, whereas in the poorest regions fewer than 7% of municipalities reached that level. Conclusions: The Mais Médicos program has granted medical assistance to these historically overlooked populations. However, it is important to evaluate the mid-and long-term sustainability of this initiative.

show abstract

Modelo de atenção primária à saúde na Venezuela, misión barrio adentro I: 2003-2006

Cited by 2 publications

References 1 publication

O desafio do Programa Mais Médicos para o provimento e a garantia da atenção integral à saúde em áreas rurais na região amazônica, Brasil

O desafio do Programa Mais Médicos para o provimento e a garantia da atenção integral à saúde em áreas rurais na região amazônica, Brasil

Mais MÃ©dicos program: provision of medical doctors in rural, remote and socially vulnerable areas of Brazil, 2013-2014

Contact Info

Product

Resources

About