Author:

• Fabio Miranda Junqueira - Junqueira, Fabio Miranda - Pontificia Universidade Catolica de Sao Paulo, Medicine - <fjunqueira@pucsp.br>

Co-author(s):

• MARIA CAROLINA PEREIRA DA ROCHA - ROCHA, MARIA CAROLINA PEREIRA DA - Pontificia Universidade Catolica de Sao Paulo, Medicine - <mcarolrocha@hotmail.com>
• Elaine Henna - Henna, Elaine - nstitute od Psychiatry of Medical School at University of Sao Paulo, MEDICINE - <elhenna@usp.br>
• Donavan de Souza Lúcio - Lúcio, Donavan de Souza - Prefeitura Municipal de Florianópolis, Secretaria Municipal de Saúde - <donavanlucio@gmail.com>
• Denise Stockmann - Stockmann, Denise - Pontificia Universidade Catolica de Sao Paulo Faculdade de Ciencias Medicas e da Saude, medicina - <stockmann@hotmail.com>
• Bruna Pontes Silva - Silva, Bruna Pontes - Pontificia Universidade Catolica de Sao Paulo Faculdade de Ciencias Medicas e da Saude, Medicina - <bru.pontes@hotmail.com>

Thematic Area:

Não Categorizado

Abstract:

The Project More Physicians (PMM) aims to expand the access to health providing physicians, investments in health units structuring, integration for family health care. The Vale do Ribeira contains 25 cities; it is the most vulnerable region of the Sao Paulo, and received 41 physicians from PMM.
The aim of this study is to evaluate the health access, comparing health indicators, markers and health situation before and after the PMMB implantation. We collected the data from DATASUS, SIAB, and Health Ministry, and we analyzed it with the Wilcoxon signed-rank and Friedman tests.
There was a significant increase in number of attendance in children up to one year, adults, seniors, STD/HIV, and patient group attendance. There were decreases in attendance out of their contingence area, hospitalizations by other causes, and exclusive breastfeeding until four months old.
We can conclude that after the PMMB implantation, there were increases in health access and health promotion focused on territory, a big challenge to Health Primary Attention (HPA). It presupposes that for it is a high vulnerability and assistance pressure area, the hospitalizations with causes sensible to HPA, as well as the use of secondary services had not decreased. We expect that these numbers suffer from reductions with the program consolidation and with the decrease of attendance pressure.

Keywords:

Health Service Accessibility Family Practice Social Vulnerability Primary Health Care

Content:

Access Issue in Scielo

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