0026/2018 - Ampliação do acesso à saúde na região mais vulnerável do Estado de São Paulo: Reflexo do Programa Mais Médicos? Ampliation of health access in the more vulnereable region in the São Paulo state: Is it a reflex of “Programa Mais médicos?
• Fabio Miranda Junqueira - Junqueira, Fabio Miranda - <fjunqueira@pucsp.br>
Resumo:
O Programa Mais Médicos visa ampliar o acesso à saúde em áreas provendo profissionais médicos, investimentos nas unidades de saúde e integração multiprofissional voltada à Estratégia de Saúde da Família. O Vale do Ribeira abriga 25 municípios e figura entre as regiões mais vulneráveis do estado e recebeu 41 médicos do PMM. O objetivo desse estudo é avaliar o acesso à saúde, comparando indicadores de produção, marcadores e situação de saúde antes e depois da implementação do PMMB. Nós coletamos os dados do DATASUS, SIAB e Ministério da Saúde. Houve aumento em número de consultas de crianças menores de um ano, adultos, idosos, DST/AIDS e atendimento em grupos. Houve redução no número de consultas fora de área de abrangência, de hospitalizações por outras causas e no aleitamento materno exclusivo até quatro meses. Concluímos que após a implementação do programa houve melhora no acesso à saúde e no trabalho de promoção de saúde focado no território, um grande desafio na Atenção Primária à Saúde (APS). Supõe-se que por se tratar de área de alta vulnerabilidade e pressão assistencial, as internações por causas sensíveis à APS, assim como o encaminhamento à serviços secundários, não tenham sido reduzidas à curto prazo.
Palavras-chave:
Medicina de Família e Comunidade, Acesso aos Serviços de Saúde, Vulnerabilidade Social, Atenção Primária à Saúde
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 physiciansPMM. 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 dataDATASUS, 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.
Keywords:
Family Practice, Health Service Accessibility, Social Vulnerability, Primary Health Care.
Ampliation of health access in the more vulnereable region in the São Paulo state: Is it a reflex of “Programa Mais médicos?
Resumo (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 physiciansPMM. 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 dataDATASUS, 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.
Palavras-chave (keywords):
Family Practice, Health Service Accessibility, Social Vulnerability, Primary Health Care.
Silva, BP, Stockmann, Denise, Lúcio, Donavan de Souza, Henna, Elaine, Rocha, MCP, Junqueira, Fabio Miranda. Ampliação do acesso à saúde na região mais vulnerável do Estado de São Paulo: Reflexo do Programa Mais Médicos?. Cien Saude Colet [periódico na internet] (2018/Jan). [Citado em 20/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/ampliacao-do-acesso-a-saude-na-regiao-mais-vulneravel-do-estado-de-sao-paulo-reflexo-do-programa-mais-medicos/16559?id=16559
