0020/2018 - Análise comparativa sobre a implantação do “Programa Mais Médicos” em agregados de municípios do Rio Grande do Sul. Comparative analysis on the implementation of the \"Program More Doctors\" in aggregate municipalities of Rio Grande do Sul state, Brazil.
A partir da implantação de uma estratégia programática governamental, o “Programa Mais Médicos” (PMM), tem ocorrido a inserção e o incremento da ocupação e atividade profissional médica em serviços de Atenção Primária à Saúde (APS) em todo o país. Considerada tal iniciativa, que resultados de curto prazo podem ser identificados e comparados entre agregados de municípios do Rio Grande do Sul? O artigo apresenta um estudo de caso-controle de agregados municipais, a partir de dados de fontes secundárias, com propósito exploratório e análise descritiva de um conjunto selecionado de indicadores correlatos aos serviços de APS. Observou-se o incremento de indicadores estruturais nos agregados de municípios com implantação do PMM. Para os indicadores de resultados selecionados, observou-se discreto incremento na produção de serviços nos agregados com PMM, contudo, não foram identificadas diferenças de impactos entre os agregados casos e controles. Estes resultados podem ter sido influenciados pelo exíguo tempo decorrido desde a implantação do PMM, por subnotificações de registro médicos no cadastro de estabelecimentos de saúde (CNES), além da predominância de caráter substitutivo de ocupações médicas nos municípios selecionados para o estudo e com PMM implantado.
Palavras-chave:
Programas Médicos Regionais, Médicos Graduados Estrangeiros, Distribuição de Médicos, Médicos de Atenção Primária, Atenção Primária à Saúde.
Abstract:
What are the short-term impacts occurred in the early cycles implementation of the \"More Doctors Program\" (PMM) in municipalities of Rio Grande do Sul? This article focuses on one community trial subtype, added to multiple groups, in longitudinal retrospective time series, based on datasecondary sources, with descriptive analysis of exploratory purpose and descriptive analysis of a ed set of indicators related to the services of Primary Health Care (PHC). In general, there was the structure of indicators of growth in clusters of municipalities with implementation of PMM, especially in conglomerates with smaller populations tracks. In terms of outcome indicators showed a slight increase in the production of services in conglomerates with implementation of PMM, however, significant differences in hospital admissions were identified by sensitive causes and other APS\'s own impact indicators. The most plausible hypotheses to explain the findings are referred to the narrow time between the implementation of the PMM and the study, besides the fact that in the early cycles of program implementation was substitute character predominance of medical professional working in ed municipalities to the study.
Keywords:
Regional Medical Programs, Foreign Medical Graduates, Physicians Distribution, Physicians, Primary Care, Primary Health Care.
Comparative analysis on the implementation of the \"Program More Doctors\" in aggregate municipalities of Rio Grande do Sul state, Brazil.
Resumo (abstract):
What are the short-term impacts occurred in the early cycles implementation of the \"More Doctors Program\" (PMM) in municipalities of Rio Grande do Sul? This article focuses on one community trial subtype, added to multiple groups, in longitudinal retrospective time series, based on datasecondary sources, with descriptive analysis of exploratory purpose and descriptive analysis of a ed set of indicators related to the services of Primary Health Care (PHC). In general, there was the structure of indicators of growth in clusters of municipalities with implementation of PMM, especially in conglomerates with smaller populations tracks. In terms of outcome indicators showed a slight increase in the production of services in conglomerates with implementation of PMM, however, significant differences in hospital admissions were identified by sensitive causes and other APS\'s own impact indicators. The most plausible hypotheses to explain the findings are referred to the narrow time between the implementation of the PMM and the study, besides the fact that in the early cycles of program implementation was substitute character predominance of medical professional working in ed municipalities to the study.
Palavras-chave (keywords):
Regional Medical Programs, Foreign Medical Graduates, Physicians Distribution, Physicians, Primary Care, Primary Health Care.
Miranda, A.S., Melo, DA. Análise comparativa sobre a implantação do “Programa Mais Médicos” em agregados de municípios do Rio Grande do Sul.. Cien Saude Colet [periódico na internet] (2018/jan). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/analise-comparativa-sobre-a-implantacao-do-programa-mais-medicos-em-agregados-de-municipios-do-rio-grande-do-sul/16553?id=16553
