0052/2025 - DISTRIBUIÇÃO GEOGRÁFICA E FATORES ASSOCIADOS COM A PRODUTIVIDADE DE MÉDICOS E ENFERMEIROS NA ATENÇÃO PRIMÁRIA BRASILEIRA GEOGRAPHICAL DISTRIBUTION AND FACTORS ASSOCIATED WITH PHYSICIANS’ AND NURSES’ PRODUCTIVITY IN BRAZILIAN PRIMARY HEALTHCARE
O objetivo deste estudo foi analisar a distribuição geográfica e fatores associados à produtividade da Atenção Primária à Saúde (APS) dos municípios brasileiros em 2023. A produtividade foi definida como o número de atendimentos individuais de médicos e enfermeiros por equipe da APS. A associação dos fatores foi definida a partir de regressões lineares multivariadas com modelo final definido por “stepwise”. A produtividade média no Brasil foi de 247,1 e 138,8 atendimentos de médicos e enfermeiros, respectivamente, por equipe por mês. A região Sul (357,7), os estados de Santa Catarina (411,2), Rio Grande do Sul (353,6) e Mato Grosso (339,2), e as capitais Curitiba (413,2), Porto Alegre (377,4) e Palmas (353,8) foram os locais com a maior produtividade médica. Estiveram associados positivamente à produtividade de médicos e enfermeiros: cobertura da APS, usuários cadastrados por equipe, número de téc. e auxiliares de enfermagem por equipe, prontuário eletrônico. Municípios com menor vulnerabilidade social e menor porte populacional apresentaram maior produtividade médica. A despesa liquidada em APS por habitante esteve associada positivamente com a produtividade médica e negativamente com a de enfermagem. As atividades coletivas de reuniões de equipe, educação em saúde e atendimento em grupo estiveram associadas positivamente com a produtividade de médicos e enfermeiros.
Palavras-chave:
Produtividade; Atenção Primária à Saúde; Acesso à Atenção Primária; Desigualdades Sociais.
Abstract:
The aim of this study was to analyze the geographical distribution and factors associated with productivity in Brazilian Primary Health Care (PHC) for the year 2023. Productivity was defined as the number of individual consultations conducted by physicians and nurses per PHC team. Factors were assessed using multivariate linear regressions with a “stepwise” model ion approach. The average productivity in Brazil was 247.1 and 138.8 consultations per month for physicians and nurses, respectively. The Southern region (357.7), states such as Santa Catarina (411.2), Rio Grande do Sul (353.6), and Mato Grosso (339.2), and capital cities like Curitiba (413.2), Porto Alegre (377.4), and Palmas (353.8) exhibited the highest physician productivity. Positive associations with physician and nurse productivity were found for APS coverage, registered users per team, number of nursing technicians and assistants per team, and electronic health records. Municipalities with lower social vulnerability and smaller population size demonstrated higher physician productivity. Additionally, per capita APS expenditure was positively associated with physician productivity and negatively associated with nurse productivity. Collective activities such as team meetings, health education, and group consultations were positively correlated with physician and nurse productivity.
Keywords:
Productivity; Primary Health Care; Access to Primary Care; Social Inequalities.
GEOGRAPHICAL DISTRIBUTION AND FACTORS ASSOCIATED WITH PHYSICIANS’ AND NURSES’ PRODUCTIVITY IN BRAZILIAN PRIMARY HEALTHCARE
Resumo (abstract):
The aim of this study was to analyze the geographical distribution and factors associated with productivity in Brazilian Primary Health Care (PHC) for the year 2023. Productivity was defined as the number of individual consultations conducted by physicians and nurses per PHC team. Factors were assessed using multivariate linear regressions with a “stepwise” model ion approach. The average productivity in Brazil was 247.1 and 138.8 consultations per month for physicians and nurses, respectively. The Southern region (357.7), states such as Santa Catarina (411.2), Rio Grande do Sul (353.6), and Mato Grosso (339.2), and capital cities like Curitiba (413.2), Porto Alegre (377.4), and Palmas (353.8) exhibited the highest physician productivity. Positive associations with physician and nurse productivity were found for APS coverage, registered users per team, number of nursing technicians and assistants per team, and electronic health records. Municipalities with lower social vulnerability and smaller population size demonstrated higher physician productivity. Additionally, per capita APS expenditure was positively associated with physician productivity and negatively associated with nurse productivity. Collective activities such as team meetings, health education, and group consultations were positively correlated with physician and nurse productivity.
Palavras-chave (keywords):
Productivity; Primary Health Care; Access to Primary Care; Social Inequalities.
Barros, R.D, Andrade, J.A.S.V, Melo, H.C, Bomfim, A.N.A. DISTRIBUIÇÃO GEOGRÁFICA E FATORES ASSOCIADOS COM A PRODUTIVIDADE DE MÉDICOS E ENFERMEIROS NA ATENÇÃO PRIMÁRIA BRASILEIRA. Cien Saude Colet [periódico na internet] (2025/mar). [Citado em 05/12/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/distribuicao-geografica-e-fatores-associados-com-a-produtividade-de-medicos-e-enfermeiros-na-atencao-primaria-brasileira/19528
