0033/2021 - Effect of More Doctors (Mais Médicos) Program on geographic distribution of primary care physicians Efeito do Programa Mais Médicos na distribuição geográfica dos médicos na atenção básica
Este artigo avalia o efeito do Programa Mais Médicos (PMM) na distribuição de médicos na atenção básica no Brasil. As técnicas de análise de dados espaciais, curva de Lorenz e coeficiente de Gini foram empregadas para avaliar a distribuição geográfica dos médicos antes e após a implementação do PMM (2012 e 2016). Para tanto, foram utilizados dados secundários de 5.564 municípios. Os resultados indicaram que a distribuição de médicos se tornou mais igualitária após a implementação do PMM. Entre 2012 e 2016, o coeficiente geral de Gini diminuiu 11%, passando de 0,255 para 0,227. No âmbito estadual, uma tendência estatisticamente significativa em direção a uma distribuição mais igualitária de médicos foi encontrada em 21 estados brasileiros. No entanto, ainda persiste uma diferença substancial na distribuição de médicos na atenção básica, especialmente entre os estados, com o coeficiente de Gini variando de 0,093 a 0,341 em 2016.
Palavras-chave:
Médicos; Atenção Básica; Disparidades em Assistência à Saúde; Mão de Obra em Saúde
Abstract:
This article asses the effect of More Doctors (Mais Médicos) Program (MDP) on the equality in the distribution of primary care physicians (PCPs) in Brazil. Spatial data analysis, Lorenz curve and Gini coefficient were used to evaluate the geographic distribution of PCPs before and after the implementation of MDP (2012 and 2016). Data from 5,564 municipalities were used in the analyses. The results indicate that the distribution of PCPs has become more equal after MDP implementation. Between 2012 and 2016, overall Gini coefficient decreased by 11% from 0.255 to 0.227. At the state level, a statistically significant trend towards a more equal distribution of PCPs was found in 21 out of 26 Brazilian states. However, there still remains a substantial difference in the level of equality in PCP distribution, especially across states, with Gini coefficient ranging from 0.093 to 0.341 in 2016.
Keywords:
Physicians; Primary Health Care; Healthcare Disparities; Health workforce
Efeito do Programa Mais Médicos na distribuição geográfica dos médicos na atenção básica
Resumo (abstract):
This article asses the effect of More Doctors (Mais Médicos) Program (MDP) on the equality in the distribution of primary care physicians (PCPs) in Brazil. Spatial data analysis, Lorenz curve and Gini coefficient were used to evaluate the geographic distribution of PCPs before and after the implementation of MDP (2012 and 2016). Data from 5,564 municipalities were used in the analyses. The results indicate that the distribution of PCPs has become more equal after MDP implementation. Between 2012 and 2016, overall Gini coefficient decreased by 11% from 0.255 to 0.227. At the state level, a statistically significant trend towards a more equal distribution of PCPs was found in 21 out of 26 Brazilian states. However, there still remains a substantial difference in the level of equality in PCP distribution, especially across states, with Gini coefficient ranging from 0.093 to 0.341 in 2016.
Palavras-chave (keywords):
Physicians; Primary Health Care; Healthcare Disparities; Health workforce
Russo, L. X.. Effect of More Doctors (Mais Médicos) Program on geographic distribution of primary care physicians. Cien Saude Colet [periódico na internet] (2021/fev). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/effect-of-more-doctors-mais-medicos-program-on-geographic-distribution-of-primary-care-physicians/17932?id=17932
