0291/2016 - Impacto do Programa Mais Médicos na redução da escassez de médicos em Atenção Primária à Saúde The impact of the Mais Médicos Program in the primary care physicians shortage scenario in Brazil.
• Ana Cristina de Sousa van Stralen - van Stralen, Ana Cristina de Sousa - Belo Horizote, MG - Universidade Federal de Minas Gerais Faculdade de Medicina - <anastralen@gmail.com>
Coautor(es):
• Sábado Nicolau Girardi - Girardi, Sábado Nicolau - Universidade Federal de Minas Gerais - <sabadogirardi@gmail.com>
• Joana Natalia Cella - Cella, Joana Natalia - Universidade Federal de Minas Gerais Faculdade de Medicina - <joana.nc@gmail.com>
• Lucas Wan Der Maas - Maas, Lucas Wan Der - Universidade Federal de Minas Gerais Faculdade de Medicina - <lucaswander@hotmail.com>
• Cristiana Leite Carvalho - Carvalho, Cristiana Leite - Universidade Federal de Minas Gerais Faculdade de Medicina - <cristianalcarvalho@gmail.com>
• Erick Oliveira Faria - Faria, Erick Oliveira - Universidade Federal de Minas Gerais - <erickolifaria27@gmail.com>
Área Temática:
Não Categorizado
Resumo:
O Programa Mais Médicos foi implantado no Brasil com o objetivo de reduzir as desigualdades no acesso à Atenção Primária à Saúde (APS). Baseado em diversas evidências que apontavam para um cenário de profunda escassez de médicos no país, um dos seus eixos de ação foi a provisão emergencial desses profissionais em áreas vulneráveis, denominado de Projeto Mais Médicos para o Brasil (PMMB). O presente artigo analisa o impacto do PMMB na redução da escassez de médicos nos municípios brasileiros. Para tanto, lança mão do Índice de Escassez de Médicos em APS, o qual identifica e mensura a escassez nos períodos de março de 2013 e setembro de 2015, antes e depois da implantação do programa. Os resultados mostram que ocorreu um substantivo aumento na oferta de médicos em APS no período que contribuiu para reduzir o número de municípios com escassez de 1.200 para 777. Este impacto também contribuiu para reduzir as desigualdades entre os municípios, mas as iniquidades distributivas permaneceram. Foi verificado ainda que ocorreu uma redução na oferta regular de médicos feita pelos municípios, sugerindo uma substituição da mesma pela oferta do programa. Assim, permaneceu um quadro de insegurança assistencial em função da dependência dos municípios em relação ao provimento federal.
Palavras-chave:
Escassez de médicosPrograma Mais MédicosAtenção Primária à Saúde
Abstract:
The More Doctors Program was established in Brazil, with the goal to reduce inequalities in access to Primary Health Care. Based on various evidence pointing to a scenario of a deep shortage of physicians in the country, one of its action axes was the emergency provision of these professional in vulnerable areas, called Project More Doctors for Brazil. The present article analyzes the impact of the Project More Doctors for Brazil. in reducing physician shortage in Brazilian municipalities. For this, makes use of the Primary Health Care Physician Shortage Index, which identifies and measures the shortage in March 2013 and September 2015, before and after the implementation of the program. The results show that there was a substantial increase in the supply of primary health care physicians during this period, contributing to reduce the number of municipalities with shortage,1.200 to 777. This impact also contributed reducing inequalities between municipalities, but the distributional imbalances remain. It was also found that there was a reduction in regular physician supply made by municipalities, suggesting a replacement of this by the program supply. Thus, it remains a scenario of insecurity care, in function of the dependence of municipalities in relation to the federal provision of doctors.
Keywords:
Program More DoctorsPhysician ShortagePrimary Health Care
The impact of the Mais Médicos Program in the primary care physicians shortage scenario in Brazil.
Resumo (abstract):
The More Doctors Program was established in Brazil, with the goal to reduce inequalities in access to Primary Health Care. Based on various evidence pointing to a scenario of a deep shortage of physicians in the country, one of its action axes was the emergency provision of these professional in vulnerable areas, called Project More Doctors for Brazil. The present article analyzes the impact of the Project More Doctors for Brazil. in reducing physician shortage in Brazilian municipalities. For this, makes use of the Primary Health Care Physician Shortage Index, which identifies and measures the shortage in March 2013 and September 2015, before and after the implementation of the program. The results show that there was a substantial increase in the supply of primary health care physicians during this period, contributing to reduce the number of municipalities with shortage,1.200 to 777. This impact also contributed reducing inequalities between municipalities, but the distributional imbalances remain. It was also found that there was a reduction in regular physician supply made by municipalities, suggesting a replacement of this by the program supply. Thus, it remains a scenario of insecurity care, in function of the dependence of municipalities in relation to the federal provision of doctors.
Palavras-chave (keywords):
Program More DoctorsPhysician ShortagePrimary Health Care
van Stralen, Ana Cristina de Sousa, Girardi, Sábado Nicolau, Cella, Joana Natalia, Maas, Lucas Wan Der, Carvalho, Cristiana Leite, Faria, Erick Oliveira. Impacto do Programa Mais Médicos na redução da escassez de médicos em Atenção Primária à Saúde. Cien Saude Colet [periódico na internet] (2016/jun). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/impacto-do-programa-mais-medicos-na-reducao-da-escassez-de-medicos-em-atencao-primaria-a-saude/15716?id=15716&id=15716
