0373/2016 - O Programa Mais Médicos: provimento de médicos em municípios brasileiros prioritários entre 2013 e 2014 The Program Mais Médicos: provision of doctors in priority municipalities in Brazil2013 to 2014
• João Paulo Alves Oliveira - Oliveira, João Paulo Alves - Brasília, Distrito Federal - Universidade de Brasília, Departamento de Saúde Coletiva - <joaopaulo.aoliveira@gmail.com>
O provimento e a distribuição inadequada de profissionais de saúde, sobretudo em áreas remotas e rurais, são problemas que ocorrem em diversos países. O Programa Mais Médicos tem como objetivos a diminuição da carência de médicos e a redução das desigualdades regionais em saúde. Apresenta-se estudo descritivo sobre a alocação de médicos entre 2013 e 2014, empregando o banco de dados do Ministério da Saúde. Houve o provimento de 14.168 médicos nos 3.785 municípios que aderiram: 2.377 (62,8%) atendiam aos critérios de prioridade e/ou vulnerabilidade e receberam 77,7% dos médicos; 1.408 municípios (37,2%), que receberam 22,3% dos médicos, não correspondiam às prioridades estabelecidas. Apresentam-se evidências da redução da carência de médicos, sobretudo nas regiões Norte e Nordeste. Nestas áreas residem cerca de 36% da população brasileira e houve a alocação 46,3% dos médicos. Contudo, questiona-se a introdução de um perfil de elegibilidade (“demais localidades”) que possibilitou alocar 3.166 médicos em 1.408 municípios não prioritários. Conclui-se que este fato pode ter comprometido a capacidade de o Programa Mais Médicos atingir plenamente seus objetivos como política pública que visa a redução das desigualdades regionais no acesso à atenção básica em saúde. Outros estudos são necessários para avaliar o impacto gerado pela implementação do Programa Mais Médicos.
Palavras-chave:
Programa Mais MédicosRecursos Humanos em SaúdeAvaliação em Saúde
Abstract:
The provision and inadequate distribution of health professionals, especially in remote and rural areas, are problems that occur in several countries. The “Mais Médicos Program” (More Doctors Program) has the goals of reducing the shortage of doctors and diminishing regional inequalities in health. We present a descriptive study on the allocation of physicians between 2013 and 2014, using the Ministry of Health database. There was the provision of 14,168 doctors to the 3,785 municipalities that adhered: 2,377 (62.8%) met the priority and/or vulnerability criteria and received 77.7% of physicians; 1,408 (37.2%), which received 22.3% of the doctors, did not meet the established priorities. This study presents evidence of the reduction in the shortage of doctors, mainly in the North and Northeast. In these regions lie about 36% of the Brazilian population and 46.3% of the doctors were allocated there. However, we question the introduction of an eligibility profile (“other localities”) which made it possible to allocate 3,166 doctors in 1,408 non-priority municipalities. We conclude that this fact may have hindered the ability of the Program Mais Médicos to fully achieve its objectives as a public policy aimed at reducing regional inequities of access to primary health care. Other studies are necessary to evaluate the impact of “Mais Medicos Program” implementation.
Keywords:
More Medical ProjectHealth workforceHealth Evaluation
The Program Mais Médicos: provision of doctors in priority municipalities in Brazil2013 to 2014
Resumo (abstract):
The provision and inadequate distribution of health professionals, especially in remote and rural areas, are problems that occur in several countries. The “Mais Médicos Program” (More Doctors Program) has the goals of reducing the shortage of doctors and diminishing regional inequalities in health. We present a descriptive study on the allocation of physicians between 2013 and 2014, using the Ministry of Health database. There was the provision of 14,168 doctors to the 3,785 municipalities that adhered: 2,377 (62.8%) met the priority and/or vulnerability criteria and received 77.7% of physicians; 1,408 (37.2%), which received 22.3% of the doctors, did not meet the established priorities. This study presents evidence of the reduction in the shortage of doctors, mainly in the North and Northeast. In these regions lie about 36% of the Brazilian population and 46.3% of the doctors were allocated there. However, we question the introduction of an eligibility profile (“other localities”) which made it possible to allocate 3,166 doctors in 1,408 non-priority municipalities. We conclude that this fact may have hindered the ability of the Program Mais Médicos to fully achieve its objectives as a public policy aimed at reducing regional inequities of access to primary health care. Other studies are necessary to evaluate the impact of “Mais Medicos Program” implementation.
Palavras-chave (keywords):
More Medical ProjectHealth workforceHealth Evaluation
Oliveira, João Paulo Alves, Santos, L. M. P, Sanchez, M.N. O Programa Mais Médicos: provimento de médicos em municípios brasileiros prioritários entre 2013 e 2014. Cien Saude Colet [periódico na internet] (2016/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/o-programa-mais-medicos-provimento-de-medicos-em-municipios-brasileiros-prioritarios-entre-2013-e-2014/15799?id=15799
