Santos Leonor Maria Pacheco, Costa Ana Maria, Girardi Sábado Nicolau
Departamento de Saúde Coletiva, Universidade de Brasília, Brasília, DF, Brasil,
Escola Superior de Ciências da Saúde do Distrito Federal, DF, Brasil.
Cien Saude Colet. 2015 Nov;20(11):3547-52. doi: 10.1590/1413-812320152011.07252015.
The Program More Doctors (Programa Mais Médicos) aims to decrease the shortage of physicians and reduce the regional health disparities and involves three main strategies: i) more places and new Medical Courses based on the revised Curriculum Guidelines; ii) investments in the (re)construction of Primary Healthcare Units; iii) provision of Brazilian and foreign medical doctors. Until July 2014, the Program made the provision of 14,462 physicians to 3,785 municipalities with vulnerable areas. Evidence indicates a 53% reduction in the number of municipalities with physicians' shortage; in the North, 91% of the municipalities with physicians' shortage have been provisioned, with almost five physicians per municipality, on average. The professionals' integration in the Family Health Teams has strengthened and expanded the capacity of intervention, particularly in the context of adopting a healthcare model that encompasses different demands of health promotion, prevention, diagnosis and treatment of diseases and disorders, to face the challenge of the double burden of disease. The population is affected by obesity and non-communicable chronic diseases, alongside with infection, parasitic diseases and malnutrition remaining. The people of cities, rural areas and forests want more doctors, health perspectives and more social justice.
“更多医生计划”旨在减少医生短缺现象,缩小地区医疗差距,主要包括三项策略:其一,根据修订后的课程指南增设更多学习名额并开设新的医学课程;其二,投资(重新)建设基层医疗单位;其三,配备巴西和外国医生。截至2014年7月,该计划已为3785个存在薄弱地区的市镇配备了14462名医生。有证据表明,医生短缺的市镇数量减少了53%;在北部地区,91%存在医生短缺的市镇已配备了医生,平均每个市镇约有5名医生。专业人员融入家庭健康团队,增强并扩大了干预能力,尤其是在采用涵盖健康促进、疾病预防、诊断和治疗等不同需求的医疗模式的背景下,以应对疾病双重负担的挑战。该地区人口受到肥胖和非传染性慢性病的影响,同时感染、寄生虫病和营养不良问题依然存在。城市、农村和林区的人们都希望有更多医生、更好的医疗前景以及更多的社会公平。