Oliveira João Paulo Alves, Sanchez Mauro Niskier, Santos Leonor Maria Pacheco
Departamento de Saúde Coletiva, Universidade de Brasília. Campus Universitário Darcy Ribeiro, Asa Norte. 70910-900 Brasília DF Brasil.
Cien Saude Colet. 2016 Sep;21(9):2719-27. doi: 10.1590/1413-81232015219.17702016.
The inadequate placement and distribution of health professionals are problems that occur in various countries. The scope of the "Programa Mais Médicos" (More Doctors Program) was to reduce the shortfall of physicians and diminish regional inequalities in health. A descriptive study on the placement of physicians between 2013 and 2014 using the Ministry of Health database is presented. There was an allocation of 14,168 physicians to the 3,785 municipalities that signed up to the program: 2,377 met the priority and/or vulnerability criteria and received 77.7% of the physicians; 1,408 received 22.3% of the physicians, but did not meet the established priorities. This study reveals the reduction in the lack of physicians, mainly in the North and Northeast. These regions account for 36% of the Brazilian population and 46.3% of the physicians were allocated there. However, the introduction of an eligibility profile, which allocated 3,166 physicians in 1,408 non-priority municipalities is questionable. The conclusion drawn is that this may have hindered the ability of the Mais Médicos Program to fully achieve its objectives as a public policy aimed at reducing regional inequalities of access to primary healthcare. Further studies are necessary to evaluate the impact of the Mais Médicos Program.
卫生专业人员配置不当和分布不均是各国都存在的问题。“更多医生计划”的目标是减少医生短缺并缩小地区间的卫生差距。本文呈现了一项利用卫生部数据库对2013年至2014年期间医生配置情况进行的描述性研究。共有14168名医生被分配到3785个报名参加该计划的市:其中2377个市符合优先或脆弱性标准,获得了77.7%的医生;1408个市获得了22.3%的医生,但不符合既定的优先标准。该研究表明医生短缺情况有所缓解,主要体现在北部和东北部地区。这些地区占巴西人口的36%,有46.3%的医生被分配到那里。然而,引入一项资格标准,将3166名医生分配到1408个非优先市,这一做法值得质疑。得出的结论是,这可能阻碍了“更多医生计划”作为一项旨在减少初级医疗保健获取方面地区不平等的公共政策充分实现其目标。有必要开展进一步研究以评估“更多医生计划”的影响。