Kemper Elisandréa Sguario, Mendonça Ana Valeria Machado, Sousa Maria Fátima de
Organização Pan-Americana da Saúde (OPAS/OMS). Setor de Embaixadas Norte, lote 19. 70800-400 Brasília DF Brasil.
Cien Saude Colet. 2016 Sep;21(9):2785-96. doi: 10.1590/1413-81232015219.17842016.
Despite the progress achieved by the Primary Health Care and Family Health Strategy in the Unified Health System (SUS) challenges still remain with regard to the universality of access and the quality of services, one of the factors being the unequal distribution of physicians. The Brazilian Government established the Mais Médicos Program (More Doctors Program), in order to move forward in the provision, placement and training of physicians in the SUS. This study consists of a review of the literature of the Mais Médicos Program, in order to map and assess the scientific production on the Program, as well as summarize the findings and present the results of the analysis. Fifty-four publications were selected, which evaluate the Program in terms of effectiveness, analysis of the implementation process, the media and the statements of the actors and assessment of the legal and constitutional precepts. The criticisms and limitations found were also systematically analyzed. With respect to the analysis, evaluations of the Program are overwhelmingly positive, showing important changes in the work processes in services and training. The studies that show the Program as being an important instrument for the effective implementation of the right to health are highlighted.
尽管初级卫生保健和家庭健康战略在统一卫生系统（SUS）中取得了进展，但在获得医疗服务的普遍性和服务质量方面仍然存在挑战，其中一个因素是医生分布不均。巴西政府设立了“更多医生计划”，以便在统一卫生系统中推进医生的提供、安置和培训工作。本研究包括对“更多医生计划”的文献综述，以便梳理和评估关于该计划的科研成果，总结研究结果并呈现分析结果。我们挑选了54篇出版物，这些出版物从有效性、实施过程分析、媒体及行动者的言论以及法律和宪法准则评估等方面对该计划进行了评价。我们还系统分析了所发现的批评意见和局限性。关于分析结果，对该计划的评价绝大多数是积极的，表明服务和培训工作流程发生了重要变化。突出显示了那些将该计划视为有效落实健康权的重要工具的研究。
