Nogueira Priscila Tamar Alves, Bezerra Adriana Falangola Benjamin, Leite Antonio Flaudiano Bem, Carvalho Islândia Maria de Sousa, Gonçalves Rogério Fabiano, Brito-Silva Keila Silene de
Departamento de Medicina Social, Centro de Ciências da Saúde, Universidade Federal de Pernambuco. Av. Professor Moraes Rego s/n, Cidade Universitária. 50670-420 Recife PE Brasil.
Núcleo de Saúde Coletiva, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco. Vitória de Santo Antão PE Brasil.
Cien Saude Colet. 2016 Sep;21(9):2889-98. doi: 10.1590/1413-81232015219.17022016.
Inequalities in access to health, reflecting shortages and inadequate geographical distribution of health professionals, have been indicated as a challenge for Brazil. This paper analyzes the geographical distribution of professionals of the Mais Médicos Program allocated in the Northeastern Region of Brazil, through a descriptive cross-sectional study. Secondary data provided by the Health Ministry were used, and thematic maps of distribution of doctors in the Region were prepared. Data on 4,716 doctors who became members of health teams in 1,294 municipalities in six Indigenous Health Districts in the years 2013 and 2014 were analyzed. The greater part of the municipalities of the Region received between one and five doctors. The municipalities most benefited had, at least, 20% of their population in extreme poverty. 99.9% of the doctors were allocated in a Health Center or Primary Healthcare Unit. The majority were women (57%), predominantly of the 45-49 age group (24%). In spite of the advances achieved by the Program - such as distribution of the doctors in locations with greater vulnerability - some States continue to have significant shortages of healthcare.
获得医疗服务方面的不平等，反映出卫生专业人员短缺和地理分布不均衡，这已被指出是巴西面临的一项挑战。本文通过描述性横断面研究，分析了分配到巴西东北部地区的“更多医生计划”专业人员的地理分布情况。使用了卫生部提供的二手数据，并绘制了该地区医生分布的专题地图。对2013年和2014年在六个土著卫生区的1294个市成为卫生团队成员的4716名医生的数据进行了分析。该地区大部分市获得了一至五名医生。受益最大的市至少有20%的人口处于极端贫困状态。99.9%的医生被分配到了卫生中心或初级卫生保健单位。大多数是女性（57%），主要是45 - 49岁年龄组（24%）。尽管该计划取得了进展——比如将医生分配到更脆弱地区——但一些州仍然存在严重的医疗短缺问题。
