Kemper Elisandréa Sguario, Tasca Renato, Harzheim Erno, Jiménez Julio M Suárez, Hadad Jorge, de Sousa Maria Fátima
Organização Pan-Americana da Saúde (OPAS)/Organização Mundial da Saúde (OMS), Brasília (DF), Brasil.
Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Porto Alegre (RS), Brasil.
Rev Panam Salud Publica. 2018 Feb 16;42:e1. doi: 10.26633/RPSP.2018.1. eCollection 2018.
Universal health coverage can be understood as a goal encompassing a series of structural measures that allow health care systems to enhance access to health care. Primary health care (PHC) should be seen as an essential component of this process, in charge of re-organizing services according to the health needs of the population. A Brazilian physician recruitment program, (More Doctors), has introduced a set of measures that strengthen PHC. Based on a conceptual review of universal health coverage and on an analysis of the More Doctor Program from the perspective of the results obtained in terms of strengthening PHC in the public Unified Health System (SUS), the aim of the present article was to discuss the potential contribution of the More Physicians Program to the progress towards universal coverage in the SUS. It is concluded that the More Doctors Programs is a driver of universal coverage in the public health care system in Brazil.
全民健康覆盖可被理解为一个包含一系列结构性措施的目标,这些措施使医疗保健系统能够增加获得医疗保健的机会。初级卫生保健(PHC)应被视为这一进程的重要组成部分,负责根据民众的健康需求重新组织服务。巴西的一项医生招聘计划(“更多医生”)引入了一系列加强初级卫生保健的措施。基于对全民健康覆盖的概念性审查,并从在公共统一卫生系统(SUS)中加强初级卫生保健所取得的成果角度分析“更多医生”计划,本文旨在探讨“更多医生”计划对SUS在全民覆盖方面取得进展的潜在贡献。得出的结论是,“更多医生”计划是巴西公共卫生保健系统全民覆盖的推动因素。