Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Pós-Doutoranda em Odontologia em Saúde Coletiva. Piracicaba, SP, Brasil.
Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Programa de Pós-Graduação em Odontologia. Piracicaba, SP, Brasil.
Rev Saude Publica. 2020 Dec 16;54:148. doi: 10.11606/s1518-8787.2020054002156. eCollection 2020.
To estimate the flow of professionals and the financial impact of the Programa Mais Médicos para o Brasil (PMMB - More Doctors for Brazil Program) within the More Doctors Program (MDP) for the Brazilian Ministry of Health and the participating municipalities of the state of São Paulo, from January 2019 to March 2022.
A financial impact study was conducted in the state of São Paulo based on public secondary databases. The number of PMMB vacancies per municipality, of physicians and vulnerability profiles were described to measure the loss of replacement of professionals in the period.
In the specified period, the number of PMMB physicians in participating cities will decrease from 2,533 to 320, and the number of participating municipalities from 373 to 86. The municipalities that will need to replace the physicians will have a financial impact of R$ 929,487,904.77 (with sensitivity analysis, ranging from R$ 650,641,533.34 to R$ 1,208,334,276.20).
The change of vulnerability methodology adopted for the PMMB will represent serious consequences, that is, less population assistance and high financial impact for the municipalities of the state of São Paulo in a scenario of budget limitations.
估算 2019 年 1 月至 2022 年 3 月期间，巴西卫生部“更多医生计划”（MDP）和圣保罗州参与市的“Programa Mais Médicos para o Brasil（PMMB-更多医生给巴西计划）”中的专业人员流动情况及其对财务的影响。
在圣保罗州，基于公共二级数据库开展了一项财务影响研究。描述了每个市的 PMMB 空缺职位、医生数量和脆弱性特征，以衡量该期间专业人员流失的情况。
在指定期间，参与市的 PMMB 医生人数将从 2533 人减少到 320 人，参与市的数量将从 373 个减少到 86 个。需要替换医生的市将面临 929487904.77 雷亚尔的财务影响（经敏感性分析，范围为 650641533.34 至 1208334276.20 雷亚尔）。
为 PMMB 采用的脆弱性方法的变化将带来严重后果，即预算有限的情况下，圣保罗州的人口将获得更少的医疗服务，市的财务负担也将加重。
