Literature DB >> 27653055

Emergency supply of doctors by the Mais Médicos (More Doctors) Program and the quality of the structure of primary health care facilities.

Ligia Giovanella1, Maria Helena Magalhães de Mendonça1, Marcia Cristina Rodrigues Fausto2, Patty Fidelis de Almeida3, Aylene Bousquat4, Juliana Gagno Lima5, Helena Seidl2, Cassiano Mendes Franco5, Edgard Rodrigues Fusaro6, Sueli Zeferino Ferreira Almeida7.   

Abstract

The health policy context in Brazil has featured a series of measures to improve primary health care (PHC), including a national access and quality improvement program (Programa Nacional de Melhoria do Acesso e Qualidade, PMAQ-AB) and the Mais Médicos Program (More Doctors, PMM) and upgrading PHC centers ('Requalifica UBS'). The paper examines the PMM's placement of doctors, by quality of PHC structure, in an endeavor to identify synergies among the three programs. It reports on a transverse study based on secondary data from PMAQ-AB Cycles 1 and 2, the PMM and 'Requalifica UBS'. The PHC facilities inventoried during PMAQ-AB Cycle 1 were classified, on pre-established typology, into five groups ranked from A (best) to E (failed). They were then compared in terms of PMM personnel allocated and Requalifica UBS proposals. The results point to convergences in investments by the three programs. Incentives targeted predominantly PHC facilities of types B and C, indicating a concentration of efforts on PHC facilities with potential for structural quality improvements. In addition to expanding access, the provision of doctors by the PMM, added to infrastructure upgrades and work process improvements, contributes to addressing high turnover and guaranteeing retention of doctors in PHC.

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Year:  2016        PMID: 27653055     DOI: 10.1590/1413-81232015219.16052016

Source DB:  PubMed          Journal:  Cien Saude Colet        ISSN: 1413-8123


  7 in total

1.  Cost of providing doctors in remote and vulnerable areas: Programa Mais Médicos in Brazil.

Authors:  Everton Nunes da Silva; Maíra Catharina Ramos; Wallace Santos; Davide Rasella; Aimê Oliveira; Leonor Maria Pacheco Santos
Journal:  Rev Panam Salud Publica       Date:  2018-05-04

2.  [Primary health care performance in Brazil and association with the More Doctors physician recruitment programCalidad de la atención primaria de salud en Brasil y relación con el Programa Más Médicos].

Authors:  Milena Rodrigues Agostinho Rech; Lisiane Hauser; Lucas Wollmann; Rudi Roman; Sotero Serrate Mengue; Elisandrea Sguario Kemper; Alexandre de Souza Ramos Florencio; Gerardo Alfaro; Renato Tasca; Erno Harzheim
Journal:  Rev Panam Salud Publica       Date:  2018-10-04

Review 3.  [Contributions of the Mais Médicos (More Doctors) physician recruitment program for health care in Brazil: an integrative reviewEl Programa Más Médicos y sus contribuciones a la salud en Brasil: revisión integrativa].

Authors:  José Jeová Mourão; Antonia Regynara Moreira Rodrigues; Otávia Cassimiro Aragão; Natália Frota Goyanna; Ana Egliny Sabino Cavalcante; Maria Aparecida Sousa Vasconcelos; Janice D'Ávila Rodrigues Mendes; Antonio Edie Brito Mourão
Journal:  Rev Panam Salud Publica       Date:  2018-03-30

4.  Different remote realities: health and the use of territory in Brazilian rural municipalities.

Authors:  Aylene Bousquat; Márcia Cristina Rodrigues Fausto; Patty Fidelis de Almeida; Juliana Gagno Lima; Helena Seidl; Amandia Braga Lima Sousa; Ligia Giovanella
Journal:  Rev Saude Publica       Date:  2022-08-08       Impact factor: 2.772

5.  Primary healthcare system performance in low-income and middle-income countries: a scoping review of the evidence from 2010 to 2017.

Authors:  Asaf Bitton; Jocelyn Fifield; Hannah Ratcliffe; Ami Karlage; Hong Wang; Jeremy H Veillard; Dan Schwarz; Lisa R Hirschhorn
Journal:  BMJ Glob Health       Date:  2019-08-16

6.  Evaluation of the primary care for chronic diseases in the high coverage context of the Family Health Strategy.

Authors:  Kelly Cristina Gomes Alves; Rafael Alves Guimarães; Marta Rovery de Souza; Otaliba Libânio de Morais Neto
Journal:  BMC Health Serv Res       Date:  2019-11-29       Impact factor: 2.655

7.  Pay for performance in primary care: the contribution of the Programme for Improving Access and Quality of Primary Care (PMAQ) on avoidable hospitalisations in Brazil, 2009-2018.

Authors:  Letícia Xander Russo; Timothy Powell-Jackson; Jorge Otavio Maia Barreto; Josephine Borghi; Roxanne Kovacs; Garibaldi Dantas Gurgel Junior; Luciano Bezerra Gomes; Juliana Sampaio; Helena Eri Shimizu; Allan Nuno Alves de Sousa; Adriana Falangola Benjamin Bezerra; Airton Tetelbom Stein; Everton Nunes Silva
Journal:  BMJ Glob Health       Date:  2021-07
  7 in total

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