| Literature DB >> 27653055 |
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.Entities:
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Year: 2016 PMID: 27653055 DOI: 10.1590/1413-81232015219.16052016
Source DB: PubMed Journal: Cien Saude Colet ISSN: 1413-8123