Emergency supply of doctors by the Mais Medicos

• Published in: Ciência & saude coletiva Vol. 21; no. 9; pp. 2697 - 2708
• Main Authors: Giovanella, Ligia, de Mendonca, Maria Helena Magalhaes, Fausto, Marcia Cristina Rodrigues, de Almeida, Patty Fidelis, Bousquat, Aylene, Lima, Juliana Gagno, Seidl, Helena, Franco, Cassiano Mendes, Fusaro, Edgard Rodrigues, Almeida, Sueli Zeferino Ferreira
• Format: Journal Article
• Language: English
• Published: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO 01.09.2016
• Subjects: Brasil
• ISSN: 1413-8123; 1678-4561
• DOI: 10.1590/1413-81232015219.16052016

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 Medicos 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.