Implementation of the Mais Médicos Project until 2021 and comparison with the Médicos Pelo Brasil Program: an overview

• Autor(a) principal: Pinto, Hêider
• Data de Publicação: 2022
• Outros Autores: Oliveira, Felipe Proenço de, Soares, Ricardo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Baiana de Saúde Pública (Online)
• Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3616
• topic: Recursos humanos em saúde; Educação médica; Política pública; Recursos humanos en salud; Educación médica; Política pública; Human resources in health; Medical education; Public policy

This paper evaluates the Mais Médicos Program (PMM) in its three axes from 2013 to 2021, analyzing how collective social actors influenced its implementation and (re)formulation processes, and normatively compares the PMM with the Médicos pelo Brasil Program (PMPB). BaseD on theoretical resources from policy implementation studies, historical neo-institutionalism and the theory of gradual institutional change, this case study analyzes documents, bibliography, secondary data, and semi-structured interviews with leaders of national regulatory, training, and provision policies. Focused on the implementation process characteristics, on institutional continuities and changes, and on the distribution of resources, the political context and the position and action of relevant collective actors, the text describes and analyzes the PMM implementation in each of its three axes – infrastructure, training and provision –, demonstrating that it can be divided into four phases: initial accelerated implementation, sustained implementation, partially blocked implementation and residual implementation. It contributes to an in-depth understanding of what has changed and the reasons for such change, as well as to provoke reflection on the sustainability of policies that seek to address shortcomings in medical supply and education, even against the hegemony of medical entities.