Spatial distribution of the “Mais Médicos (More Doctors) Program” and social vulnerability: an analysis of the Brazilian metropolitan regions

Detalhes bibliográficos
Autor(a) principal: Oliveira, Aimê
Data de Publicação: 2020
Outros Autores: Barreto, Jorge Otávio Maia, Araújo, Sidclei Queiroga de, Santos, Leonor Maria Pacheco
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/45715
Resumo: MCTI/CNPq/CT- Saúde/MS/SCTIE/Decit No41/2013.
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spelling Oliveira, AimêBarreto, Jorge Otávio MaiaAraújo, Sidclei Queiroga deSantos, Leonor Maria Pacheco2021-01-15T14:14:07Z2021-01-15T14:14:07Z2020OLIVEIRA, Aimê et al. Spatial distribution of the “Mais Médicos (More Doctors) Program” and socialvulnerability: an analysis of the Brazilian metropolitan regions. Human Resources for Health, [London], v. 18, n. 57, p. 1-11, 2020.1478-4491https://www.arca.fiocruz.br/handle/icict/4571510.1186/s12960-020-00497-5MCTI/CNPq/CT- Saúde/MS/SCTIE/Decit No41/2013.University of Brasília. Brasilia, DF, Brazil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.University of Brasília. Brasilia, DF, Brazil.University of Brasília. Brasilia, DF, Brazil.Background: The “Mais Médicos (More Doctors) Program” established in 2013 by the Brazilian Government aimed to reduce inequalities by means of an emergency provision of physicians, the improvement of medical care service in the Brazilian Unified Health System, and the expansion of medical education training in Brazil. In this context, equity should be considered when defining priorities and allocating resources. This study describes the distribution of physicians for the Program in five Brazilian metropolitan regions (MRs) and analyses whether the most vulnerable areas within each one of these regions had been prioritized in compliance with the legislation framework of the program. Methods: This is a quantitative cross-sectional study. Official secondary data was analyzed to verify the relationship between the Index of Social Vulnerability, set up by the Institute of Applied Economic Research, and the physician allocation provided by the Program. The data were organized into categories and quintiles. For spatialization purposes, the QGIS 3.4 Madeira software was used. Results: There are 2592 primary health care units, (in Portuguese, UBS), within the five MRs studied; 981 of these hosted at least one physician from the Program. In the Manaus, Recife, and the DF MRs, the 4th and 5th quintiles (the most vulnerable ones) hosted physicians in more significant proportions than the other quintiles, namely, 71.4%, 71.4%, and 52.2%, respectively, exceeding the national average (51.7%). It is worth mentioning that in the São Paulo MR, the units located in the most vulnerable quintiles (4th and 5th) also hosted physicians in proportions significantly higher than others (45.8%); however, this proportion did not reach 50%. There was no significant difference in the allocation of physicians in the Porto Alegre MR, indicating that there was no prioritization of the UBS according to vulnerability. Conclusions: These results appoint to the enormous gaps of vulnerability existing both between the analyzed MRs and internally in each one of them. It emphasizes the need for criteria for the allocation of physicians so as not to increase inequities. It also highlights the importance of the continuity of the “Mais Médicos (More Doctors) Program” in the metropolitan regions, above all, in areas of extreme vulnerabilities. On the other hand, they contribute to the national debate about the importance of public policies regarding constitutional rights related to access to health care and the relevance of primary care and the “Mais Médicos (More Doctors) Program” for the reduction of disparities regarding access to health care, especially for the citizens who live in regions of greater vulnerability, whether it is inside or outside large metropolitan regions.engWorld Health OrganizationPublic HealthVulnerable PopulationsMedically Underserved AreaMedical AssistanceHealth EquityPublic healthEquityHealth vulnerabilityMore Doctors ProgramMais Médicos ProgramConsórcios de SaúdeSaúde PúblicaVulnerabilidade em SaúdeÁrea Carente de Assistência MédicaEquidade em SaúdeSpatial distribution of the “Mais Médicos (More Doctors) Program” and social vulnerability: an analysis of the Brazilian metropolitan regionsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.pt_BR.fl_str_mv Spatial distribution of the “Mais Médicos (More Doctors) Program” and social vulnerability: an analysis of the Brazilian metropolitan regions
title Spatial distribution of the “Mais Médicos (More Doctors) Program” and social vulnerability: an analysis of the Brazilian metropolitan regions
spellingShingle Spatial distribution of the “Mais Médicos (More Doctors) Program” and social vulnerability: an analysis of the Brazilian metropolitan regions
Oliveira, Aimê
Public Health
Vulnerable Populations
Medically Underserved Area
Medical Assistance
Health Equity
Public health
Equity
Health vulnerability
More Doctors Program
Mais Médicos Program
Consórcios de Saúde
Saúde Pública
Vulnerabilidade em Saúde
Área Carente de Assistência Médica
Equidade em Saúde
title_short Spatial distribution of the “Mais Médicos (More Doctors) Program” and social vulnerability: an analysis of the Brazilian metropolitan regions
title_full Spatial distribution of the “Mais Médicos (More Doctors) Program” and social vulnerability: an analysis of the Brazilian metropolitan regions
title_fullStr Spatial distribution of the “Mais Médicos (More Doctors) Program” and social vulnerability: an analysis of the Brazilian metropolitan regions
title_full_unstemmed Spatial distribution of the “Mais Médicos (More Doctors) Program” and social vulnerability: an analysis of the Brazilian metropolitan regions
title_sort Spatial distribution of the “Mais Médicos (More Doctors) Program” and social vulnerability: an analysis of the Brazilian metropolitan regions
author Oliveira, Aimê
author_facet Oliveira, Aimê
Barreto, Jorge Otávio Maia
Araújo, Sidclei Queiroga de
Santos, Leonor Maria Pacheco
author_role author
author2 Barreto, Jorge Otávio Maia
Araújo, Sidclei Queiroga de
Santos, Leonor Maria Pacheco
author2_role author
author
author
dc.contributor.author.fl_str_mv Oliveira, Aimê
Barreto, Jorge Otávio Maia
Araújo, Sidclei Queiroga de
Santos, Leonor Maria Pacheco
dc.subject.mesh.pt_BR.fl_str_mv Public Health
Vulnerable Populations
Medically Underserved Area
Medical Assistance
Health Equity
topic Public Health
Vulnerable Populations
Medically Underserved Area
Medical Assistance
Health Equity
Public health
Equity
Health vulnerability
More Doctors Program
Mais Médicos Program
Consórcios de Saúde
Saúde Pública
Vulnerabilidade em Saúde
Área Carente de Assistência Médica
Equidade em Saúde
dc.subject.en.pt_BR.fl_str_mv Public health
Equity
Health vulnerability
More Doctors Program
Mais Médicos Program
dc.subject.decs.pt_BR.fl_str_mv Consórcios de Saúde
Saúde Pública
Vulnerabilidade em Saúde
Área Carente de Assistência Médica
Equidade em Saúde
description MCTI/CNPq/CT- Saúde/MS/SCTIE/Decit No41/2013.
publishDate 2020
dc.date.issued.fl_str_mv 2020
dc.date.accessioned.fl_str_mv 2021-01-15T14:14:07Z
dc.date.available.fl_str_mv 2021-01-15T14:14:07Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv OLIVEIRA, Aimê et al. Spatial distribution of the “Mais Médicos (More Doctors) Program” and socialvulnerability: an analysis of the Brazilian metropolitan regions. Human Resources for Health, [London], v. 18, n. 57, p. 1-11, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/45715
dc.identifier.issn.pt_BR.fl_str_mv 1478-4491
dc.identifier.doi.none.fl_str_mv 10.1186/s12960-020-00497-5
identifier_str_mv OLIVEIRA, Aimê et al. Spatial distribution of the “Mais Médicos (More Doctors) Program” and socialvulnerability: an analysis of the Brazilian metropolitan regions. Human Resources for Health, [London], v. 18, n. 57, p. 1-11, 2020.
1478-4491
10.1186/s12960-020-00497-5
url https://www.arca.fiocruz.br/handle/icict/45715
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv World Health Organization
publisher.none.fl_str_mv World Health Organization
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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