Provision of physicians in primary health care in the state of Paraíba, Brazil, according to the More Doctors’ Program

Detalhes bibliográficos
Autor(a) principal: Leitão, Maria Helena de Azevedo
Data de Publicação: 2022
Outros Autores: Silva, Maria Vanessa Dias da, Bento, Aguyda Naiara de Lima Pereira, Sampaio, Aletheia Soares, Vasconcelos, Ana Lucia Ribeiro de, Oliveira, Sydia Rosana de Araujo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/730
Resumo: The provision of physicians has been the object of international discussions for decades, and the same is true for Brazil, where there is a situation of shortage and bad distribution of physicians. The present research had the aim of describing the profile of the physicians included in the ‘More Doctors’ Program (Programa Mais Médicos, in Portuguese). It is a quantitative, cross-sectional, descriptive study, followed by a case study with information from 272 questionnaires. The data were analyzed using the SPSS statistical software, version 22.0. The average age of the interviewees was 38.2 years, and 50.7% of them were female, 11% were in their first jobs, 51.1% had graduated between 1 and 5 years prior to the study, and 85% reported having experience working in primary health care. We observed that, with the implementation of the ‘More Doctors’ Program in the state of Paraíba, Northeastern Brazil, there was a change not only in the amount of doctors, but also in the number of job posts, in the number of physicians who go work on the countryside, and in the redistribution of these professionals. However, the results indicate that there still are 22 municipalities in Paraíba without physicians, and that 85.3% of the physicians included in the Program still did not have a specialist title. The conditions of access and the quality of the services provided still constitute a great challenge yet to be overcome.
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spelling Provision of physicians in primary health care in the state of Paraíba, Brazil, according to the More Doctors’ ProgramProveimiento de médicos en la atención primaria de salud en el estado de Paraíba, Brasil, según el Programa Más MédicosProvimento médico na atenção primária à saúde no estado da Paraíba por meio do Programa Mais Médicosatenção primária à saúdemédicos de atenção primáriasaúde públicapolítica de saúdeárea carente de assistência médicaprimary health careprimary health care physicianspublic healthhealth policyarea in need of medical careatención primaria en saludmédicos de la atención primariasalud públicapolítica de saludárea carente de asistencia médicaThe provision of physicians has been the object of international discussions for decades, and the same is true for Brazil, where there is a situation of shortage and bad distribution of physicians. The present research had the aim of describing the profile of the physicians included in the ‘More Doctors’ Program (Programa Mais Médicos, in Portuguese). It is a quantitative, cross-sectional, descriptive study, followed by a case study with information from 272 questionnaires. The data were analyzed using the SPSS statistical software, version 22.0. The average age of the interviewees was 38.2 years, and 50.7% of them were female, 11% were in their first jobs, 51.1% had graduated between 1 and 5 years prior to the study, and 85% reported having experience working in primary health care. We observed that, with the implementation of the ‘More Doctors’ Program in the state of Paraíba, Northeastern Brazil, there was a change not only in the amount of doctors, but also in the number of job posts, in the number of physicians who go work on the countryside, and in the redistribution of these professionals. However, the results indicate that there still are 22 municipalities in Paraíba without physicians, and that 85.3% of the physicians included in the Program still did not have a specialist title. The conditions of access and the quality of the services provided still constitute a great challenge yet to be overcome.Hace décadas que se discute internacionalmente el proveimiento de médicos, y la situación no es distinta en Brasil, donde hay un escenario de déficit y mala distribución de médicos. Esta investigación tuvo el objetivo de describir el perfil de los médicos integrantes del Programa “Más Médicos”. Se trata de un estudio cuantitativo del tipo transversal, descriptivo, seguido de estudio de caso con informaciones de 272 cuestionarios. Los datos fueron analizados con el programa estadístico SPSS, versión 22.0. La edad media de los entrevistados fue de 38,2 años, y 50,7% era del sexo femenino, 11% estaban en su primer empleo, 51,1% tenían entre 1 y 5 años de egresados, y 85% afirmaron tener experiencia de trabajo en la atención primaria. Se observó que, con la implantación del Programa en Paraíba, hubo un cambio no sólo en la cantidad de médicos, sino que también en el número de puestos de trabajo, en la interiorización, y en la redistribución de estos profesionales. Sin embargo, los resultados indican que todavía hay 22 municipios de Paraíba sin médico, y 85,3% de los médicos integrantes del Programa aún no tenían el título de especialista. Las condiciones de acceso y la calidad de los servicios prestados aún son un gran reto por superar.A provisão médica tem sido fruto de debates internacionais há décadas, inclusive no Brasil, onde há um cenário de déficit e má distribuição de médicos. Esta pesquisa objetivou descrever o perfil dos médicos inseridos no Programa Mais Médicos a fim de avaliar a qualidade do provimento médico. Trata-se de um estudo quantitativo do tipo transversal, descritivo, seguido de estudo de caso baseado em informações de 272 questionários, no período de 2015 e 2016.Os dados foram analisados com o programa estatístico IBM SPSS v.22.0. A idade média dos entrevistados foi de 38,2 anos, sendo 50,7% do sexo feminino, 11% estavam no primeiro emprego, 51,1% tinham entre 1 e 5 anos de formado e 85% disseram ter experiência de trabalho na Atenção Primária à Saúde. Observou-se que, com a implantação do Programa na Paraíba, houve uma mudança não apenas no quantitativo de médicos, como também no número de postos de trabalho, na interiorização e redistribuição desses profissionais. Todavia, há 22 municípios paraibanos sem médico, e 85,3% dos médicos inseridos no Programa sem título de especialista. Denota-se que as condições de acesso e a qualidade dos serviços prestados constituem um grande desafio a ser superado, com fundamental participação reguladora do Estado.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-06-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/73010.1590/1981-7746-sol00287Trabalho, Educação e Saúde; v. 18 n. 2 (2020)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/730/75Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLeitão, Maria Helena de Azevedo Silva, Maria Vanessa Dias da Bento, Aguyda Naiara de Lima Pereira Sampaio, Aletheia Soares Vasconcelos, Ana Lucia Ribeiro de Oliveira, Sydia Rosana de Araujo 2022-06-09T16:18:10Zoai:ojs.pkp.sfu.ca:article/730Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:00:49.061816Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Provision of physicians in primary health care in the state of Paraíba, Brazil, according to the More Doctors’ Program
Proveimiento de médicos en la atención primaria de salud en el estado de Paraíba, Brasil, según el Programa Más Médicos
Provimento médico na atenção primária à saúde no estado da Paraíba por meio do Programa Mais Médicos
title Provision of physicians in primary health care in the state of Paraíba, Brazil, according to the More Doctors’ Program
spellingShingle Provision of physicians in primary health care in the state of Paraíba, Brazil, according to the More Doctors’ Program
Leitão, Maria Helena de Azevedo
atenção primária à saúde
médicos de atenção primária
saúde pública
política de saúde
área carente de assistência médica
primary health care
primary health care physicians
public health
health policy
area in need of medical care
atención primaria en salud
médicos de la atención primaria
salud pública
política de salud
área carente de asistencia médica
title_short Provision of physicians in primary health care in the state of Paraíba, Brazil, according to the More Doctors’ Program
title_full Provision of physicians in primary health care in the state of Paraíba, Brazil, according to the More Doctors’ Program
title_fullStr Provision of physicians in primary health care in the state of Paraíba, Brazil, according to the More Doctors’ Program
title_full_unstemmed Provision of physicians in primary health care in the state of Paraíba, Brazil, according to the More Doctors’ Program
title_sort Provision of physicians in primary health care in the state of Paraíba, Brazil, according to the More Doctors’ Program
author Leitão, Maria Helena de Azevedo
author_facet Leitão, Maria Helena de Azevedo
Silva, Maria Vanessa Dias da
Bento, Aguyda Naiara de Lima Pereira
Sampaio, Aletheia Soares
Vasconcelos, Ana Lucia Ribeiro de
Oliveira, Sydia Rosana de Araujo
author_role author
author2 Silva, Maria Vanessa Dias da
Bento, Aguyda Naiara de Lima Pereira
Sampaio, Aletheia Soares
Vasconcelos, Ana Lucia Ribeiro de
Oliveira, Sydia Rosana de Araujo
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Leitão, Maria Helena de Azevedo
Silva, Maria Vanessa Dias da
Bento, Aguyda Naiara de Lima Pereira
Sampaio, Aletheia Soares
Vasconcelos, Ana Lucia Ribeiro de
Oliveira, Sydia Rosana de Araujo
dc.subject.por.fl_str_mv atenção primária à saúde
médicos de atenção primária
saúde pública
política de saúde
área carente de assistência médica
primary health care
primary health care physicians
public health
health policy
area in need of medical care
atención primaria en salud
médicos de la atención primaria
salud pública
política de salud
área carente de asistencia médica
topic atenção primária à saúde
médicos de atenção primária
saúde pública
política de saúde
área carente de assistência médica
primary health care
primary health care physicians
public health
health policy
area in need of medical care
atención primaria en salud
médicos de la atención primaria
salud pública
política de salud
área carente de asistencia médica
description The provision of physicians has been the object of international discussions for decades, and the same is true for Brazil, where there is a situation of shortage and bad distribution of physicians. The present research had the aim of describing the profile of the physicians included in the ‘More Doctors’ Program (Programa Mais Médicos, in Portuguese). It is a quantitative, cross-sectional, descriptive study, followed by a case study with information from 272 questionnaires. The data were analyzed using the SPSS statistical software, version 22.0. The average age of the interviewees was 38.2 years, and 50.7% of them were female, 11% were in their first jobs, 51.1% had graduated between 1 and 5 years prior to the study, and 85% reported having experience working in primary health care. We observed that, with the implementation of the ‘More Doctors’ Program in the state of Paraíba, Northeastern Brazil, there was a change not only in the amount of doctors, but also in the number of job posts, in the number of physicians who go work on the countryside, and in the redistribution of these professionals. However, the results indicate that there still are 22 municipalities in Paraíba without physicians, and that 85.3% of the physicians included in the Program still did not have a specialist title. The conditions of access and the quality of the services provided still constitute a great challenge yet to be overcome.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-07
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/730
10.1590/1981-7746-sol00287
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/730
identifier_str_mv 10.1590/1981-7746-sol00287
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/730/75
dc.rights.driver.fl_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 18 n. 2 (2020)
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
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