Effectiveness evaluation of Program “More Physicians” through tracer conditions in Pernambuco, 2011 to 2016

• Autor(a) principal: Araújo, Ingrid Lilianne de Almeida
• Data de Publicação: 2022
• Outros Autores: Cerqueira, Gabriella da Conceição, Sales, Mozart Júlio Tabosa, Vidal, Suely Arruda
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2787
• topic: Efetividade; Consórcios de Saúde; Atenção Primária à Saúde; Diabetes Mellitus; Hipertensão.; Effectiveness; Health Consortia; Primary Health Care; Diabetes Mellitus; Hypertension.; Efectividad; Consorcios de Salud; Atención Primaria de Salud; Diabetes Mellitus; Hipertensión.

Introduction: The More Physicians Program was created with the purpose of providing professionals to the most vulnerable regions, considering that physicians in Primary Care acts on demands such as health promotion and surveillance, prevention, diagnosis and treatment of diseases. Objective: This study evaluated the effectiveness of the More Physicians Program in Pernambuco using hospitalization and death by arterial hypertension (AH) and Diabetes Mellitus (DM) as tracer conditions. Methods: Cross-sectional study carried out before and after the Program from 2011 to 2013 and from 2014 to 2016. Data were obtained from the Hospital Information System of the Unified Health System (SIH/SUS), at the Department of Informatics of SUS (DATASUS), considering the state as a whole and its regions. Results: The number of hospitalizations was reduced in the state, 27% for AH and 26% for DM. There was a 58% decrease in admissions due to AH in the Sertão, being greater if due to urgency. Deaths from AH declined in almost all regions, with a drop of 41% in Pernambuco; except for Recife’s Metropolitan Region, where the percentage actually increased. As for DM, hospital admissions decreased compared to AH, with an increase in admissions due to urgencies in Zona da Mata and Sertão do San Francisco. Deaths from DM showed a downward trend in all regions, totaling 42% in the State.  Conclusion: The Program was proven effective in reducing hospital admissions and deaths from AH and DM in Pernambuco, featuring as an important strategy to strengthen Primary Health Care, especially to reduce complications in sensitive conditions. The need for medical professional to expand care is highlighted, mainly in more vulnerable regions where there is a lack of physicians.