MORE MEDICAL PROGRAM: FROM PROGRAMMATIC LOGIC TO INSTITUTIONAL IMPLEMENTATION ARRANGEMENTS

• Autor(a) principal: Mau, Gabrielle Fontes
• Data de Publicação: 2023
• Outros Autores: Ferreira, Marco Aurelio Marques, Ferreira, Daiane Medeiros Roque
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Hygeia (Uberlândia)
• Texto Completo: https://seer.ufu.br/index.php/hygeia/article/view/68452
• topic: Programa Mais Médicos; Arranjos Institucionais; Teoria do Programa; More Doctors Program; Institutional Arrangements; Program Theory

Among the actions adopted to strengthen primary health care, the More Doctors Program (PMM) stands out, which is an intersectoral initiative and includes a series of measures to strengthen and consolidate Primary Health Care. However, the expectation of efficiency and good performance of the PMM rests on the success of its programmatic implementation. Thus, this study aims to understand what the PPM is like in its theoretical-pragmatic conception and to analyze its implementation at the local level, from the perspective of institutional arrangements. For this, a documentary analysis was carried out to rescue the PMM theory, together with semi-structured interviews with the actors responsible for the Program at the local level, aiming to understand its execution. Based on the analyzes carried out in relation to the emergency provision, it was noticed that the PMM, being a central-level policy, is implemented according to its theory, but reveals a lack of local autonomy to adapt it to local needs. The results reveal a top-down policy, which has, among its main side effects, limitations in the communication process, especially in the policy implementation phase. This exposes the supporting role of the local administration, limiting it in the organization of the health professional's relationship with local needs.