Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast Brazil
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100299 |
Resumo: | ABSTRACT OBJECTIVE To evaluate the influence of the Mais Médicos (More Doctors) Program on the performance of primary health care by quantifying health services access and use in Northeast Brazil, based on the population size of the municipalities, on the financial investment in health, and on the number of physicians in the family health teams. METHOD Evaluative research of quantitative nature. Access was evaluated by the population coverage ratio of the Family Health Strategy and use of health services, which were measured by medical appointments conducted between April 2013 and September 2015. We defined processes for database selection, adjustment, and validation, including explanatory variables for a sample of 896 municipalities. The analysis was based on the time periods before and after the implementation of the program. The Wilcoxon signed-rank test and non-parametric alternatives constituted statistical tests in the comparative analysis of the data. RESULTS A 19.2% increase was observed in the number of medical appointments between the first six months and the final six months of the data series. In this period, the median appointments in municipalities with up to 5,000 inhabitants increased from 701.0 to 768.0; while in those with more than 100,000 inhabitants it decreased from 285.5 to 280.0 (p < 0.05). Between April 2013 and September 2015, the median coverage ratio of the family health teams increased from 89.2% to 95.3%, approaching 100% in the municipalities with up to 20,000 inhabitants. CONCLUSIONS The study highlights the expansion of access and use of primary health care services in the northeast region after the implementation of the Mais Médicos (More Doctors) Program. Between April 2013 and September 2015, the coverage of family health teams and the production of medical appointments increased, constituting important achievements for SUS. |
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Revista de Saúde Pública |
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Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast BrazilDistribution of PhysiciansAccess to Health ServicesHealth Plans and ProgramsAllocation of Resources for Health CarePrimary Health CareABSTRACT OBJECTIVE To evaluate the influence of the Mais Médicos (More Doctors) Program on the performance of primary health care by quantifying health services access and use in Northeast Brazil, based on the population size of the municipalities, on the financial investment in health, and on the number of physicians in the family health teams. METHOD Evaluative research of quantitative nature. Access was evaluated by the population coverage ratio of the Family Health Strategy and use of health services, which were measured by medical appointments conducted between April 2013 and September 2015. We defined processes for database selection, adjustment, and validation, including explanatory variables for a sample of 896 municipalities. The analysis was based on the time periods before and after the implementation of the program. The Wilcoxon signed-rank test and non-parametric alternatives constituted statistical tests in the comparative analysis of the data. RESULTS A 19.2% increase was observed in the number of medical appointments between the first six months and the final six months of the data series. In this period, the median appointments in municipalities with up to 5,000 inhabitants increased from 701.0 to 768.0; while in those with more than 100,000 inhabitants it decreased from 285.5 to 280.0 (p < 0.05). Between April 2013 and September 2015, the median coverage ratio of the family health teams increased from 89.2% to 95.3%, approaching 100% in the municipalities with up to 20,000 inhabitants. CONCLUSIONS The study highlights the expansion of access and use of primary health care services in the northeast region after the implementation of the Mais Médicos (More Doctors) Program. Between April 2013 and September 2015, the coverage of family health teams and the production of medical appointments increased, constituting important achievements for SUS.Faculdade de Saúde Pública da Universidade de São Paulo2019-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100299Revista de Saúde Pública v.53 2019reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2019053001571info:eu-repo/semantics/openAccessGonçalves,Rogério FabianoBezerra,Adriana Falangola BenjaminTanaka,Oswaldo Y.Santos,Carlos Renato dosSilva,Keila Silene de Brito eSousa,Islândia Maria Carvalho deeng2019-12-04T00:00:00Zoai:scielo:S0034-89102019000100299Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-12-04T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast Brazil |
title |
Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast Brazil |
spellingShingle |
Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast Brazil Gonçalves,Rogério Fabiano Distribution of Physicians Access to Health Services Health Plans and Programs Allocation of Resources for Health Care Primary Health Care |
title_short |
Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast Brazil |
title_full |
Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast Brazil |
title_fullStr |
Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast Brazil |
title_full_unstemmed |
Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast Brazil |
title_sort |
Influence of the Mais Médicos (More Doctors) Program on health services access and use in Northeast Brazil |
author |
Gonçalves,Rogério Fabiano |
author_facet |
Gonçalves,Rogério Fabiano Bezerra,Adriana Falangola Benjamin Tanaka,Oswaldo Y. Santos,Carlos Renato dos Silva,Keila Silene de Brito e Sousa,Islândia Maria Carvalho de |
author_role |
author |
author2 |
Bezerra,Adriana Falangola Benjamin Tanaka,Oswaldo Y. Santos,Carlos Renato dos Silva,Keila Silene de Brito e Sousa,Islândia Maria Carvalho de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Gonçalves,Rogério Fabiano Bezerra,Adriana Falangola Benjamin Tanaka,Oswaldo Y. Santos,Carlos Renato dos Silva,Keila Silene de Brito e Sousa,Islândia Maria Carvalho de |
dc.subject.por.fl_str_mv |
Distribution of Physicians Access to Health Services Health Plans and Programs Allocation of Resources for Health Care Primary Health Care |
topic |
Distribution of Physicians Access to Health Services Health Plans and Programs Allocation of Resources for Health Care Primary Health Care |
description |
ABSTRACT OBJECTIVE To evaluate the influence of the Mais Médicos (More Doctors) Program on the performance of primary health care by quantifying health services access and use in Northeast Brazil, based on the population size of the municipalities, on the financial investment in health, and on the number of physicians in the family health teams. METHOD Evaluative research of quantitative nature. Access was evaluated by the population coverage ratio of the Family Health Strategy and use of health services, which were measured by medical appointments conducted between April 2013 and September 2015. We defined processes for database selection, adjustment, and validation, including explanatory variables for a sample of 896 municipalities. The analysis was based on the time periods before and after the implementation of the program. The Wilcoxon signed-rank test and non-parametric alternatives constituted statistical tests in the comparative analysis of the data. RESULTS A 19.2% increase was observed in the number of medical appointments between the first six months and the final six months of the data series. In this period, the median appointments in municipalities with up to 5,000 inhabitants increased from 701.0 to 768.0; while in those with more than 100,000 inhabitants it decreased from 285.5 to 280.0 (p < 0.05). Between April 2013 and September 2015, the median coverage ratio of the family health teams increased from 89.2% to 95.3%, approaching 100% in the municipalities with up to 20,000 inhabitants. CONCLUSIONS The study highlights the expansion of access and use of primary health care services in the northeast region after the implementation of the Mais Médicos (More Doctors) Program. Between April 2013 and September 2015, the coverage of family health teams and the production of medical appointments increased, constituting important achievements for SUS. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100299 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100299 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2019053001571 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.53 2019 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1748936505606275072 |