Primary care in Brazil, and the Mais Médicos (More Doctors) Program in the Unified Health System: achievements and limits
An historical analysis of Brazil's policies in Primary Healthcare, with emphasis on the Family Health Strategy (FHS), and the Mais Médicos Program (PMM). Studies were made of documents and secondary official data, and the bibliography that has been produced on this theme. It was found that prim...
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| Published in: | Ciência & saude coletiva Vol. 21; no. 9; pp. 2655 - 2663 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English Spanish |
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Brazil
Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO
01-09-2016
Associação Brasileira de Saúde Coletiva |
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| Abstract | An historical analysis of Brazil's policies in Primary Healthcare, with emphasis on the Family Health Strategy (FHS), and the Mais Médicos Program (PMM). Studies were made of documents and secondary official data, and the bibliography that has been produced on this theme. It was found that primary healthcare has been established and successfully consolidated as an option in healthcare for a great part of the population of Brazil. There have, however, been structural hurdles, which have tended to compromise the effectiveness and sustainability of this policy. It was identified that these obstacles arise principally from insufficient financing and from inefficient modes of planning and management. The Mais Médicos Program has widened care coverage and made the distribution of primary healthcare doctors more equitable, although it has not resolved the structural problems of the public system. |
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| AbstractList | An historical analysis of Brazil's policies in Primary Healthcare, with emphasis on the Family Health Strategy (FHS), and the Mais Médicos Program (PMM). Studies were made of documents and secondary official data, and the bibliography that has been produced on this theme. It was found that primary healthcare has been established and successfully consolidated as an option in healthcare for a great part of the population of Brazil. There have, however, been structural hurdles, which have tended to compromise the effectiveness and sustainability of this policy. It was identified that these obstacles arise principally from insufficient financing and from inefficient modes of planning and management. The Mais Médicos Program has widened care coverage and made the distribution of primary healthcare doctors more equitable, although it has not resolved the structural problems of the public system. An historical analysis of Brazil's policies in Primary Healthcare, with emphasis on the Family Health Strategy (FHS), and the Mais Medicos Program (PMM). Studies were made of documents and secondary official data, and the bibliography that has been produced on this theme. It was found that primary healthcare has been established and successfully consolidated as an option in healthcare for a great part of the population of Brazil. There have, however, been structural hurdles, which have tended to compromise the effectiveness and sustainability of this policy. It was identified that these obstacles arise principally from insufficient financing and from inefficient modes of planning and management. The Mais Medicos Program has widened care coverage and made the distribution of primary healthcare doctors more equitable, although it has not resolved the structural problems of the public system. An historical analysis of Brazil's policies in Primary Healthcare, with emphasis on the Family Health Strategy (FHS), and the Mais Medicos Program (PMM). Studies were made of documents and secondary official data, and the bibliography that has been produced on this theme. It was found that primary healthcare has been established and successfully consolidated as an option in healthcare for a great part of the population of Brazil. There have, however, been structural hurdles, which have tended to compromise the effectiveness and sustainability of this policy. It was identified that these obstacles arise principally from insufficient financing and from inefficient modes of planning and management. The Mais Medicos Program has widened care coverage and made the distribution of primary healthcare doctors more equitable, although it has not resolved the structural problems of the public system. Key words Primary Healthcare, Family Health Strategy, Mais Medicos Program, Health policy |
| Audience | Academic |
| Author | Pereira, Júnior, Nilton Campos, Gastão Wagner de Sousa |
| Author_xml | – sequence: 1 givenname: Gastão Wagner de Sousa surname: Campos fullname: Campos, Gastão Wagner de Sousa email: gastaowagner@mpc.com.br organization: Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Barão Geraldo. 13083-970 Campinas SP Brasil. gastaowagner@mpc.com.br – sequence: 2 givenname: Nilton surname: Pereira, Júnior fullname: Pereira, Júnior, Nilton organization: Departamento de Saúde Coletiva, Faculdade de Medicina, Universidade Federal de Uberlândia. Uberlândia MG Brasil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27653048$$D View this record in MEDLINE/PubMed |
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| Copyright | COPYRIGHT 2016 Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO Copyright Associação Brasileira de Saúde Coletiva Sep 2016 |
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| DOI | 10.1590/1413-81232015219.18922016 |
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| DocumentTitleAlternate | A Atenção Primária e o Programa Mais Médicos do Sistema Único de Saúde: conquistas e limites |
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| Snippet | An historical analysis of Brazil's policies in Primary Healthcare, with emphasis on the Family Health Strategy (FHS), and the Mais Médicos Program (PMM).... An historical analysis of Brazil's policies in Primary Healthcare, with emphasis on the Family Health Strategy (FHS), and the Mais Medicos Program (PMM).... |
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| SubjectTerms | Brazil Delivery of Health Care Government Programs Physicians - supply & distribution Primary care Primary Health Care - manpower |
| Title | Primary care in Brazil, and the Mais Médicos (More Doctors) Program in the Unified Health System: achievements and limits |
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