Characteristics of the distribution of doctors in the Mais Médicos (More Doctors) Program in the states of Brazil's Northeast
Inequalities in access to health, reflecting shortages and inadequate geographical distribution of health professionals, have been indicated as a challenge for Brazil. This paper analyzes the geographical distribution of professionals of the Mais Médicos Program allocated in the Northeastern Region...
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Veröffentlicht in: | Ciência & saude coletiva 2016-09, Vol.21 (9), p.2889-2898 |
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creator | Nogueira, Priscila Tamar Alves Bezerra, Adriana Falangola Benjamin Leite, Antonio Flaudiano Bem Carvalho, Islândia Maria de Sousa Gonçalves, Rogério Fabiano Brito-Silva, Keila Silene de |
description | Inequalities in access to health, reflecting shortages and inadequate geographical distribution of health professionals, have been indicated as a challenge for Brazil. This paper analyzes the geographical distribution of professionals of the Mais Médicos Program allocated in the Northeastern Region of Brazil, through a descriptive cross-sectional study. Secondary data provided by the Health Ministry were used, and thematic maps of distribution of doctors in the Region were prepared. Data on 4,716 doctors who became members of health teams in 1,294 municipalities in six Indigenous Health Districts in the years 2013 and 2014 were analyzed. The greater part of the municipalities of the Region received between one and five doctors. The municipalities most benefited had, at least, 20% of their population in extreme poverty. 99.9% of the doctors were allocated in a Health Center or Primary Healthcare Unit. The majority were women (57%), predominantly of the 45-49 age group (24%). In spite of the advances achieved by the Program - such as distribution of the doctors in locations with greater vulnerability - some States continue to have significant shortages of healthcare. |
doi_str_mv | 10.1590/1413-81232015219.17022016 |
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This paper analyzes the geographical distribution of professionals of the Mais Médicos Program allocated in the Northeastern Region of Brazil, through a descriptive cross-sectional study. Secondary data provided by the Health Ministry were used, and thematic maps of distribution of doctors in the Region were prepared. Data on 4,716 doctors who became members of health teams in 1,294 municipalities in six Indigenous Health Districts in the years 2013 and 2014 were analyzed. The greater part of the municipalities of the Region received between one and five doctors. The municipalities most benefited had, at least, 20% of their population in extreme poverty. 99.9% of the doctors were allocated in a Health Center or Primary Healthcare Unit. The majority were women (57%), predominantly of the 45-49 age group (24%). In spite of the advances achieved by the Program - such as distribution of the doctors in locations with greater vulnerability - some States continue to have significant shortages of healthcare.</description><identifier>ISSN: 1413-8123</identifier><identifier>EISSN: 1678-4561</identifier><identifier>DOI: 10.1590/1413-81232015219.17022016</identifier><identifier>PMID: 27653073</identifier><language>eng ; spa</language><publisher>Brazil: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO</publisher><subject>Brazil ; Cross-Sectional Studies ; Delivery of Health Care - manpower ; Female ; Government Programs ; Humans ; Male ; Middle Aged ; Physicians - organization & administration ; Physicians - supply & distribution ; Primary Health Care - manpower</subject><ispartof>Ciência & saude coletiva, 2016-09, Vol.21 (9), p.2889-2898</ispartof><rights>COPYRIGHT 2016 Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO</rights><rights>Copyright Associação Brasileira de Saúde Coletiva Sep 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27653073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nogueira, Priscila Tamar Alves</creatorcontrib><creatorcontrib>Bezerra, Adriana Falangola Benjamin</creatorcontrib><creatorcontrib>Leite, Antonio Flaudiano Bem</creatorcontrib><creatorcontrib>Carvalho, Islândia Maria de Sousa</creatorcontrib><creatorcontrib>Gonçalves, Rogério Fabiano</creatorcontrib><creatorcontrib>Brito-Silva, Keila Silene de</creatorcontrib><title>Characteristics of the distribution of doctors in the Mais Médicos (More Doctors) Program in the states of Brazil's Northeast</title><title>Ciência & saude coletiva</title><addtitle>Cien Saude Colet</addtitle><description>Inequalities in access to health, reflecting shortages and inadequate geographical distribution of health professionals, have been indicated as a challenge for Brazil. This paper analyzes the geographical distribution of professionals of the Mais Médicos Program allocated in the Northeastern Region of Brazil, through a descriptive cross-sectional study. Secondary data provided by the Health Ministry were used, and thematic maps of distribution of doctors in the Region were prepared. Data on 4,716 doctors who became members of health teams in 1,294 municipalities in six Indigenous Health Districts in the years 2013 and 2014 were analyzed. The greater part of the municipalities of the Region received between one and five doctors. The municipalities most benefited had, at least, 20% of their population in extreme poverty. 99.9% of the doctors were allocated in a Health Center or Primary Healthcare Unit. The majority were women (57%), predominantly of the 45-49 age group (24%). In spite of the advances achieved by the Program - such as distribution of the doctors in locations with greater vulnerability - some States continue to have significant shortages of healthcare.</description><subject>Brazil</subject><subject>Cross-Sectional Studies</subject><subject>Delivery of Health Care - manpower</subject><subject>Female</subject><subject>Government Programs</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Physicians - organization & administration</subject><subject>Physicians - supply & distribution</subject><subject>Primary Health Care - manpower</subject><issn>1413-8123</issn><issn>1678-4561</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>KPI</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkctu1TAQhi1ERUvhFZARC9pFDr7EdrIsp1yq9kAXsI4m8eTUVRIX25EoC96H5-DFcC9H1amwF57555tfozEhrzlbcFWzd7zksqi4kIJxJXi94IaJHOsnZI9rUxWl0vxpjjfcLnke4yVjwshSPCO7wmglmZF75PfyAgJ0CYOLyXWR-p6mC6Q2p8G1c3J-utGs75IPkbrptrwCF-nq7x_rOh_pwcoHpMd3yCE9D34dYNywMUHCW-P3AX654W2kX3zIFYjpBdnpYYj48v7dJ98_fvi2_Fycff10sjw6K9bCsFRoA2BFD6yzINBoW3ZC9rzOR2qhNWa1Rql6iaq2thW95ApawVpkbVsJuU8O7nyvgv8xY0zN6GKHwwAT-jk2PDNMcsmqjL55hF76OUx5ukwZVVVc8vqBWsOAjZt6n_Iab0ybo1LXRqnSmEwt_kPla3HMm5uwd1nfajjcashMwp9pDXOMzen5yTb76n7QuR3RNlfBjRCum83nyn_3-Kah</recordid><startdate>201609</startdate><enddate>201609</enddate><creator>Nogueira, Priscila Tamar Alves</creator><creator>Bezerra, Adriana Falangola Benjamin</creator><creator>Leite, Antonio Flaudiano Bem</creator><creator>Carvalho, Islândia Maria de Sousa</creator><creator>Gonçalves, Rogério Fabiano</creator><creator>Brito-Silva, Keila Silene de</creator><general>Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO</general><general>Associação Brasileira de Saúde Coletiva</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>KPI</scope><scope>INF</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201609</creationdate><title>Characteristics of the distribution of doctors in the Mais Médicos (More Doctors) Program in the states of Brazil's Northeast</title><author>Nogueira, Priscila Tamar Alves ; 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This paper analyzes the geographical distribution of professionals of the Mais Médicos Program allocated in the Northeastern Region of Brazil, through a descriptive cross-sectional study. Secondary data provided by the Health Ministry were used, and thematic maps of distribution of doctors in the Region were prepared. Data on 4,716 doctors who became members of health teams in 1,294 municipalities in six Indigenous Health Districts in the years 2013 and 2014 were analyzed. The greater part of the municipalities of the Region received between one and five doctors. The municipalities most benefited had, at least, 20% of their population in extreme poverty. 99.9% of the doctors were allocated in a Health Center or Primary Healthcare Unit. The majority were women (57%), predominantly of the 45-49 age group (24%). 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subjects | Brazil Cross-Sectional Studies Delivery of Health Care - manpower Female Government Programs Humans Male Middle Aged Physicians - organization & administration Physicians - supply & distribution Primary Health Care - manpower |
title | Characteristics of the distribution of doctors in the Mais Médicos (More Doctors) Program in the states of Brazil's Northeast |
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