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Mais Médicos Program: Analysis And Perspectives

2016 | Source: Ciência & Saúde Coletiva - Author: Rafael Giménez (translation)

The 21.9 edition of the Ciência & Saúde Coletiva magazine entitled “Mais Médicos Program: analysis and perspectives” was organized by the Brazilian Collective Health Association’s Primary Health Care Research Organizing Committee (APS) and the Pan-American Health Organization.

In this opportunity, they published the first evaluation results of the most recent Brazilian Health Unique Service’s program (SUS), Mais Médicos (More Doctors). This program, that has now 18.000 medics spreads around the country, started three years ago and has extended to 4.058 municipalities and the 34 Indigenous Special Sanitary Districts. This is the newest Brazilian government’s initiative that looks for the enlargement of the health services universalization and pretends to reach the farthest corners of the country.

The articles published talk about issues related to this Program’s components: emergency health care, medical training and Basic Health Unities (UBS) infrastructure. Despites the fact that three years is not time enough to observe consistent results, the ongoing process allows us to see some fundamental changes in order to consolidate SUS regarding those three SUS aspects; because it’s not just about adding emergency measures to provide health care assistant to communities that used to be unattended. This program have being modifying the professional´s formation structure with special focus on family and community medicine, orientating the universalization of medical residence, promoting the extension of vacancies and changing the curricular guidelines for medicine courses.

Regarding to the system’s reorganization, keeping in mind the benefits for the population in all levels, is understandable that the results will only be appreciated in a medium and long term but the researches published already evidence some achievements: important reduction of the number of towns with lack of medics; predominant implementation on the most socially vulnerable towns; increment of the health care access; positive impact on the sector’s production indicators; convergence with other programs concerning the improvement of basic health care quality; and users positive feedback, and more.

Meanwhile, the challenges remain. And one of those challenges is the recent intent of the decharacterize the program and its values, the threats to its funding, the difficulties of the professionals fixation on remote and careless areas and the absence of  a career definition for medics on Primary Health Care inside SUS.

For all these reasons, this magazine’s thematic edition plays a strategic role offering to governments, gestors and society grounded information that can help to those who have in their hands the funding decisions. It’s important to remember that the threats of un-funding and institutionalization of public spending limitation, in a chronical SUS underfunding context, is a disturbing news for the program’s sustainability. It’s also important to keep in mind that a permanent process of monitoring and evaluation is needed in order to accompany the program’s achievements, to correct the wrong aspects and to prove the “Mais Médicos” effectiveness at medium and long term.

By Maria Cecília de Souza Minayo (Chief Editor) and Luiza Gualhano (Social Communication’s Adviser)

Ciência & Saúde Coletiva | vol.21 | nº 9 | Rio de Janeiro | Sept. 2016

Read the complete magazine here: http://bit.ly/2eQNuhY

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