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Ciência & Saúde Coletiva

Simone Soares Damasceno, Vanessa Medeiros da Nóbrega, Simone Elizabeth Duarte Coutinho, Altamira Pereira da Silva Reichert, Beatriz Rosana Gonçalves de Oliveira Toso, Neusa Collet
This is an integrative literature review that analyzed the scientific knowledge produced on the orientation of Brazilian basic care services to primary health care focusing on child health. Searches were carried out in SciELO, Lilacs and Medline databases using descriptors "primary health care", "family health program", "child health" and "evaluation of health services". Studies published in Portuguese, English and Spanish between 2000 and 2013 were selected. A total of 32 studies were chosen and characterized in relation to the features of primary health care, region of the country, type of study and authors' practice area...
September 2016: Ciência & Saúde Coletiva
Carine Vendruscolo, Marta Lenise do Prado, Maria Elisabeth Kleba
This integrative literature review aimed at identifying the characteristics and describing how teaching-service integration is expressed in studies on Pró-Saúde (Charitable institution for social and hospital assistance) published in Brazil in the period 2007-2012. For the search, the term National Professional Health Education Reorientation Program was entered in the following databases: Virtual Health Library (BVS), Google Scholar and the Bank of Theses of the Coordination for the Improvement of Higher Education Personnel (CAPES)...
September 2016: Ciência & Saúde Coletiva
Esther Pereira da Silva, Roberto Teixeira de Lima, Mônica Maria Osório
This study aimed to analyze the impact of educational strategies developed in low-risk prenatal care on obstetric outcomes from a systematic literature review. This review consulted databases PubMed, Medline, SciELO and Lilacs, analyzing randomized clinical trials with the following birth outcomes: birth weight, prematurity and breastfeeding, using the following combination of keywords: pre-natal, antenatal visits, education, health education, pregnancy outcomes, birth weight, prematurity, breastfeeding and randomized clinical trial...
September 2016: Ciência & Saúde Coletiva
Joaquín Molina, Renato Tasca, Julio Suárez
Working relations between the Pan- American Health Organization/World Health Organization (PAHO/WHO) and Brazilian health institutions accumulated a long history of cooperation with mutual benefits, which in many cases were shared with other nations under various cooperation frameworks among countries for health development. A milestone in this relationship is the technical cooperation provided by PAHO/WHO to the More Doctors Program (Programa Mais Médicos - PMM). This cooperation has added both strategic value in reducing gaps in health equality and has capitalized on the unique nature of the Cuba-Brazil South-South cooperation experience, triangulated through PAHO/WHO...
September 2016: Ciência & Saúde Coletiva
Matthew Harris
The Programa Mais Medicos (PMM) is a national strategy to increase the numbers of Brazilian trained doctors entering primary care and is possibly the most significant human resource intervention in Latin America in recent years. From an English perspective, there are clearly opportunities to learn the PMM. First, PAHO's role in the PMM provides an exemplar for an overarching human resource migration and recruitment role throughout the EU. The role of the WHO in influencing and overseeing the recruitment of doctors throughout the EU could be an opportunity for improved distribution, avoiding a reliance on market forces...
September 2016: Ciência & Saúde Coletiva
Renato Tasca, Raquel Abrantes Pêgo
No abstract text is available yet for this article.
September 2016: Ciência & Saúde Coletiva
Fernanda de Freitas Mendonça, Luis Fernando Abucarub de Mattos, Emmeline Bernardes Duarte de Oliveira, Carolina Milena Domingos, Carlos Takeo Okamura, Brígida Gimenez Carvalho, Elisabete de Fátima Polo de Almeida Nunes
Doctor shortage is a constant problem in smaller cities and towns, which tend to be more vulnerable from a social and economic point of view, and located in geographically isolated areas. The goal of this study was to establish the share and characteristics of the small cities and towns in the macro-region of northern Paraná that subscribed to the Mais Médicos para o Brasil (PMMB) program. This is a quantitative study of 82 cities and towns using primary and secondary data. Results show that only a few of them (6...
September 2016: Ciência & Saúde Coletiva
Bruna Pontes da Silva, Denise Stockmann, Donavan de Souza Lúcio, Elaine Henna, Maria Carolina Pereira da Rocha, Fábio Miranda Junqueira
The Mais Médicos (More Doctors) Program seeks to broaden access to health by providing medical professionals, investments in health units and multi-professional integration geared to the Family Health Strategy. Vale do Ribeira includes 25 cities and is among the most vulnerable regions in São Paulo. It has been allocated 41 physicians from the Program. This study is to evaluate access to health, comparing health indicators before and after the Program. We collected data from DATASUS, SIAB, and the Ministry of Health...
September 2016: Ciência & Saúde Coletiva
Priscila Tamar Alves Nogueira, Adriana Falangola Benjamin Bezerra, Antonio Flaudiano Bem Leite, Islândia Maria de Sousa Carvalho, Rogério Fabiano Gonçalves, Keila Silene de Brito-Silva
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...
September 2016: Ciência & Saúde Coletiva
Reinaldo Gaspar da Mota, Nelson Filice Barros
Although the 224 health professionals engaged by the More Doctors for Brazil Project (Projeto Mais Médicos para o Brazil, PMMB) to strengthen the National Primary Health Care Policy (Política Nacional de Atenção Básica, PNab) in 104 municipalities of Mato Grosso (MT) State have encountered significant problems in the work process, important advances have resulted in the health of populations served by the More Doctors Programme (Programa Mais Médicos, PMM). This article analyses the implementation and development of the PMM in MT, from 2013 to 2015, on the basis of primary data from focus groups and interviews of social stakeholders at the institutions involved and secondary data from reports by supervisors, tutors, managers and institutions on the MT State Coordinating Committee (CCE) of the PMM...
September 2016: Ciência & Saúde Coletiva
Claunara Schilling Mendonça, Margarita Silva Diercks, Luciane Kopittke
This article aims to propose an adaptation of the methodology used by Starfield and Shy (2002) to assess the quality of health care in the municipalities which joined the Mais Médicos (More Doctors) Program. The indicators were adapted for each one of the nine criteria proposed in the methodology and were applied to medium and large municipalities in the Metropolitan Region of Porto Alegre before and after they were integrated in the Mais Médicos Program. In 2014, the municipalities were grouped into three groups according to their scores...
September 2016: Ciência & Saúde Coletiva
Tiago Rodrigues Bento da Silva, Jennifer do Vale E Silva, Andrezza Graziella Veríssimo Pontes, Andrea Taborda Ribas da Cunha
The Mais Médicos (More Doctors) Program (MMP), which was launched in 2013, sought to provide doctors to work in primary health care in priority areas within the Brazilian Unified Health System (SUS). This article analyzes the perception of MMP service users through the results of a qualitative study that consisted of interviews with service users of the Family Health Strategy (ESF) in which doctors from the MMP worked. The service users who were interviewed had a positive view of the MMP because it had expanded access to health care, although there still remained organizational and technical problems that limited the use of services...
September 2016: Ciência & Saúde Coletiva
Andreia Carrer, Beatriz Rosana Gonçalves de Oliveira Toso, Ana Teresa Bittencourt Guimarães, Julia Reis Conterno, Kamila Caroline Minosso
Two years after the Mais Médicos (More Doctors) Program, (Programa Mais Médicos - PMM) was put in place in Brazil, there is a need to study its feasibility. This study aims to evaluate the effectiveness of the primary healthcare service offered, from the point of view of the health professionals, comparing units which have, and which do not have, doctors from the Mais Médicos Program. It is a quantitative survey, using for data collection the instrument Primary Care Assessment Tool - Brazil, Version for Health Professionals, applied across the totality of the family health units in a medium sized municipality in the interior of the southern Brazilian State of Paraná, from November 2015 to February 2016...
September 2016: Ciência & Saúde Coletiva
Alcides Silva de Miranda, Diego Azevedo Melo
The Mais Médicos (More Doctors) Program has led to an increase in the number of doctors and medical treatment in primary health care services across Brazil. This article presents the results of a case-control study of groups of municipalities based on secondary data sources. It aims to explore and discuss a set of indicators of primary health care service delivery. An improvement in performance against structural indicators was observed in municipalities where the program was implemented. With respect to the outcome indicators, a slight improvement in service delivery was observed in municipalities where the program was implemented...
September 2016: Ciência & Saúde Coletiva
Lilian Soares Vidal Terra, Fabiano Tonaco Borges, Maria Lidola, Silvia S Hernández, Juan Ignacio Martínez Millán, Gastão Wagner de Sousa Campos
We had hoped that the Mais Médicos Program (More Doctors Program) would have generated several changes and reflections in each municipality in which it was deployed. In order to observe those changes, we sought to analyze the experience of Cuban physicians in the Mais Médicos program from an actor-centered perspective, based on the Paideia Method - an approach that seeks to enhance the ability of the subjects to analyze and intervene in their practice. We performed semi-structured interviews to analyze our research object that consisted in the experience of those actors included professionally in the Mais Médicos program in a metropolis with unique characteristics...
September 2016: Ciência & Saúde Coletiva
Rogério Fabiano Gonçalves, Islândia Maria Carvalho de Sousa, Oswaldo Yoshimi Tanaka, Carlos Renato Dos Santos, Keila Brito-Silva, Lara Ximenes Santos, Adriana Falangola Benjamin Bezerra
This paper analyzes the increase in professionals in Brazil's Northeastern Region resulting from the Mais Médicos (More Doctors) Program. The scale of the increase was analyzed through the indicator Hospitalizations for Primary-Care Sensitive Conditions (HPSCs). The method used was a quantitative approach, based on data on distribution of doctors and service they provided in these states, and on hospitalizations for diarrhea and gastroenteritis in the period September 2012 to August 2015. The choice of this condition took into account the aspects of: its high frequency in the period; the simplicity of intervention; and its historic occurrence in the Northeast...
September 2016: Ciência & Saúde Coletiva
Elaine Thumé, Louriele Soares Wachs, Mariangela Uhlmann Soares, Marcia Regina Cubas, Maria Elizabeth Gastal Fassa, Elaine Tomasi, Anaclaudia Gastal Fassa, Luiz Augusto Facchini
The scope of the article is to present the reflections of professionals from the Mais Médicos Program (More Doctors Program) on the significance of the specialization course in Family Health in terms of professional practice and learning the most important concepts. This is an empirically based qualitative study on the statements recorded in the "Critical reflection on their personal learning process" of the final work of the specialization course at the Federal University of Pelotas. For textual analysis, 101 reports were randomly selected from a total of 1,011 reports completed in seven states of the North, Northeast and South of Brazil from June to December 2015...
September 2016: Ciência & Saúde Coletiva
Rita de Cássia Gabrielli Souza Lima, Denis William Gripa, Elisete Navas Sanches Prospero, Marco Aurélio da Ros
This study aims to identify the fundamentals that drive the academic tutorship of the Mais Médicos para o Brasil (More Doctors for Brazil) project in Santa Catarina, based on the unit of analysis entitled values achieved. It is an exploratory and comprehensive study carried out in 2015, with tutors of the State of Santa Catarina, decentralized reference professionals of the Education and Health Ministries, and key reference professionals of the Education Ministry. Focus groups were used as the instrument for collection of data, through semi-structured interview...
September 2016: Ciência & Saúde Coletiva
Elisandréa Sguario Kemper, Ana Valeria Machado Mendonça, Maria Fátima de Sousa
Despite the progress achieved by the Primary Health Care and Family Health Strategy in the Unified Health System (SUS) challenges still remain with regard to the universality of access and the quality of services, one of the factors being the unequal distribution of physicians. The Brazilian Government established the Mais Médicos Program (More Doctors Program), in order to move forward in the provision, placement and training of physicians in the SUS. This study consists of a review of the literature of the Mais Médicos Program, in order to map and assess the scientific production on the Program, as well as summarize the findings and present the results of the analysis...
September 2016: Ciência & Saúde Coletiva
Viviane Karoline da Silva Carvalho, Carla Pintas Marques, Everton Nunes da Silva
In order to examine whether Brazil's Mais Médicos (More Doctors) Programme (PMM) reflected World Health Organisation (WHO) recommendations for improved attraction, retention and recruitment of health workers in remote and rural areas, this descriptive, qualitative study drew on document analysis in order to compare the WHO recommendations published in 2010 with Brazil's Law No. 12,871/13, which instituted the PMM. Of the 16 WHO recommendations systematised here, the PMM met 37.5%. Recommendations not incorporated into the PMM include career development programmes and public recognition strategies...
September 2016: Ciência & Saúde Coletiva
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