Banca de QUALIFICAÇÃO: FERNANDA JULYANNA SILVA DOS SANTOS

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
DISCENTE : FERNANDA JULYANNA SILVA DOS SANTOS
DATA : 08/12/2017
HORA: 14:30
LOCAL: NEPSA II
TÍTULO:

THE MORE MEDICAL PROGRAM: AN IMPACT ASSESSMENT ON HEALTH INDICATORS IN BRAZIL

PALAVRAS-CHAVES:

More Doctors Project; panel data; health indicators.

PÁGINAS: 140
GRANDE ÁREA: Ciências Sociais Aplicadas
ÁREA: Administração
RESUMO:

The shortage of physicians and geographical imbalances are professionals in many health systems, constituting a global crisis. In Brazil, in 2013, there was a ratio of 2 physicians per 1000 inhabitants, and a poor distribution of these regions of the country. In the attempt to develop the scenario, in 2013, the Medical Program for Brazil was instituted, structured in three axes: emergency provision of medical professionals called More Doctors Project (MDP), investment in the Basic Health Services, and development of medical training in Brazil. The main goal of this work is to analyze the impact of the More Doctors Project for Brazil on basic health care. Initially, a description of the distribution and profile of the participants of the Project programs without Brazilian territory was made through descriptive statistics. Most of the participants of the project originating in Cuba. After, it was estimated a probability of participation in the municipalities of the More Doctors Project achieved by probit and multinomiallogit. Municipalities that are classified in the 20% poverty profile, despite being considered a priority by the MDP, have smaller chances of requesting physicians and, consequently, of participating in the program, in relation to the municipalities considered in other localities, without defined priority profile. The municipalities participating in the G100 have a greater chance of participating in the program and receiving doctors. The municipalities that are in the Metropolitan Region to present smaller chances of having all as requested vacancies to the program completed. Finally, it was measured to the effect of the More Doctors Project on strategic health indicators, selected according to the research criteria. This is achieved by using a panel data approach, data for the period 2012-2015. The Project's unidentified results on the number of medical consultations performed in basic care, infant mortality rate, neonatal mortality, and post-neonatal mortality. There was an increase in the coverage of the Family Health Strategy units and the number of home visits by physicians, consistent with the literature. An increase in the overall mortality rate was observed, however, a very small magnitude. The estimation with a proportion of MDP physicians, controlled by the number of physicians in the municipality, showed a ICSAB decrease; a decrease in rate neonatal mortality for municipalities with a 20% poverty profile and an increase in the number of low birth weight (<250g) for this same municipality group. However, as magnitudes of the effects are also small.

MEMBROS DA BANCA:
Presidente - 1510488 - LUCIANO MENEZES BEZERRA SAMPAIO
Interno - 1894891 - RAQUEL MENEZES BEZERRA SAMPAIO
Externo ao Programa - 2413052 - ANNE EMILIA COSTA CARVALHO
Externo ao Programa - 1245215 - SEVERINA ALICE DA COSTA UCHOA