Banca de DEFESA: FERNANDA JULYANNA SILVA DOS SANTOS

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : FERNANDA JULYANNA SILVA DOS SANTOS
DATA : 02/03/2018
HORA: 14:00
LOCAL: NEPSA II
TÍTULO:

THE MAIS MÉDICOS PROGRAM: AN IMPACT ASSESSMENT ON HEALTH INDICATORS IN BRAZIL

PALAVRAS-CHAVES:

Physician shortage. Physician recruitment. Mais Médicos Program. Difference-in-differences. Propensity Score Matching. health indicator.

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 2013 Brazil there was a ratio of 2 doctors per 1000 inhabitants, and a poor distribution of these regions of the country. In an attempt to develop the scenario for the development of the Mais Médicos Program for Brazil, structured in three axes: emergency provision of medical professionals called Mais Médicos Project (PMM), investment in the basic health services and development of medical training Brazil. This thesis aims to analyze the impact the impact of PMM for Brazil on basic health care. To this end, we described the distribution and profile of the participants of the Project in Brazilian territory by descriptive statistics. The PMM increased the number of doctors per inhabitant in the country, in regions and municipalities most in need of basic health care for Cuban physicians. After, it was estimated a probability of participation in the municipalities of the More Doctors Project achieved by probit and multinomial logisticregression. Municipalities that are classified in the 20% poverty profile, despite being considered a priority by the  PMM, 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. It was used a difference-in-differences with Propensity Score Matching approachs for the period from 2012 to 2015. In general, there were no impacts on the number of medical consultations, number of live births of mothers without prenatal care, neonatal mortality and late neonatal mortality. A decrease of 3.6 percentage points was observed in the number of live births with 1 to 6 visits during the prenatal period and an increase of 4.13 percentage points in the category of 7 or more visits for estimates with all municipalities. There was an increase in the coverage of the Family Health Strategy units and the number of home visits performed by physicians, and a decrease in the overall mortality rate, however showed small magnitudes. The estimation for the municipalities of other localities presented a decrease in the ICSAB, of magnitude also small. The Mais Medicos Project increased the number of doctors in Brazil, but, was observed a concentration of doctors in some regions and a low availability of doctors in priority areas. On the other hand, the health impacts of the population are still incipient, showing a need for improvement and redirection of some actions of the Program.

 

MEMBROS DA BANCA:
Externo ao Programa - 2413052 - ANNE EMILIA COSTA CARVALHO
Presidente - 1510488 - LUCIANO MENEZES BEZERRA SAMPAIO
Externo à Instituição - NAERCIO AQUINO MENEZES FILHO - USP
Externo ao Programa - 1245215 - SEVERINA ALICE DA COSTA UCHOA
Externo à Instituição - SHIRLEY PEREIRA DE MESQUITA - UFPB