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dc.contributor.authorSantos, Leonor Maria Pacheco-
dc.contributor.authorTrindade, Josélia Souza-
dc.contributor.authorBarreto, Ivana C. H. C.-
dc.contributor.authorPalmeira, Poliana Araújo-
dc.contributor.authorSantos, Felipe O. S.-
dc.contributor.authorSantos, Wallace-
dc.contributor.authorOliveira, João Paulo Alves-
dc.contributor.authorPessoa, Vanira Matos-
dc.contributor.authorShimizu, Helena Eri-
dc.contributor.authorOliveira, Aimê-
dc.contributor.authorComes, Comes-
dc.date.accessioned2018-03-06T12:36:56Z-
dc.date.available2018-03-06T12:36:56Z-
dc.date.issued2017-
dc.identifier.citationSANTOS, L. M. P. et al. Implementation research: towards universal health coverage with more doctors in Brazil. Bulletin of the World Health Organization, v. 95, p. 103–112, 2017.pt_BR
dc.identifier.issn0042-9686-
dc.identifier.urihttp://www.repositorio.ufc.br/handle/riufc/30087-
dc.description.abstractObjective To evaluate the implementation of a programme to provide primary care physicians for remote and deprived populations in Brazil. Methods The Mais Médicos (More Doctors) programme was launched in July 2013 with public calls to recruit physicians for priority areas. Other strategies were to increase primary care infrastructure investments and to provide more places at medical schools. We conducted a quasi-experimental, before-and-after evaluation of the implementation of the programme in 1708 municipalities with populations living in extreme poverty and in remote border areas. We compared physician density, primary care coverage and avoidable hospitalizations in municipalities enrolled ( n = 1450) and not enrolled ( n = 258) in the prog ramme. Data extracted from health information systems and Ministry of Health publications were analysed. Findings By September 2015, 4917 physicians had been added to the 16 524 physicians alr eady in place in municipalities with remote and deprived populations. The number of municipalities with ≥ 1.0 physician per 1000 inhabitan ts doubled from 163 in 2013 to 348 in 2015. Primary care coverage in enrolled municipalities (based on 3000 inhabitants per primary care team) increased from 77.9% in 2012 to 86.3% in 2015. Avoidable hospitalizations in enrolled municipalities decreased from 44.9% in 2012 to 41.2% in 2015, but remained unchanged in control municipalities. We also documented higher infrastructure investments in enrolled municipalities and an increase in the number of medical school places over the study period. Conclusion Other countries having shortages of physicians could benefit from the lessons of Brazil’s programme towards achieving universal right to health.pt_BR
dc.language.isoenpt_BR
dc.publisherBulletin of the World Health Organizationpt_BR
dc.subjectSaúde Públicapt_BR
dc.subjectPublic Healthpt_BR
dc.subjectPlanos e Programas de Saúdept_BR
dc.subjectHealth Programs and Planspt_BR
dc.titleImplementation research: towards universal health coverage with more doctors in Brazilpt_BR
dc.typeArtigo de Periódicopt_BR
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