"Mais Medicos": a Brazilian program in an international perspective

"Mais Medicos": a Brazilian program in an international perspective
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DOI:
10.1590/1807-57622014.1142
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发表时间:
2015-07-01
影响因子:
0.5
通讯作者:
Cyrino, Eliana Goldfarb
Cyrino, Eliana Goldfarb
中科院分区:
其他
文献类型:
--
作者:
de Oliveira, Felipe Proenco;Vanni, Tazio;Cyrino, Eliana Goldfarb

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偏远和脆弱地区卫生专业人员的短缺是一些国家普遍享有卫生服务的重要障碍。本文探讨了澳大利亚、美国和巴西提供卫生专业人员的政策。尽管先前的举措取得了部分成功,但只有通过“Mais Medicos”(“更多医生”)计划,在脆弱地区提供的医生才有足够的规模和及时的反应,以满足巴西各市政府的需求。医生培训正在发生量和质的变化,他们不仅力求确保巴西国家卫生系统(Sistema Unico de Sande - SUS)的普遍性,而且确保其完整性和可持续性。这些举措的成功将取决于联邦协调、国家监管政策以及计划的持续监测和改进的连续性。
The shortage of health professionals in remote and vulnerable areas is an important obstacle for universal access to health in several countries. This paper examines the policies of provision of health professionals in Australia, in the United States of America, and in Brazil. In spite of the partial success of previous initiatives, it was only with the "Mais Medicos" ("More Physicians") Program that the provision of physicians in vulnerable areas had the magnitude and the response in adequate time to respond to the demands of the Brazilian municipalities. Quantitative and qualitative changes in the training of physicians are in course and they seek to assure not only universality, but also integrality and sustainability in the Brazilian National Health System (Sistema Unico de Sande - SUS). The success of these initiatives will depend on the continuity of the intefederative articulation, of State regulation policies, as well as of the continuous monitoring and improvement of the program.