TY - JOUR
T1 - Challenges for ensuring availability and accessibility toin health care services under Brazil’s unified health system (SUS)
AU - De Oliveira, Ana Paula Cavalcante
AU - Gabriel, Mariana
AU - Dal Poz, Mario Roberto
AU - Dussault, Gilles
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Shortages and imbalances in the distribution of the health workforce, are social and political problems that, along with the socio-economic inequality, reduce the access of the population to the health services. This study aims to understand the challenges of SUS policy-makers and managers to ensure the availability and geographical accessibility to health service providers. The analysis was guided by a framework of the health labour market and health policy interventions. Two main problems have been identified: shortage of doctors and maldistribution of professionals between levels of health care and between geographical areas. This review focused on eight interventions in the last 30 years, whose mainly aim was to correct the maldistribution of physicians in the SUS such as Rondon Project, Interiorization of Health Work Program, Medical Specialists Training Program, PHC Program and More Doctors Program. The discussion focuses on the factors that influence the outcome of these interventions.
AB - Shortages and imbalances in the distribution of the health workforce, are social and political problems that, along with the socio-economic inequality, reduce the access of the population to the health services. This study aims to understand the challenges of SUS policy-makers and managers to ensure the availability and geographical accessibility to health service providers. The analysis was guided by a framework of the health labour market and health policy interventions. Two main problems have been identified: shortage of doctors and maldistribution of professionals between levels of health care and between geographical areas. This review focused on eight interventions in the last 30 years, whose mainly aim was to correct the maldistribution of physicians in the SUS such as Rondon Project, Interiorization of Health Work Program, Medical Specialists Training Program, PHC Program and More Doctors Program. The discussion focuses on the factors that influence the outcome of these interventions.
KW - Access to health care
KW - Health employment labour market
KW - Human resources in for health
KW - Physicians distribution of doctors
KW - Public health policies in health
UR - http://www.scopus.com/inward/record.url?scp=85018696084&partnerID=8YFLogxK
U2 - 10.1590/1413-81232017224.31382016
DO - 10.1590/1413-81232017224.31382016
M3 - Article
C2 - 28444043
AN - SCOPUS:85018696084
SN - 1413-8123
VL - 22
SP - 1165
EP - 1180
JO - Ciência & Saúde Coletiva
JF - Ciência & Saúde Coletiva
IS - 4
ER -