Mais Médicos (More Doctors) Program - a view from England
File(s)
Author(s)
Harris, M
Type
Journal Article
Abstract
The Programa Mais Medicos (PMM) is a national strategy to increase the numbers of Brazilian trained doctors entering primary care and is possibly the most significant human resource intervention in Latin America in recent years. From an English perspective, there are clearly opportunities to learn the PMM. First, PAHO's role in the PMM provides an exemplar for an overarching human resource migration and recruitment role throughout the EU. The role of the WHO in influencing and overseeing the recruitment of doctors throughout the EU could be an opportunity for improved distribution, avoiding a reliance on market forces. Secondly, a centrally-coordinated and governed process following well-established criteria and guidance laid out in law has helped to ensure that doctors are allocated to regions of the greatest need. Finally, the deployment of primary care doctors to ensure that the needs of the whole population are met, including in hard-to-reach areas. However, Brazil should not fall into the trap of doing much, and evaluating little. Brazil is in an exciting position to conduct robust before-after studies regarding the improvement in access, outcomes and equity that the ESF has already been credited with. Evaluation must include the impact of the PMM on Cuba.
Date Issued
2016-10-31
Date Acceptance
2016-06-26
Citation
Ciência & Saúde Coletiva, 2016, 21 (9), pp.2919-2923
ISSN
1413-8123
Publisher
SciELO
Start Page
2919
End Page
2923
Journal / Book Title
Ciência & Saúde Coletiva
Volume
21
Issue
9
Copyright Statement
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Subjects
Public Health
Publication Status
Published