Towards Universal Health Coverage in Brazil

Bibliographic Details
Main Author: Fava, Virgínia Maria Dalfior
Publication Date: 2021
Other Authors: Lapão, Luís Velez
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/180796
Summary: Publisher Copyright: © 2021, International Society of Global Health. All rights reserved. Funding The authors certify that they have no affiliation with or involvement in any organization or entity with any financial interest (such as honoraria, educational grants, participation in speakers’ bureaus, membership, employment, consultancies, stock ownership, or other equity interest, and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript. The authors also certify that this work was not supported by any public or private funding agency.
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spelling Towards Universal Health Coverage in BrazilAnalysis of programs to expand the supply of doctors in primary health careDoctors’ supplyHealth care accessPrimary health careUniversal health coverageMedicine(all)SDG 1 - No PovertySDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesSDG 17 - Partnerships for the GoalsPublisher Copyright: © 2021, International Society of Global Health. All rights reserved. Funding The authors certify that they have no affiliation with or involvement in any organization or entity with any financial interest (such as honoraria, educational grants, participation in speakers’ bureaus, membership, employment, consultancies, stock ownership, or other equity interest, and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript. The authors also certify that this work was not supported by any public or private funding agency.Background The inequality in the access to health services in Brazil is one of the consequences of the poor distribution of doctors throughout the country. This is observed by the scarcity of these professionals working in primary health care (PHC) in the Brazilian health care system (SUS), particularly in rural and poor suburban areas. This paper analyzes the policies of the Brazilian federal government aiming to increase access to health services by encouraging physicians to work in PHC. The study examines the policies’ effects regarding the availability of doctors, and the participation of Brazilian doctors on the “Mais Médicos” Project, leading to recommendations for future strategies. Methods The research combined a scope review, based on documents produced by the federal government, and analysis of secondary data obtained from the Ministry of Health, as well as from official websites of the Brazilian government. Results The results indicate advances in innovative strategies to expand the number of physicians, increasing the availability of these professionals, and PHC coverage. However, it is still necessary to fight the scarcity of professionals and fill healthcare positions primarily in municipalities far from urban centers, poor and suburban areas, and Special Indigenous Sanitary Districts. Conclusions Improving health coverage in Brazil through strengthening primary health care will require further efforts to overcome the challenge of attracting and retaining doctors to work in disadvantaged areas, increasing the availability and accessibility of health workers. In addition, new policies need to emphasize the participation of other health professionals such as nurses, auxiliary nurses, and community health agents, as well as incorporate new technology able to reduce distances between health professionals and users of the Brazilian health care system.Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)Population health, policies and services (PPS)RUNFava, Virgínia Maria DalfiorLapão, Luís Velez2025-03-17T21:29:07Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article8application/pdfhttp://hdl.handle.net/10362/180796eng2399-1623PURE: 113043769https://doi.org/10.29392/001c.19143info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-31T02:01:16Zoai:run.unl.pt:10362/180796Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T04:42:04.799777Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Towards Universal Health Coverage in Brazil
Analysis of programs to expand the supply of doctors in primary health care
title Towards Universal Health Coverage in Brazil
spellingShingle Towards Universal Health Coverage in Brazil
Fava, Virgínia Maria Dalfior
Doctors’ supply
Health care access
Primary health care
Universal health coverage
Medicine(all)
SDG 1 - No Poverty
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 17 - Partnerships for the Goals
title_short Towards Universal Health Coverage in Brazil
title_full Towards Universal Health Coverage in Brazil
title_fullStr Towards Universal Health Coverage in Brazil
title_full_unstemmed Towards Universal Health Coverage in Brazil
title_sort Towards Universal Health Coverage in Brazil
author Fava, Virgínia Maria Dalfior
author_facet Fava, Virgínia Maria Dalfior
Lapão, Luís Velez
author_role author
author2 Lapão, Luís Velez
author2_role author
dc.contributor.none.fl_str_mv Global Health and Tropical Medicine (GHTM)
Instituto de Higiene e Medicina Tropical (IHMT)
Population health, policies and services (PPS)
RUN
dc.contributor.author.fl_str_mv Fava, Virgínia Maria Dalfior
Lapão, Luís Velez
dc.subject.por.fl_str_mv Doctors’ supply
Health care access
Primary health care
Universal health coverage
Medicine(all)
SDG 1 - No Poverty
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 17 - Partnerships for the Goals
topic Doctors’ supply
Health care access
Primary health care
Universal health coverage
Medicine(all)
SDG 1 - No Poverty
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 17 - Partnerships for the Goals
description Publisher Copyright: © 2021, International Society of Global Health. All rights reserved. Funding The authors certify that they have no affiliation with or involvement in any organization or entity with any financial interest (such as honoraria, educational grants, participation in speakers’ bureaus, membership, employment, consultancies, stock ownership, or other equity interest, and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript. The authors also certify that this work was not supported by any public or private funding agency.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-01-01T00:00:00Z
2025-03-17T21:29:07Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/180796
url http://hdl.handle.net/10362/180796
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2399-1623
PURE: 113043769
https://doi.org/10.29392/001c.19143
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 8
application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
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reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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