title: Participation of small municipalities in the Mais Médicos para o Brasil (More Doctors to Brazil) Program in the macro-region of Northern Paraná.
abstract: Doctor shortage is a constant problem in smaller cities and towns, which tend to be more vulnerable from a social and economic point of view, and located in geographically isolated areas. The goal of this study was to establish the share and characteristics of the small cities and towns in the macro-region of northern Paraná that subscribed to the Mais Médicos para o Brasil (PMMB) program. This is a quantitative study of 82 cities and towns using primary and secondary data. Results show that only a few of them (6.1%) had any adherence criteria, which was not an impediment for other cities and towns (75%) to adhere to the project. Cities and towns with over five thousand inhabitants, lower municipal HDI (Human Development Index), some adherence criteria and more geographically isolated, either from the main city in the region or the closest large or mid-sized city, tended to adhere to the PMMB. It is undeniable that the PMMB significantly reduced the uneven distribution of doctors in Brazil and the study region. However, the sustainability of this policy is linked to addressing other remaining challenges in the SUS system.
authors.affiliation: Departamento de Saúde Coletiva, Centro de Ciências da Saúde, Universidade Estadual de Londrina. Av. Robert Koch 60, Vila Operária. 86039-440 Londrina PR Brasil. fernanda0683@gmail.com.
authors.forename: Fernanda de Freitas
authors.initials: Fde F
authors.lastname: Mendonça
authors.affiliation: Departamento de Saúde Coletiva, Centro de Ciências da Saúde, Universidade Estadual de Londrina. Av. Robert Koch 60, Vila Operária. 86039-440 Londrina PR Brasil. fernanda0683@gmail.com.
authors.forename: Luis Fernando Abucarub de
authors.initials: LF
authors.lastname: Mattos
authors.affiliation: Departamento de Saúde Coletiva, Centro de Ciências da Saúde, Universidade Estadual de Londrina. Av. Robert Koch 60, Vila Operária. 86039-440 Londrina PR Brasil. fernanda0683@gmail.com.
authors.forename: Emmeline Bernardes Duarte de
authors.initials: EB
authors.lastname: Oliveira
authors.affiliation: Departamento de Saúde Coletiva, Centro de Ciências da Saúde, Universidade Estadual de Londrina. Av. Robert Koch 60, Vila Operária. 86039-440 Londrina PR Brasil. fernanda0683@gmail.com.
authors.forename: Carolina Milena
authors.initials: CM
authors.lastname: Domingos
authors.affiliation: Departamento de Saúde Coletiva, Centro de Ciências da Saúde, Universidade Estadual de Londrina. Av. Robert Koch 60, Vila Operária. 86039-440 Londrina PR Brasil. fernanda0683@gmail.com.
authors.forename: Carlos Takeo
authors.initials: CT
authors.lastname: Okamura
authors.affiliation: Departamento de Saúde Coletiva, Centro de Ciências da Saúde, Universidade Estadual de Londrina. Av. Robert Koch 60, Vila Operária. 86039-440 Londrina PR Brasil. fernanda0683@gmail.com.
authors.forename: Brígida Gimenez
authors.initials: BG
authors.lastname: Carvalho
authors.affiliation: Departamento de Saúde Coletiva, Centro de Ciências da Saúde, Universidade Estadual de Londrina. Av. Robert Koch 60, Vila Operária. 86039-440 Londrina PR Brasil. fernanda0683@gmail.com.
authors.forename: Elisabete de Fátima Polo de Almeida
authors.initials: Ede F
authors.lastname: Nunes
mesh_terms: D001938:Brazil; D002947:Cities; D003695:Delivery of Health Care; D006078:Government Programs; D006801:Humans; D010820:Physicians / Q000600:supply & distribution*; D000078329:Workforce