title: Primary Health Care in Brazil and the Mais Médicos (More Doctors) Program: an analysis of production indicators.
abstract: This study analyzes the number of medical appointments and referrals performed in primary health care in Brazil focusing on the Mais Médicos Program (More Doctors Program). It is a cross-sectional study on the work of physicians included, or not, to the Mais Médicos Program in 2014. Based on validation protocols, a unified database was created from two health information system databases - SIAB and ESUS. Absolute indicators were defined: the total of medical appointments per month; medical referrals and community health education activities. In addition, other indicators were considered, such as weekly rates and productivity of appointments, in line with the profile of Brazilian municipalities. The mean of all appointments was 285 per month corresponding to an average of 14.4 appointments/day. In the poorest municipalities, the figures for the Mais Médicos Program physicians were higher than national rates. The educational activities provided by primary care teams that included a Mais Médicos Program professional were higher in Brazilian capital cities. The Mais Médicos Program achieved one of its main goals, which was to increase health access for vulnerable populations and to contribute towards the consolidation of primary health care in Brazil.
authors.affiliation: Laboratório de História, Políticas Públicas e Saúde na Amazônia, Fundação Oswaldo Cruz. R. Terezina s/n, Adrianópolis. 69065-001 Manaus AM Brasil. tobiasrodrigo@gmail.com.
authors.forename: Rodrigo Tobias de Sousa
authors.initials: RT
authors.lastname: Lima
authors.affiliation: Faculdade de Educação Física e Fisioterapia, Universidade Federal do Amazonas. Manaus AM Brasil.
authors.forename: Tiotrefis Gomes
authors.initials: TG
authors.lastname: Fernandes
authors.affiliation: Laboratório de História, Políticas Públicas e Saúde na Amazônia, Fundação Oswaldo Cruz. R. Terezina s/n, Adrianópolis. 69065-001 Manaus AM Brasil. tobiasrodrigo@gmail.com.
authors.forename: Antônio Alcirley da Silva
authors.initials: AA
authors.lastname: Balieiro
authors.affiliation: Laboratório de História, Políticas Públicas e Saúde na Amazônia, Fundação Oswaldo Cruz. R. Terezina s/n, Adrianópolis. 69065-001 Manaus AM Brasil. tobiasrodrigo@gmail.com.
authors.forename: Felipe Dos Santos
authors.initials: Fdos S
authors.lastname: Costa
authors.affiliation: Escola Nacional de Saúde Pública, Fiocruz. Rio de Janeiro RJ Brasil.
authors.forename: Joyce Mendes de Andrade
authors.initials: JM
authors.lastname: Schramm
authors.affiliation: Laboratório de História, Políticas Públicas e Saúde na Amazônia, Fundação Oswaldo Cruz. R. Terezina s/n, Adrianópolis. 69065-001 Manaus AM Brasil. tobiasrodrigo@gmail.com.
authors.forename: Julio Cesar
authors.initials: JC
authors.lastname: Schweickardt
authors.affiliation: Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Sul. Porto Alegre RS Brasil.
authors.forename: Alcindo Antonio
authors.initials: AA
authors.lastname: Ferla
mesh_terms: D001938:Brazil; D006078:Government Programs; D006801:Humans; D010820:Physicians / Q000706:statistics & numerical data* / Q000600:supply & distribution*; D011320:Primary Health Care; D000078329:Workforce