Abstract
Despite the progress achieved by the Primary Health Care and Family Health Strategy in the Unified Health System (SUS) challenges still remain with regard to the universality of access and the quality of services, one of the factors being the unequal distribution of physicians. The Brazilian Government established the Mais Médicos Program (More Doctors Program), in order to move forward in the provision, placement and training of physicians in the SUS. This study consists of a review of the literature of the Mais Médicos Program, in order to map and assess the scientific production on the Program, as well as summarize the findings and present the results of the analysis. Fifty-four publications were selected, which evaluate the Program in terms of effectiveness, analysis of the implementation process, the media and the statements of the actors and assessment of the legal and constitutional precepts. The criticisms and limitations found were also systematically analyzed. With respect to the analysis, evaluations of the Program are overwhelmingly positive, showing important changes in the work processes in services and training. The studies that show the Program as being an important instrument for the effective implementation of the right to health are highlighted.
Highlights
The universalization of access and the provision of quality services are challenges faced by health systems, which seek strategies and policies that can overcome them and respond to the health needs of the population
Primary Health Care (PHC) should be understood as a level of basic and essential health care sustained by the principle of comprehensive care and based on scientifically sound and socially acceptable methods and technologies, ensuring full participation of the people[8]
A total of 54 publications were considered for the review of the Mais Médicos Program, 37 of which were in the format of articles and 17 were
Summary
The universalization of access and the provision of quality services are challenges faced by health systems, which seek strategies and policies that can overcome them and respond to the health needs of the population. PHC should be understood as a level of basic and essential health care sustained by the principle of comprehensive care and based on scientifically sound and socially acceptable methods and technologies, ensuring full participation of the people[8]. It should be based on fundamental elements or attributes namely access and first contact, longitudinality, comprehensiveness and coordination of care, as well as individual attention focused on the family and the community[9]. In 20 years, the FHS has expanded its coverage from 5% to 60%7 and has had a positive impact on the health of the population, in addition to strong evidence showing that the results of the FHS are far superior when compared to the traditional PHC model in the SUS6,10
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
