THE COMPREHENSIVENESS IN DOCTORS‘ PROFESSIONAL PRACTICE AMONG THE "MAIS MÉDICOS" (MORE DOCTORS) PROGRAM: A CASE STUDY IN RIO DE JANEIRO

The reduced supply of health professionals, especially doctors, in remote and vulnerable areas affects access, equity and efficiency of health systems worldwilde. In 2013, Brazil, faced with a major shortage of doctors prepared to work in primary health care and regional disparities, launched the Program More Doctors, wrapped the many controversies. The research aims to analyze the complehesiveness in professional practices offered by the program, from a case study in Rio de Janeiro. An analysis matrix, with indicators and categories assigned to two dimensions of comprehensive practices, has been prepared: a biopsychosocial approach to care, with community orientation and the expanded and integrated actions cast of promotion, prevention and health care. Interviews were conducted with the Cuban physicians of the Program More Doctors in certain geographical area of ​​the city and a focus group with their supervisors. In addition, reporting data were analyzed from supervisors and performance indicators of the teams. Preliminary results indicates that the Cuban doctors from ‘More Doctors‘ in the city of Rio de Janeiro in your practice meet various components of the biopsychosocial approach to care, with community orientation while in the expanded and integrated cast dimension of promotion, prevention and care, the components are partly covered by limits of the organization of the municipal health system.