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THE PROGRAM ‘MORE MEDICAL DOCTORS‘ IN NORTHWEST REGION OF RIO DE JANEIRO STATE.

ALINE GODINHO FERREIRA DA SILVA 1 ; AMANCIO PAULINO DE CARVALHO 1 ; CARLOS EDUARDO AGUILERA CAMPOS 1 ; FELIPE MONTE CARDOSO 2 ; INGRID DÁVILLA FREIRE PEREIRA 3 ; ISIS LEITE FERREIRA 1 ; LUIS CLAUDIO DE CARVALHO 1 ; MARIA ALICIA CASTELLS 1 ; MICHELE LOPES PEDROSA 1 ; PAULO EDUARDO XAVIER DE MENDONÇA 1 ; PHILIPP ROSA DE OLIVEIRA 4 ; RENATO PENHA DE OLIVEIRA SANTOS 5 ; VALERIA FERREIRA ROMANO 1
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‘More Medical Doctors‘ (MDP) is a federal government program that aims to increase the number of physicians in medically undeserved areas, such as isolated regions and the outskirts of large cities. Running since 2013, it enables the hiring of medical doctors to work in primary care setting, to ensure health care access to millions of Brazilian citizens. The northwest region of Rio de Janeiro State is located about 300 km from the city of Rio de Janeiro - the capital of the State. Its total population is almost 320,000 people, HDI between 0,659-0,732 and GINI index of 0,513. The data presented here is a preliminary analysis of a research aimed at evaluating the MDP in Rio de Janeiro State. This study compares some health indicators, built from official databases (DATASUS), two years before (2012-2013) and after (2014-2015) the onset of this program. In northwest region, three cities, totaling 45,000 inhabitants, didn‘t join the program and were excluded from analysis. Since 2014 January, thirty-three new physicians were incorporated into primary care services in this region. The number of registered people doubled and medical consultations in primary care increased 39,3% between the two periods. Considering the set of indicators, hospital admissions for primary care-sensitive conditions decreased by 19,7%, being observed reduction in 15 among 19 conditions studied. These initial results demonstrate improvement in some health indicators. A more complex study, already in development, will be able to better evaluate the influence of PMD in the health care attendance in Rio de Janeiro.