Imperial College London
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ProfessorChristopherMillett

Faculty of Medicine, School of Public Health

Professor of Public Health
 
 
 
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Contact

 

c.millett Website

 
 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Shimizu:2021:10.1186/s12960-021-00672-2,
author = {Shimizu, H and Pacheco, Santos L and Sanchez, M and Hone, T and Millett, C and Harris, M},
doi = {10.1186/s12960-021-00672-2},
journal = {Human Resources for Health},
pages = {1--8},
title = {Challenges facing the more doctors program (Programa Mais Médicos) in vulnerable and peri-urban areas in Greater Brasilia, Brazil},
url = {http://dx.doi.org/10.1186/s12960-021-00672-2},
volume = {19},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundA shortage of physicians, especially in vulnerable and peri-urban areas, is a global phenomenon that has serious implications for health systems, demanding policies to assure the provision and retention of health workers. The aim of this study was to analyze the strategies employed by the More Doctors Program (Programa Mais Médicos) to provide primary care physicians in vulnerable and peri-urban parts of Greater Brasilia.MethodsThe study used a qualitative approach based on the precepts of social constructivism. Forty-nine semi-structured interviews were conducted: 24 with physicians employed as part of the More Doctors program, five with program medical supervisors, seven with secondary care physicians, twelve with primary care coordinators, and one federal administrator. The interviews occurred between March and September 2019. The transcripts of the interviews were submitted to thematic content analysis.ResultsThe partnership between the Ministry of Health and local authorities was essential for the provision of doctors—especially foreign doctors, most from Cuba, to assist vulnerable population groups previously without access to the health system. There was a notable presence of doctors with experience working with socioeconomically disadvantaged populations, which was important for gaining a better understanding of the effects of the endemic urban violence in the region. The incentives and other institutional support, such as enhanced salaries, training, and housing, transportation, and food allowances, were factors that helped provide a satisfactory working environment. However, the poor state of the infrastructure at some of the primary care units and limitations of the health service as a whole were factors that hampered the provision of comprehensive care, constituting a cause of dissatisfaction.ConclusionsMore Doctors introduced a range of novel strategies that helped ensure a supply of primary care doctors in vulnerable and peri-urb
AU  - Shimizu,H
AU  - Pacheco,Santos L
AU  - Sanchez,M
AU  - Hone,T
AU  - Millett,C
AU  - Harris,M
DO  - 10.1186/s12960-021-00672-2
EP  - 8
PY  - 2021///
SN  - 1478-4491
SP  - 1
TI  - Challenges facing the more doctors program (Programa Mais Médicos) in vulnerable and peri-urban areas in Greater Brasilia, Brazil
T2  - Human Resources for Health
UR  - http://dx.doi.org/10.1186/s12960-021-00672-2
UR  - https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-021-00672-2
UR  - http://hdl.handle.net/10044/1/92637
VL  - 19
ER  -
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