Metasynthesis of Case Studies – Universal Health and More Doctors Program (PMM) Series Working Paper
Results / Conclusions: As a result of the assignment of doctors to areas that previously lacked medical care, there has been a reduction in the inequity of access; their longer stay at the location is required. Using a logic of adherence and a reduction of inequities, the study criticizes the incorporation of municipalities (sic). Satisfaction and acceptance by the population.
Recommendations / Lessons Learned: Ongoing studies and those already published have identified a potential for the work of cooperating doctors with the community, following practices they have learned and developed in their home country.
Results / Conclusions: The studies were predominantly on the supply of emergency care; most of them dealt with the quality and quantity of its coverage.
Recommendations / Lessons Learned: Critical issues were revealed, such as the assignment of doctors to existing Federal Health teams, suggesting a complementary and substitution effect; additionally, the municipalities suffered from a continuous uncertain federal supply resulting from their dependency; there were persisting issues with an unequal distribution in the Northern and Northeastern regions and in smaller municipalities, a
Results / Conclusions: Cuban doctors prevail in the health care of the most vulnerable strata. The general Primary Health Care score for the More Doctors Cuban group (6.86) is higher than the national average, showing a performance trend higher than that of Brazilian groups (6.74) and Family Health Strategy groups (6.73). The country’s access to health care was low (4.24), with a statistical difference between groups.
Recommendations / Lessons Learned: There is a need to identify other factors that hinder access in view of its low score throughout the country. The organization of the Primary Health Care doctor appointment schedules must be reconsidered to enable it to handle the spontaneous demand during critical situations. The use of information and communication technology needs to be expanded.
PMM as an Expression of South-South Cooperation: Transfer of Knowledge and Innovations – Universal Health and PMM Working Paper
Results / Conclusions: There is an innovative clinical practice characterized by a humane approach and the building of a doctor-patient-family-community relationship, a teamwork with an effective transfer of information and knowledge brought about with the professional skills of Cuban doctors and a recognition of the socio-cultural context, improved access through a reorganization of schedules, innovation in the prevent
Recommendations / Lessons Learned: Based on the results of this study, it is possible to affirm that PMM Cuban doctors have been concretely contributing to the strengthening of the Primary Health Care in Brazil. This contribution is concentrated in three main areas: Health care solutions, the creation of relations with users, and actions to improve the social determinants of health.
Recommendations / Lessons Learned: It can be said that the integration with Brazilian society in terms of value parameters/criteria has been more positive.