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The Mais M??dicos (More Doctors) Program in Mato Grosso State, Brazil: implementation analysis

机译：巴西马托格罗索州的Mais M ?? dicos（More Doctors）计划：实施分析

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Although the 224 health professionals engaged by the More Doctors for Brazil Project ( Projeto Mais M??dicos para o Brazil , PMMB) to strengthen the National Primary Health Care Policy ( Pol?-tica Nacional de Aten?§?￡o B??sica , PNab) in 104 municipalities of Mato Grosso (MT) State have encountered significant problems in the work process, important advances have resulted in the health of populations served by the More Doctors Programme ( Programa Mais M??dicos , PMM). This article analyses the implementation and development of the PMM in MT, from 2013 to 2015, on the basis of primary data from focus groups and interviews of social stakeholders at the institutions involved and secondary data from reports by supervisors, tutors, managers and institutions on the MT State Coordinating Committee (CCE) of the PMM. Despite political difficulties in managing implementation, the results show that the endeavour was beneficial in that it surmounted previous obstacles, afforded users greater access, prompted discussion of the problem and proposed and experimented with ways to strengthen primary health care. We conclude that there is a need for broader academic discussion of the provision and training of doctors, of the model of care and of human resource capacity-building by continuing professional development with integration among teaching, service and community.
机译：尽管“更多巴西医生”项目（巴西的Projeto Mais M ?? dicos para o，PMMB）聘用了224名卫生专业人员，以加强《国家基本卫生保健政策》（Pol？-tica Nacional de Aten？§？o B？在马托格罗索州（MT）的104个城市中，西卡（PNa）都曾在工作过程中遇到重大问题，重要的进步已导致更多医生计划（Programa Mais M ?? dicos，PMM）所服务的人群的健康。本文根据焦点小组的主要数据和所涉机构的社会利益相关者的访谈以及主管，导师，管理者和机构在报告中的次要数据，分析了2013年至2015年MT在MMT中的实施和发展。 PMM的MT国家协调委员会（CCE）。尽管在管理实施方面存在政治困难，但结果表明，这项努力是有益的，因为它克服了先前的障碍，为用户提供了更多的机会，促使人们对该问题进行了讨论，并提出并尝试了加强初级卫生保健的方法。我们得出结论，需要通过继续专业发展以及教学，服务和社区之间的融合，对医生的提供和培训，护理模式和人力资源能力建设进行更广泛的学术讨论。

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