{"id":41369,"date":"2023-06-16T16:54:48","date_gmt":"2023-06-16T19:54:48","guid":{"rendered":"https:\/\/med.estrategia.com\/portal\/?p=41369"},"modified":"2023-10-02T18:32:36","modified_gmt":"2023-10-02T21:32:36","slug":"distribuicao-medica-no-brasil","status":"publish","type":"post","link":"https:\/\/med.estrategia.com\/portal\/atualidades\/distribuicao-medica-no-brasil\/","title":{"rendered":"Distribui\u00e7\u00e3o m\u00e9dica no Brasil: problemas, desafios e estrat\u00e9gias&nbsp;"},"content":{"rendered":"<p>Num primeiro olhar, a situa&ccedil;&atilde;o da assist&ecirc;ncia m&eacute;dica no Brasil aparenta ser positiva, j&aacute; que o pa&iacute;s conta com <strong>2,69 m&eacute;dicos por mil habitantes<\/strong>, n&uacute;mero pr&oacute;ximo aos &iacute;ndices de pa&iacute;ses como <strong>Estados Unidos (2,6)<\/strong> e <strong>Canad&aacute; (2,7)<\/strong> e superior ao <strong>Jap&atilde;o (2,5)<\/strong> e <strong>Coreia do Sul (2,5), <\/strong>de acordo com o Conselho Federal de Medicina (CFM) e a Associa&ccedil;&atilde;o M&eacute;dica Brasileira (AMB).&nbsp;<p>Por&eacute;m, mesmo com cerca de <strong>545 mil m&eacute;dicos ativos<\/strong> em territ&oacute;rio brasileiro, segundo dados da Demografia M&eacute;dica 2023, atualizadas em setembro de 2023, estes tendem a se concentrar, especialmente, nas <strong>regi&otilde;es Sul e Sudeste do Brasil<\/strong>, al&eacute;m do <strong>Distrito Federal<\/strong> &ndash; que possui<strong> 6,13 m&eacute;dicos por mil habitantes<\/strong>. Em contrapartida, essa raz&atilde;o &eacute; de <strong>1,33 e 1,17<\/strong>, no <strong>Par&aacute; e Maranh&atilde;o<\/strong>, respectivamente, escancarando a <strong>desigualdade da distribui&ccedil;&atilde;o de profissionais<\/strong>.&nbsp;<\/p><div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-1 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/med.estrategia.com\/portal\/noticias\/amb-lanca-a-6a-edicao-da-demografia-medica-no-brasil\/\" target=\"_blank\">Saiba mais sobre a demografia m&eacute;dica 2023<\/a><\/div>\n\n\n\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/med.estrategia.com\/portal\/wp-content\/uploads\/2023\/09\/DemografiaMedica_12setembro2023.pdf\" target=\"_blank\">Confira a atualiza&ccedil;&atilde;o da demografia, ap&oacute;s o censo 2022<\/a><\/div>\n<\/div><p>Para entender melhor este <strong>cen&aacute;rio<\/strong>, as <strong>estrat&eacute;gias implementadas<\/strong>, bem como os <strong>desafios envolvidos <\/strong>no <strong>combate &agrave; m&aacute; distribui&ccedil;&atilde;o m&eacute;dica no Brasil<\/strong>, continue no texto.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_79_2 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\"><p class=\"ez-toc-title\" style=\"cursor:inherit\">Navegue pelo conte\u00fado<\/p>\n<\/div><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/med.estrategia.com\/portal\/atualidades\/distribuicao-medica-no-brasil\/#Distribuicao-medica-no-territorio-brasileiro\" >Distribui&ccedil;&atilde;o m&eacute;dica no territ&oacute;rio brasileiro<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/med.estrategia.com\/portal\/atualidades\/distribuicao-medica-no-brasil\/#Desafios-para-fixacao-de-profissionais\" >Desafios para fixa&ccedil;&atilde;o de profissionais&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/med.estrategia.com\/portal\/atualidades\/distribuicao-medica-no-brasil\/#Estrategias-implementadas\" >Estrat&eacute;gias implementadas<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"h-distribuicao-medica-no-territorio-brasileiro\"><span class=\"ez-toc-section\" id=\"Distribuicao-medica-no-territorio-brasileiro\"><\/span>Distribui&ccedil;&atilde;o m&eacute;dica no territ&oacute;rio brasileiro<span class=\"ez-toc-section-end\"><\/span><\/h2><p>A frase <strong>&ldquo;faltam m&eacute;dicos no Brasil&rdquo;,<\/strong> embora comum e <strong>coerente com a realidade da popula&ccedil;&atilde;o brasileira<\/strong>, n&atilde;o est&aacute; totalmente correta. Para a <strong>equidade na porcentagem de habitantes do pa&iacute;s e na porcentagem de m&eacute;dicos dispon&iacute;veis<\/strong>, a raz&atilde;o de m&eacute;dicos para 1.000 habitantes deveria ser de<strong> 2,67<\/strong>. Comparado com o &iacute;ndice atual do Brasil (2,69), a<strong> taxa foi superada <\/strong>e tende a ser <strong>ainda maior at&eacute; 2035<\/strong>, j&aacute; que as previs&otilde;es da Demografia M&eacute;dica no Brasil apontam, no m&iacute;nimo, <strong>densidade superior a 4,81 m&eacute;dicos por 1.000 habitantes<\/strong>.&nbsp;<\/p><p>Embora o <strong>pa&iacute;s possua profissionais suficientes para atender a popula&ccedil;&atilde;o <\/strong>total, estes est&atilde;o <strong>mal distribu&iacute;dos pelo territ&oacute;rio nacional<\/strong> e, atualmente, estados das regi&otilde;es <strong>Norte e Nordeste<\/strong> do Brasil s&atilde;o os que mais sofrem com a <strong>falta de m&eacute;dicos<\/strong>. Confira a distribui&ccedil;&atilde;o m&eacute;dica no territ&oacute;rio brasileiro, organizado do estado com a menor raz&atilde;o de m&eacute;dico por 1.000 habitantes para a maior:<\/p><figure class=\"wp-block-table\"><table><thead><tr><th class=\"has-text-align-center\" data-align=\"center\">Estado<\/th><th class=\"has-text-align-center\" data-align=\"center\">Habitantes<\/th><th class=\"has-text-align-center\" data-align=\"center\">% em rela&ccedil;&atilde;o ao total de habitantes do pa&iacute;s<\/th><th class=\"has-text-align-center\" data-align=\"center\">Registros m&eacute;dicos<\/th><th class=\"has-text-align-center\" data-align=\"center\">% em rela&ccedil;&atilde;o ao total de m&eacute;dicos do pa&iacute;s<\/th><th class=\"has-text-align-center\" data-align=\"center\">Raz&atilde;o m&eacute;dico por mil habitantes<\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Maranh&atilde;o<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">6.775.152<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,34<\/td><td class=\"has-text-align-center\" data-align=\"center\">7.960<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,33<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,17<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Par&aacute;<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">8.116.132<\/td><td class=\"has-text-align-center\" data-align=\"center\">4,00<\/td><td class=\"has-text-align-center\" data-align=\"center\">10.798<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,81<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,33<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Amap&aacute;<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">733.508<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,36<\/td><td class=\"has-text-align-center\" data-align=\"center\">1064<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,18<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,45<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Amazonas<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">3.941.175<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,94<\/td><td class=\"has-text-align-center\" data-align=\"center\">6058<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,02<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,54<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Acre<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">830.026<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,41<\/td><td class=\"has-text-align-center\" data-align=\"center\">1.445<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,24<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,74<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Roraima<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">636.303<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,31<\/td><td class=\"has-text-align-center\" data-align=\"center\">1.141<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,19<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,79<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Bahia<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">14.136.417<\/td><td class=\"has-text-align-center\" data-align=\"center\">6,96<\/td><td class=\"has-text-align-center\" data-align=\"center\">27.836<\/td><td class=\"has-text-align-center\" data-align=\"center\">4,66<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,97<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Cear&aacute;<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">8.791.688<\/td><td class=\"has-text-align-center\" data-align=\"center\">4,33<\/td><td class=\"has-text-align-center\" data-align=\"center\">18.836<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,16<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,14<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Alagoas<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">3.127.511<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,54<\/td><td class=\"has-text-align-center\" data-align=\"center\">6.693<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,12<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,14<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Mato Grosso<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">3.658.813<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,80<\/td><td class=\"has-text-align-center\" data-align=\"center\">8.167<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,37<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,23<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Rio Grande do Norte<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">3.302.406<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,63<\/td><td class=\"has-text-align-center\" data-align=\"center\">7.624<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,28<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,31<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Pernambuco<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">9.058.155<\/td><td class=\"has-text-align-center\" data-align=\"center\">4,46<\/td><td class=\"has-text-align-center\" data-align=\"center\">20.904<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,50<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,31<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Piau&iacute;<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">3.269.200<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,61<\/td><td class=\"has-text-align-center\" data-align=\"center\">7.662<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,28<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,34<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Sergipe<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">2.209.558<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,09<\/td><td class=\"has-text-align-center\" data-align=\"center\">5.388<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,90<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,44<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Tocantins<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">1.511.459<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,74<\/td><td class=\"has-text-align-center\" data-align=\"center\">3.869<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,65<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,56<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Rond&ocirc;nia<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">1.581.016<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,78<\/td><td class=\"has-text-align-center\" data-align=\"center\">4.227<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,71<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,67<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Goi&aacute;s<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">7.055.228<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,47<\/td><td class=\"has-text-align-center\" data-align=\"center\">19.843<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,32<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,81<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Para&iacute;ba<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">3.974.495<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,96<\/td><td class=\"has-text-align-center\" data-align=\"center\">11.504<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,93<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,89<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Mato Grosso do Sul<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">2.756.700<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,36<\/td><td class=\"has-text-align-center\" data-align=\"center\">8.066<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,35<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,93<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Santa Catarina<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">7.609.601<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,75<\/td><td class=\"has-text-align-center\" data-align=\"center\">22.882<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,83<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,01<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Paran&aacute;<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">11.443.208<\/td><td class=\"has-text-align-center\" data-align=\"center\">5,64<\/td><td class=\"has-text-align-center\" data-align=\"center\">35.150<\/td><td class=\"has-text-align-center\" data-align=\"center\">5,89<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,07<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Rio Grande do Sul<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">10.880.506<\/td><td class=\"has-text-align-center\" data-align=\"center\">5,36<\/td><td class=\"has-text-align-center\" data-align=\"center\">35.377<\/td><td class=\"has-text-align-center\" data-align=\"center\">5,93<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,25<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Minas Gerais<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">20.538.718<\/td><td class=\"has-text-align-center\" data-align=\"center\">10,11<\/td><td class=\"has-text-align-center\" data-align=\"center\">67.729<\/td><td class=\"has-text-align-center\" data-align=\"center\">11,35<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,30<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Esp&iacute;rito Santo<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">3.833.486<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,89<\/td><td class=\"has-text-align-center\" data-align=\"center\">13.285<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,23<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,47<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>S&atilde;o Paulo<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">44.420.459<\/td><td class=\"has-text-align-center\" data-align=\"center\">21,88<\/td><td class=\"has-text-align-center\" data-align=\"center\">158.719<\/td><td class=\"has-text-align-center\" data-align=\"center\">26,60<\/td><td class=\"has-text-align-center\" data-align=\"center\">3,57<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Rio de Janeiro<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">16.054.524<\/td><td class=\"has-text-align-center\" data-align=\"center\">7,91<\/td><td class=\"has-text-align-center\" data-align=\"center\">67.293<\/td><td class=\"has-text-align-center\" data-align=\"center\">11,28<\/td><td class=\"has-text-align-center\" data-align=\"center\">4,19<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Distrito Federal<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">2.817.068<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,39<\/td><td class=\"has-text-align-center\" data-align=\"center\">17.276<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,89<\/td><td class=\"has-text-align-center\" data-align=\"center\">6,13<\/td><\/tr><\/tbody><\/table><figcaption class=\"wp-element-caption\">Fonte: Demografia M&eacute;dica 2023 atualizada em 12\/09<\/figcaption><\/figure><p>A desigualdade na distribui&ccedil;&atilde;o dos profissionais pode ser vista ao <strong>comparar as porcentagens<\/strong> referentes &agrave; <strong>quantidade de habitantes do estado e &agrave; quantidade de registros m&eacute;dicos ativos<\/strong>. Embora o <strong>Maranh&atilde;o <\/strong>abrigue <strong>3,34% do total da popula&ccedil;&atilde;o brasileira<\/strong>, apenas <strong>1,17% do total de m&eacute;dicos <\/strong>em atua&ccedil;&atilde;o est&atilde;o presentes no estado. Por outro lado, <strong>S&atilde;o Paulo, Rio de Janeiro e Distrito Federal <\/strong>abarcam <strong>31,16% da popula&ccedil;&atilde;o<\/strong> total do pa&iacute;s, enquanto disp&otilde;em de <strong>40,76% do total de m&eacute;dicos <\/strong>dispon&iacute;veis.&nbsp;<\/p><p>O &iacute;ndice e as porcentagens se mostram ainda piores ao nos aproximarmos de munic&iacute;pios interioranos, sobretudo das regi&otilde;es Norte e Nordeste. Confira o <strong>cen&aacute;rio nas 20 cidades mais vulner&aacute;veis do pa&iacute;s<\/strong> tendo como par&acirc;metro a rela&ccedil;&atilde;o de m&eacute;dicos para cada 1.000 habitantes:<\/p><figure class=\"wp-block-table\"><table><thead><tr><th class=\"has-text-align-center\" data-align=\"center\">UF<\/th><th class=\"has-text-align-center\" data-align=\"center\">Munic&iacute;pio<\/th><th class=\"has-text-align-center\" data-align=\"center\">IVS<\/th><th class=\"has-text-align-center\" data-align=\"center\">Popula&ccedil;&atilde;o<\/th><th class=\"has-text-align-center\" data-align=\"center\">M&eacute;dicos<\/th><th class=\"has-text-align-center\" data-align=\"center\">Rela&ccedil;&atilde;o de m&eacute;dicos por mil habitantes<\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Fernando Falc&atilde;o<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,784<\/td><td class=\"has-text-align-center\" data-align=\"center\">10.873<\/td><td class=\"has-text-align-center\" data-align=\"center\">9<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,83<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Amap&aacute; do Maranh&atilde;o<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,773<\/td><td class=\"has-text-align-center\" data-align=\"center\">7.170<\/td><td class=\"has-text-align-center\" data-align=\"center\">6<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,84<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">PA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Aveiro<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,769<\/td><td class=\"has-text-align-center\" data-align=\"center\">18.290<\/td><td class=\"has-text-align-center\" data-align=\"center\">4<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,22<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Humberto de Campos<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,764<\/td><td class=\"has-text-align-center\" data-align=\"center\">25.669<\/td><td class=\"has-text-align-center\" data-align=\"center\">26<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,01<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Icatu<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,759<\/td><td class=\"has-text-align-center\" data-align=\"center\">24.794<\/td><td class=\"has-text-align-center\" data-align=\"center\">20<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,81<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Santo Amaro do Maranh&atilde;o<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,757<\/td><td class=\"has-text-align-center\" data-align=\"center\">13.671<\/td><td class=\"has-text-align-center\" data-align=\"center\">13<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,95<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">AM<\/td><td class=\"has-text-align-center\" data-align=\"center\">Santo Antonio do I&ccedil;&aacute;<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,745<\/td><td class=\"has-text-align-center\" data-align=\"center\">28.211<\/td><td class=\"has-text-align-center\" data-align=\"center\">20<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,71<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">PA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Prainha<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,744<\/td><td class=\"has-text-align-center\" data-align=\"center\">35.577<\/td><td class=\"has-text-align-center\" data-align=\"center\">12<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,34<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">AM<\/td><td class=\"has-text-align-center\" data-align=\"center\">Juta&iacute;<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,743<\/td><td class=\"has-text-align-center\" data-align=\"center\">25.172<\/td><td class=\"has-text-align-center\" data-align=\"center\">15<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,60<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">PA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Viseu<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,741<\/td><td class=\"has-text-align-center\" data-align=\"center\">58.692<\/td><td class=\"has-text-align-center\" data-align=\"center\">35<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,60<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Pedro do Ros&aacute;rio<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,74<\/td><td class=\"has-text-align-center\" data-align=\"center\">24.320<\/td><td class=\"has-text-align-center\" data-align=\"center\">14<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,58<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Bacuri<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,733<\/td><td class=\"has-text-align-center\" data-align=\"center\">16.290<\/td><td class=\"has-text-align-center\" data-align=\"center\">16<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,98<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">PA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Afu&aacute;<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,729<\/td><td class=\"has-text-align-center\" data-align=\"center\">37.765<\/td><td class=\"has-text-align-center\" data-align=\"center\">23<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,61<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Central do Maranh&atilde;o<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,729<\/td><td class=\"has-text-align-center\" data-align=\"center\">7.094<\/td><td class=\"has-text-align-center\" data-align=\"center\">5<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,70<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">AM<\/td><td class=\"has-text-align-center\" data-align=\"center\">Fonte Boa<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,726<\/td><td class=\"has-text-align-center\" data-align=\"center\">25.871<\/td><td class=\"has-text-align-center\" data-align=\"center\">17<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,66<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">AM<\/td><td class=\"has-text-align-center\" data-align=\"center\">Atalaia do Norte<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,723<\/td><td class=\"has-text-align-center\" data-align=\"center\">15.314<\/td><td class=\"has-text-align-center\" data-align=\"center\">12<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,78<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Paulino Neves<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,720<\/td><td class=\"has-text-align-center\" data-align=\"center\">17.056<\/td><td class=\"has-text-align-center\" data-align=\"center\">18<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,06<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Itaipava do Graja&uacute;<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,720<\/td><td class=\"has-text-align-center\" data-align=\"center\">13.828<\/td><td class=\"has-text-align-center\" data-align=\"center\">19<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,37<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">S&atilde;o Benedito do Rio Preto<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,719<\/td><td class=\"has-text-align-center\" data-align=\"center\">18.364<\/td><td class=\"has-text-align-center\" data-align=\"center\">22<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,20<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">MA<\/td><td class=\"has-text-align-center\" data-align=\"center\">Vargem Grande<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,719<\/td><td class=\"has-text-align-center\" data-align=\"center\">43.261<\/td><td class=\"has-text-align-center\" data-align=\"center\">45<\/td><td class=\"has-text-align-center\" data-align=\"center\">1,04<\/td><\/tr><\/tbody><\/table><figcaption class=\"wp-element-caption\">Popula&ccedil;&atilde;o com base no Censo 2022. Fonte: Atlas da Vulnerabilidade Social do Instituto de Pesquisa Econ&ocirc;mica Aplicada (Ipea) e dados do Minist&eacute;rio da Sa&uacute;de&nbsp;<\/figcaption><\/figure><p>O <strong>&Iacute;ndice de Vulnerabilidade Social (IVS) <\/strong>usado no levantamento &eacute; um &iacute;ndice composto pela m&eacute;dia aritm&eacute;tica de sub&iacute;ndices que <strong>caracterizam a situa&ccedil;&atilde;o de vulnerabilidade social de um munic&iacute;pio<\/strong>. S&atilde;o eles: <strong>Infraestrutura Urbana, Capital Humano, Renda e Trabalho<\/strong>.&nbsp;<\/p><p>A escala do IVS varia entre 0 e 1. Os <strong>n&uacute;meros mais pr&oacute;ximos de 0<\/strong> correspondem &agrave; <strong>situa&ccedil;&atilde;o ideal ou desej&aacute;vel<\/strong> de um munic&iacute;pio e, quanto <strong>mais perto de 1<\/strong>, <strong>pior a situa&ccedil;&atilde;o da cidade<\/strong> no que tange &agrave; vulnerabilidade social.&nbsp;<\/p><p>O IVS &eacute; respons&aacute;vel pelo embasamento de pol&iacute;ticas p&uacute;blicas brasileiras, <a href=\"https:\/\/med.estrategia.com\/portal\/noticias\/mais-medicos-2023-confira-as-vagas-e-quais-municipios-ofertam-bonificacao\/#O-Indice-de-Vulnerabilidade-Social\" target=\"_blank\">como o Mais M&eacute;dicos, que relaciona o IVS dos munic&iacute;pios aos benef&iacute;cios concedidos<\/a> aos m&eacute;dicos participantes do programa.&nbsp;&nbsp;<\/p><p>Para efeito de compara&ccedil;&atilde;o, confira como &eacute; a disposi&ccedil;&atilde;o de m&eacute;dicos nas <strong>5 cidades com os IVS mais pr&oacute;ximos de 0 no Brasil<\/strong>:<\/p><figure class=\"wp-block-table\"><table><thead><tr><th class=\"has-text-align-center\" data-align=\"center\">UF<\/th><th class=\"has-text-align-center\" data-align=\"center\">Munic&iacute;pio<\/th><th class=\"has-text-align-center\" data-align=\"center\">IVS<\/th><th class=\"has-text-align-center\" data-align=\"center\">Popula&ccedil;&atilde;o<\/th><th class=\"has-text-align-center\" data-align=\"center\">M&eacute;dicos<\/th><th class=\"has-text-align-center\" data-align=\"center\">Rela&ccedil;&atilde;o de m&eacute;dicos por mil habitantes<\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\">SC<\/td><td class=\"has-text-align-center\" data-align=\"center\">Luzerna<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,090<\/td><td class=\"has-text-align-center\" data-align=\"center\">5.794<\/td><td class=\"has-text-align-center\" data-align=\"center\">38<\/td><td class=\"has-text-align-center\" data-align=\"center\">6,56<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">SC<\/td><td class=\"has-text-align-center\" data-align=\"center\">Timb&oacute;<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,099<\/td><td class=\"has-text-align-center\" data-align=\"center\">46.099<\/td><td class=\"has-text-align-center\" data-align=\"center\">384<\/td><td class=\"has-text-align-center\" data-align=\"center\">8,33<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">RS<\/td><td class=\"has-text-align-center\" data-align=\"center\">Nova Ara&ccedil;&aacute;<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,099<\/td><td class=\"has-text-align-center\" data-align=\"center\">4.954<\/td><td class=\"has-text-align-center\" data-align=\"center\">11<\/td><td class=\"has-text-align-center\" data-align=\"center\">2,22<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">RS<\/td><td class=\"has-text-align-center\" data-align=\"center\">Arroio do Meio<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,102<\/td><td class=\"has-text-align-center\" data-align=\"center\">21.963<\/td><td class=\"has-text-align-center\" data-align=\"center\">267<\/td><td class=\"has-text-align-center\" data-align=\"center\">12,16<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">RS<\/td><td class=\"has-text-align-center\" data-align=\"center\">Westf&aacute;lia<\/td><td class=\"has-text-align-center\" data-align=\"center\">0,102<\/td><td class=\"has-text-align-center\" data-align=\"center\">3.098<\/td><td class=\"has-text-align-center\" data-align=\"center\">14<\/td><td class=\"has-text-align-center\" data-align=\"center\">4,52<\/td><\/tr><\/tbody><\/table><figcaption class=\"wp-element-caption\">Popula&ccedil;&atilde;o com base no Censo 2022. Fonte: Atlas da Vulnerabilidade Social do Instituto de Pesquisa Econ&ocirc;mica Aplicada (Ipea) e dados do Minist&eacute;rio da Sa&uacute;de&nbsp;<\/figcaption><\/figure><p>\n\n\n<div id=\"new-form\">\n\t<form id=\"forms_layout\">\n\t<input type=\"hidden\" id=\"chave_de\" name=\"chave_de\" value=\"01_EMED_LEADS_TOTAIS\" \/>\n\t\t<input type=\"hidden\" id=\"mid\" name=\"mid\" value=\"515009018\" \/>\n\t\t<input type=\"hidden\" id=\"Objetivo\" name=\"Objetivo\" value=\"Medicina\" \/>\n\t\t<input type=\"hidden\" id=\"Estado_de_Origem_do_IP\" name=\"Estado_de_Origem_do_IP\"  value=\"\" \/>\n\t\t<input type=\"hidden\" id=\"Cidade_de_Origem_do_IP\" name=\"Cidade_de_Origem_do_IP\" value=\"\" \/>\n\t\t<input type=\"hidden\" id=\"Modo_de_entrada\" name=\"Modo_de_entrada\" value=\"Portal\" \/>\n\t\t<input type=\"hidden\" id=\"Pagina_Origem\" name=\"Pagina_Origem\" value=\"\" \/>\n\n\t\t<div class=\"texto\">\n\t\t\t<h3 class=\"news\">Inscreva-se em nossa newsletter!<\/h3>\n\t\t\t<p>Receba not\u00edcias sobre resid\u00eancia m\u00e9dica, revalida\u00e7\u00e3o de diplomas e concursos m\u00e9dicos, al\u00e9m de materiais de estudo gratuitos e informa\u00e7\u00f5es relevantes do mundo da Medicina.<\/p>\n\t\t<\/div>\n\t\t<div class=\"campos\">\n\t\t\t<div class=\"first_name labels\">\n\t\t\t\t<input type=\"text\" class=\"input_labels\" id=\"first_name\" name=\"Nome_Completo\" placeholder=\"Nome\" required \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"email labels\">\n\t\t\t\t<input type=\"email\" class=\"input_labels\" id=\"email\" name=\"Email\" placeholder=\"E-mail\" required \/>\n\t\t\t<\/div>\n\t\t\t<button type=\"submit\" class=\"button_layout\">\n\t\t\t\t<div id=\"lblBotao\">Inscreva-se<\/div>\n\t\t\t\t<span id=\"divSpiner\" class=\"loader\" role=\"status\" style=\"display: none;\"><\/span>\t\n\t\t\t<\/button>\n\t\t<\/div><!-- \/campos -->\n\t\t\n\t\t<label class=\"container_checkbox\">Voc\u00ea concorda com a nossa\n\t\t\t<a class=\"politics_privacy_ahref\" target=\"_blank\" href=\"https:\/\/gratis.estrategiaconcursos.com.br\/politica-de-privacidade\/\">Pol\u00edtica de Privacidade<\/a> e aceita receber informa\u00e7\u00f5es adicionais do Estrat\u00e9gia Educacional.\n\t\t\t<input id=\"checkbox_layout\" type=\"checkbox\" checked=\"checked\" required \/>\n\t\t\t<span class=\"checkbox\"><\/span>\n\t\t<\/label>\n\t\t<div id=\"msg\"><\/div>\n\t\t<div id=\"error\" class=\"error\">\n\t\t<\/div>\n\t<\/form>\n<\/div><!-- \/new-form -->\n\n\n\n<\/p><h2 class=\"wp-block-heading\" id=\"h-desafios-para-fixacao-de-profissionais\"><span class=\"ez-toc-section\" id=\"Desafios-para-fixacao-de-profissionais\"><\/span>Desafios para fixa&ccedil;&atilde;o de profissionais&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2><p>A desigualdade na distribui&ccedil;&atilde;o de profissionais &eacute;, inclusive, tema de um cap&iacute;tulo inteiro do relat&oacute;rio da Demografia M&eacute;dica 2023, produzido pela Universidade de S&atilde;o Paulo (USP) em parceria com o CFM. Al&eacute;m da organiza&ccedil;&atilde;o geogr&aacute;fica, o cap&iacute;tulo pontua a m&aacute; distribui&ccedil;&atilde;o de profissionais entre os <strong>setores p&uacute;blico e privado<\/strong>, entre os diferentes <strong>tipos de servi&ccedil;os de sa&uacute;de <\/strong>e<strong> <\/strong>nos n&iacute;veis de aten&ccedil;&atilde;o: <strong>prim&aacute;ria, ambulatorial <\/strong>ou <strong>hospitalar<\/strong>.&nbsp;<\/p><p>Desta forma, mesmo que a densidade de profissionais seja considerada ideal em determinada regi&atilde;o, outros fatores precisam ser considerados ao analisar o cen&aacute;rio da sa&uacute;de.&nbsp;<\/p><h3 class=\"wp-block-heading\" id=\"h-condicoes-de-trabalho-desafiadoras\">Condi&ccedil;&otilde;es de trabalho desafiadoras<\/h3><p>Cidades vulner&aacute;veis , muitas vezes, falham na oferta por atendimento m&eacute;dico de qualidade. Isso acontece pois, al&eacute;m de atrair profissionais, os munic&iacute;pios precisam tamb&eacute;m oferecer&nbsp; <strong>infraestrutura e recursos adequados para apoiar a atua&ccedil;&atilde;o destes. <\/strong>Como &eacute; comum a aus&ecirc;ncia de recursos b&aacute;sicos, de hospitais, cl&iacute;nicas e equipamentos m&eacute;dicos apropriados, os m&eacute;dicos acabam se desencorajando a se estabelecer nessas &aacute;reas.<\/p><p>Al&eacute;m disso, mesmo quando conseguem desempenhar as suas fun&ccedil;&otilde;es corretamente, os m&eacute;dicos podem enfrentar <strong>condi&ccedil;&otilde;es de trabalho dif&iacute;ceis e estressantes<\/strong>. &Aacute;reas vulner&aacute;veis e com d&eacute;ficit na oferta de profissionais <strong>sobrecarregam os m&eacute;dicos atuantes, <\/strong>&nbsp;que muitas vezes enfrentam<strong> altas cargas de trabalho<\/strong> e <strong>longas jornadas, <\/strong>afetando negativamente a qualidade de vida e o bem-estar dos profissionais.<\/p><h3 class=\"wp-block-heading\" id=\"h-falta-de-oportunidades-profissionais\">Falta de oportunidades profissionais<\/h3><p>Geralmente, h&aacute; <strong>menos oportunidades de crescimento profissional<\/strong> e de <strong>desenvolvimento de carreira <\/strong>para os m&eacute;dicos em munic&iacute;pios longe dos grandes centros urbanos. A falta de acesso a <strong>especializa&ccedil;&otilde;es, treinamentos<\/strong> e <strong>pesquisas<\/strong> pode desmotivar a fixa&ccedil;&atilde;o dos m&eacute;dicos nesses locais.<\/p><p>Na tentativa de superar este problema, programas de provimento m&eacute;dico, como o Mais M&eacute;dicos, t&ecirc;m oferecido incentivos para a forma&ccedil;&atilde;o m&eacute;dica, incentivando a fixa&ccedil;&atilde;o dos participantes nos munic&iacute;pios alocados.&nbsp;<\/p><p class=\"wp-block-verse\">Saiba mais sobre os incentivos em: <a href=\"https:\/\/med.estrategia.com\/portal\/noticias\/novo-mais-medicos-e-lancado-pelo-ministerio-da-saude-confira-as-mudancas\/\" target=\"_blank\">Novo Mais M&eacute;dicos &eacute; lan&ccedil;ado pelo Minist&eacute;rio da Sa&uacute;de: confira as mudan&ccedil;as&nbsp;<\/a><\/p><h3 class=\"wp-block-heading\" id=\"h-condicoes-socioeconomicas-do-local\">Condi&ccedil;&otilde;es socioecon&ocirc;micas do local<\/h3><p>Certos fatores desestimulantes para a fixa&ccedil;&atilde;o de m&eacute;dicos se relacionam &agrave; <strong>estrutura do munic&iacute;pio<\/strong>, j&aacute; que muitas cidades com alto &iacute;ndice de vulnerabilidade est&atilde;o localizadas em<strong> &aacute;reas remotas ou isoladas<\/strong>, com <strong>pouca, ou nenhuma infraestrutura de transporte<\/strong> e com acesso aos servi&ccedil;os b&aacute;sicos dificultado.&nbsp;<\/p><p>Ainda, &aacute;reas carentes frequentemente enfrentam <strong>desafios socioecon&ocirc;micos<\/strong>, como <strong>pobreza, desemprego e viol&ecirc;ncia.<\/strong> Esses fatores podem criar um<strong> ambiente inst&aacute;vel e inseguro<\/strong>, influenciando a disposi&ccedil;&atilde;o dos m&eacute;dicos em trabalhar nessas &aacute;reas.<\/p><p>Diante de todos os desafios citados acima, encontramos os chamados <strong>&ldquo;vazios assistenciais&rdquo;<\/strong>, <strong>&ldquo;&aacute;reas desassistidas&rdquo;<\/strong> ou<strong> &ldquo;desertos m&eacute;dicos&rdquo;<\/strong>. Os termos, comuns em estudos no &acirc;mbito do provimento m&eacute;dico, definem situa&ccedil;&otilde;es nas quais falta tudo para uma popula&ccedil;&atilde;o no que tange &agrave; sa&uacute;de: <strong>equipamentos<\/strong>, <strong>tecnologias<\/strong>, estruturas (<strong>hospitais, postos de sa&uacute;de, pronto-socorro<\/strong>), <strong>equipes multiprofissionais<\/strong>, <strong>m&eacute;dicos<\/strong> &ndash; especialistas e generalistas &ndash; ou h&aacute; dificuldade de reposi&ccedil;&atilde;o de profissionais.&nbsp;<\/p><p>Em resumo, esses s&atilde;o os principais estopins para as <strong>filas do SUS <\/strong>ou para as <strong>longas dist&acirc;ncias <\/strong>percorridas pela popula&ccedil;&atilde;o<strong> em busca do atendimento necess&aacute;rio<\/strong>. O cen&aacute;rio ainda &eacute; agravado j&aacute; que, de acordo com dados do Cadastro Nacional de Estabelecimentos de Sa&uacute;de (CNES),<strong> 1.915 munic&iacute;pios brasileiros<\/strong> n&atilde;o possuem servi&ccedil;os m&eacute;dicos privados e <strong>dependem exclusivamente do SUS<\/strong>. A quantidade corresponde a <strong>34% do total de munic&iacute;pios, equivalente a cerca de 15,7 milh&otilde;es de pessoas que dependem do SUS.<\/strong><\/p><p>Assim, pode-se notar que o<strong> trabalho m&eacute;dico<\/strong>, embora essencial, <strong>n&atilde;o &eacute; singular e n&atilde;o depende apenas do profissional<\/strong>. Marcia Tubone, especialista em Sa&uacute;de P&uacute;blica e assessora t&eacute;cnica do Conselho de Secret&aacute;rios Municipais de S&atilde;o Paulo (COSEMS\/SP), explica que <strong>n&atilde;o h&aacute; como exigir m&eacute;dicos em regi&otilde;es carentes<\/strong>, sobretudo na aten&ccedil;&atilde;o b&aacute;sica, se n&atilde;o existem <strong>medidas estruturantes para que eles permane&ccedil;am<\/strong>.<\/p><p>Ainda, Tubone esclarece que h&aacute; necessidade de prover uma <strong>equipe de sa&uacute;de completa <\/strong>para permitir o trabalho do m&eacute;dico: <em>&ldquo;n&atilde;o &eacute; um m&eacute;dico solto, &eacute; um m&eacute;dico inserido numa equipe multiprofissional&rdquo;<\/em>.&nbsp;<\/p><h2 class=\"wp-block-heading\" id=\"h-estrategias-implementadas\"><span class=\"ez-toc-section\" id=\"Estrategias-implementadas\"><\/span>Estrat&eacute;gias implementadas<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Visando combater a falta de m&eacute;dicos nas regi&otilde;es mais deficit&aacute;rias, aliado ao enfrentamento dos desafios comentados, o Minist&eacute;rio da Educa&ccedil;&atilde;o, Minist&eacute;rio da Sa&uacute;de e a Secretaria de Aten&ccedil;&atilde;o Prim&aacute;ria &agrave; Sa&uacute;de constantemente adotam estrat&eacute;gias que t&ecirc;m como foco gerar:&nbsp;<\/p><ul class=\"wp-block-list\">\n<li><strong>Programas de incentivo financeiro <\/strong>aos m&eacute;dicos e aos munic&iacute;pios;<\/li>\n\n\n\n<li><strong>Melhorias na infraestrutura de sa&uacute;de<\/strong> das &aacute;reas mais carentes;<\/li>\n\n\n\n<li>Desenvolvimento de <strong>pol&iacute;ticas de apoio &agrave; forma&ccedil;&atilde;o e fixa&ccedil;&atilde;o de m&eacute;dicos<\/strong> pelo territ&oacute;rio brasileiro;<\/li>\n\n\n\n<li><strong>Aprimoramento das condi&ccedil;&otilde;es de trabalho<\/strong> dos m&eacute;dicos;&nbsp;<\/li>\n\n\n\n<li>Promo&ccedil;&atilde;o de uma<strong> abordagem hol&iacute;stica <\/strong>envolvendo a comunidade local e os m&eacute;dicos, criando assim um ambiente de trabalho atraente e sustent&aacute;vel.<\/li>\n<\/ul><p>Neste cen&aacute;rio, diversos incentivos e programas de provimento m&eacute;dico, emergenciais ou n&atilde;o, j&aacute; foram criados no Brasil seguindo as propostas mencionadas. Conhe&ccedil;a alguns deles:<\/p><h3 class=\"wp-block-heading\" id=\"h-programa-mais-medicos\">Programa Mais M&eacute;dicos<\/h3><p>Para amenizar os impactos da disparidade m&eacute;dica no Brasil, em 2013 foi criado o <strong>Programa Mais M&eacute;dicos (PMM), relan&ccedil;ado <\/strong>em 20 de mar&ccedil;o de 2023. O Mais M&eacute;dicos &eacute; um programa de provimento m&eacute;dico cujo objetivo consiste em dar acesso &agrave; Aten&ccedil;&atilde;o Prim&aacute;ria &agrave; Sa&uacute;de nas &aacute;reas mais vulner&aacute;veis. jJ&aacute; em seu primeiro novo ciclo (28&ordm;), o programa ofertou <strong>5.970 vagas em 1.994 munic&iacute;pios brasileiros<\/strong>.&nbsp;<\/p><p>O Mais M&eacute;dicos tem como foco a <strong>Aten&ccedil;&atilde;o Prim&aacute;ria<\/strong>, j&aacute; que nela h&aacute; o<strong> v&iacute;nculo do m&eacute;dico com a popula&ccedil;&atilde;o<\/strong> e com a <strong>equipe multiprofissional<\/strong>, o que gera l<strong>ongitudinalidade e atendimento integral &agrave; sa&uacute;de<\/strong>. Al&eacute;m disso, o Minist&eacute;rio da Sa&uacute;de j&aacute; atestou que <strong>85% dos problemas de sa&uacute;de da popula&ccedil;&atilde;o podem ser resolvidos na aten&ccedil;&atilde;o b&aacute;sica<\/strong>, o que justifica que ela seja colocada como prioridade.<\/p><p class=\"wp-block-verse\">Saiba mais sobre o <a href=\"https:\/\/med.estrategia.com\/portal\/noticias\/inscricoes-mais-medicos-2023\/\" target=\"_blank\">Programa Mais M&eacute;dicos e seu edital em nosso Portal!<\/a><\/p><h3 class=\"wp-block-heading\" id=\"h-interiorizacao-e-complementacao-da-formacao-medica\">Interioriza&ccedil;&atilde;o e complementa&ccedil;&atilde;o da forma&ccedil;&atilde;o m&eacute;dica<\/h3><p>O governo brasileiro tem buscado <strong>expandir as vagas de medicina<\/strong> em institui&ccedil;&otilde;es de ensino localizadas em <strong>cidades do interior<\/strong>.<strong> <\/strong>Essa estrat&eacute;gia visa formar m&eacute;dicos com <strong>v&iacute;nculos e identifica&ccedil;&atilde;o com as regi&otilde;es mais necessitadas<\/strong>, aumentando a <strong>probabilidade de sua fixa&ccedil;&atilde;o nessas &aacute;reas<\/strong> ap&oacute;s a gradua&ccedil;&atilde;o.<\/p><p class=\"wp-block-verse\">Saiba mais sobre a medida: <a href=\"https:\/\/med.estrategia.com\/portal\/noticias\/portaria-para-autorizacao-de-novos-cursos-de-medicina-foi-divulgado-pelo-mec\/\" target=\"_blank\">Portaria para autoriza&ccedil;&atilde;o de novos cursos de Medicina &eacute; divulgada pelo MEC<\/a><\/p><p>Outra oportunidade &eacute; a cria&ccedil;&atilde;o de <strong>resid&ecirc;ncias m&eacute;dicas em &aacute;reas necessitadas<\/strong> de profissionais, j&aacute; que o cen&aacute;rio segue a mesma l&oacute;gica e tende a<strong> gerar v&iacute;nculos entre o residente e o local de atua&ccedil;&atilde;o<\/strong>. Estudos apontam que os m&eacute;dicos t&ecirc;m a <strong>tend&ecirc;ncia de permanecer no local onde realizaram sua resid&ecirc;ncia m&eacute;dica<\/strong>, independentemente de serem ou n&atilde;o naturais da localidade.<\/p><p class=\"wp-block-verse\">Conhe&ccedil;a as medidas: <a href=\"https:\/\/med.estrategia.com\/portal\/noticias\/plano-fortalecimento-residencia\/\" target=\"_blank\">Minist&eacute;rio lan&ccedil;a Plano Nacional de Fortalecimento das Resid&ecirc;ncias em Sa&uacute;de<\/a>; <a href=\"https:\/\/med.estrategia.com\/portal\/noticias\/ministerio-da-saude-retoma-o-pro-residencia\/\" target=\"_blank\">Minist&eacute;rio da Sa&uacute;de publica edital de retomada do Pr&oacute;-Resid&ecirc;ncia<\/a><\/p><p>Outra forma de conectar os estudantes de medicina &agrave;s &aacute;reas vulner&aacute;veis &eacute; por meio do <strong>Programa de Educa&ccedil;&atilde;o pelo Trabalho para a Sa&uacute;de (PET-Sa&uacute;de)<\/strong>. Esse programa busca <strong>integrar a forma&ccedil;&atilde;o acad&ecirc;mica<\/strong> dos estudantes de medicina com a <strong>realidade do SUS <\/strong>em <strong>localidades carentes<\/strong>. Dessa forma, o <a href=\"https:\/\/www.gov.br\/saude\/pt-br\/composicao\/sgtes\/pet-saude\" target=\"_blank\">PET-Sa&uacute;de<\/a> permite que os estudantes<strong> conhe&ccedil;am a realidade das unidades de sa&uacute;de <\/strong>dessas regi&otilde;es, <strong>estimulando o interesse e a fixa&ccedil;&atilde;o<\/strong> dos profissionais.<\/p><h3 class=\"wp-block-heading\" id=\"h-incentivos-financeiros\">Incentivos financeiros<\/h3><p>Em 2011, o Minist&eacute;rio da Sa&uacute;de lan&ccedil;ou, em conjunto com o Minist&eacute;rio da Educa&ccedil;&atilde;o, o <a href=\"https:\/\/med.estrategia.com\/portal\/atualidades\/bonus-na-prova-de-residencia-medica\/#PROVAB\" target=\"_blank\">Programa de Valoriza&ccedil;&atilde;o do Profissional da Aten&ccedil;&atilde;o B&aacute;sica (PROVAB)<\/a>, programa de <strong>incentivo financeiro<\/strong> que ofereceu<strong> bolsas para m&eacute;dicos que atuassem em &aacute;reas carentes<\/strong>. O programa contava com <strong>pol&iacute;ticas de gratifica&ccedil;&atilde;o<\/strong> e <strong>adicional de remunera&ccedil;&atilde;o<\/strong> para m&eacute;dicos que trabalhavam em regi&otilde;es remotas e de dif&iacute;cil acesso, al&eacute;m de gerar b&ocirc;nus de 10% nas provas de resid&ecirc;ncia m&eacute;dica.&nbsp;<\/p><p>O PROVAB foi descontinuado em 2017 pelo Minist&eacute;rio da Sa&uacute;de mas suas propostas principais foram incorporadas ao novo Mais M&eacute;dicos. Conhe&ccedil;a os atuais incentivos financeiros para aloca&ccedil;&atilde;o de profissionais em locais carentes: <a href=\"https:\/\/med.estrategia.com\/portal\/noticias\/mais-medicos-2023-confira-as-vagas-e-quais-municipios-ofertam-bonificacao\/\" target=\"_blank\">Mais M&eacute;dicos 2023: confira as vagas e quais munic&iacute;pios ofertam bonifica&ccedil;&atilde;o<\/a><\/p><p>Al&eacute;m do incentivo ao trabalho na Aten&ccedil;&atilde;o B&aacute;sica e na Estrat&eacute;gia de Sa&uacute;de da Fam&iacute;lia pelos m&eacute;dicos, o programa ainda se categorizava como um <strong>curso de especializa&ccedil;&atilde;o em Aten&ccedil;&atilde;o B&aacute;sica<\/strong>, ministrado pela <strong>Universidade Aberta do SUS (UNA-SUS)<\/strong>.<\/p><p>Gostou de saber mais sobre a distribui&ccedil;&atilde;o m&eacute;dica no Brasil? No Portal de Not&iacute;cias do Estrat&eacute;gia MED voc&ecirc; confere muitos outros artigos e rela&ccedil;&otilde;es de dados &uacute;teis dentro da medicina. Continue acompanhando o Portal de Not&iacute;cias do Estrat&eacute;gia MED para mais informa&ccedil;&otilde;es sobre processos seletivos de resid&ecirc;ncia m&eacute;dica, programa Mais M&eacute;dicos e revalida&ccedil;&atilde;o de diplomas de Medicina, al&eacute;m de novidades da &aacute;rea m&eacute;dica.<\/p><p>\n\n\n\n\n\n<a id=\"cta\" class=\"cta-imagem\" href=\"https:\/\/med.estrategia.com\/curso\/banco-de-questes-resumos-estrategicos-anual\/\" target=\"blank\">\n                <img decoding=\"async\" width=\"100%\" src=\"https:\/\/med.estrategia.com\/portal\/wp-content\/uploads\/2025\/08\/banco_questoes.png\" alt=\"banco_questoes\" title=\"banco_questoes\">\n        <\/a>\n<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"Entenda o cen\u00e1rio m\u00e9dico no pa\u00eds, as estrat\u00e9gias implementadas, bem como os desafios envolvidos no combate \u00e0 m\u00e1 distribui\u00e7\u00e3o de profissionais no Brasil\n","protected":false},"author":22,"featured_media":41372,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"wl_entities_gutenberg":"","footnotes":""},"categories":[32],"tags":[],"wl_entity_type":[199],"class_list":{"0":"post-41369","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-atualidades","8":"wl_entity_type-article"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Distribui\u00e7\u00e3o m\u00e9dica no Brasil: problemas, desafios e estrat\u00e9gias&nbsp;<\/title>\n<meta name=\"description\" content=\"Entenda o cen\u00e1rio, as estrat\u00e9gias implementadas, bem como os desafios envolvidos no combate \u00e0 m\u00e1 distribui\u00e7\u00e3o m\u00e9dica no Brasil.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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