The More Doctors Program: documentary analysis of critical events and positioning of social actors

One of the challenges in consolidating primary health care, which is a priority strategy for reorienting the healthcare model in Brazil, is the difficulty of supplying and retaining health professionals, especially physicians, throughout the country. This study consists of a documentary analysis of the formulation and implementation processes of the More Doctors Program from 2013 (time of publication of Law No. 12871/2013, which created the MDP) to 2015. Through the selected publications, it was possible to map critical events, interests and identification of divergent positions among social actors (allies, opponents or indifferent) involved in the stages of formulating proposals and implementing the program. The analysis indicated that the MDP generally represented a step forward in providing expanded access to health in Brazil.

作为巴西调整医疗模式的优先战略，巩固初级卫生保健（Primary Health Care）面临的一大挑战，是在全国范围内配备并留住医护人员，尤其是医师的难题。本研究对2013年（第12871/2013号法律颁布之年，该法律正式创立了更多医生计划（More Doctors Program，MDP））至2015年间的该计划制定与实施流程开展文献分析。通过筛选后的文献资料，本研究得以梳理该计划提案制定与实施阶段中，相关社会行动者（盟友、反对者或中立者）的关键事件、利益诉求及立场分歧。分析结果表明，更多医生计划总体上推动了巴西医疗服务可及范围的拓展。