The public health consolidates as a human right that must be guaranteed to the population
regardless of political and / or economic factors. Among the main obstacles to the access and
the quality of health in Brazil is the scarcity of health professionals, especially in
geographically remote areas and in situations of socioeconomic vulnerability. Among the
worst medical demography indexes in the country stand out the ones from the Northern
region. With a wide geographical territory, low population density and local population in
riverside areas, the North has the lowest ratio of physicians per thousand inhabitants in Brazil.
In order to solve these problems, programs such as Programa Mais Médicos - More Doctors
Program (PMM) and the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica
- Program of Access and Quality Improvement in Primary Care (PMAQ-AB) were developed.
However, only the quantitative increase of professionals and care units are not synonymous of
quality and guarantee of access to health. That way, the present study aimed to evaluate the
performance of the 1.831 Family Health Teams, with and without a professional from the
PMM, in improving access and quality of primary care (PMAQ-AB) in the Northern region of
Brazil, since data from the third cycle of the Program. For this purpose, 15 indicators
available within the different phases of the 3rd cycle of the PMAQ-B were evaluated. The
analysis of the indicators showed that, sometimes, only the presence of a family health team
does not ensure the care of the population covered, even when the presence of PMM
professionals is verified. However, there was a better performance by the PMM teams in
terms of reception and health promotion. In the same way as greater differences in
performance were noticed among professionals with CRM Brazil, Individual Exchange
Students and Cooperative Members. In addition, the low levels of certifications point to
possible failures in the PMAQ management, especially in relation to the integration of
professionals in the actions of the Program that guarantee a good evaluation of the teams
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