Banca de DEFESA: RACHEL ALVES DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : RACHEL ALVES DA SILVA
DATE: 28/01/2025
TIME: 14:00
LOCAL: Microsoft Teams
TITLE:

Spatial Analysis of the More Doctors Program in Brazilian Municipalities (2013 – 2023)

KEY WORDS:

More Doctors Program, spatial analysis, primary health care, mortality rates.

PAGES: 125
BIG AREA: Ciências Sociais Aplicadas
AREA: Economia
SUBÁREA: Economia Regional e Urbana
SPECIALTY: Economia Regional
SUMMARY:

This work presents a comprehensive analysis of the Programa Mais Médicos (PMM) and its implications for Brazilian public health, addressing both the spatial distribution of physicians and the program's impact on mortality rates. The first article investigates the spatial distribution of PMM physicians across Brazilian municipalities from 2013 to 2023, employing Exploratory Spatial Data Analysis (ESDA) and cluster analysis. The findings reveal significant changes in the allocation of physicians over the years, particularly in underserved areas. The second article explores the implications of the PMM and the COVID-19 pandemic on mortality rates, analyzing spatial effects on overall mortality, elderly mortality, infant mortality, early childhood mortality, mortality from avoidable causes, and mortality from conditions sensitive to primary care. The research indicates that, despite the general increase in mortality rates during the pandemic, the PMM had a positive impact on reducing infant mortality, early childhood mortality, and mortality from conditions sensitive to primary care, highlighting its importance in promoting health equity. The third and final article examines the impact of the departure of Cuban physicians from the PMM in 2018 on different mortality rates across Brazilian municipalities. Using the Difference-in-Differences method with the HighDimensional Fixed Effects (HDFE) estimator, the study identifies substantial negative impacts, particularly on overall mortality and mortality from avoidable causes, underscoring the vulnerability of public policies to unplanned political and administrative changes. This dissertation thus contributes to understanding the spatial dynamics of physician distribution and their effects on population health, providing empirical evidence that can inform future public policies and interventions in the program

COMMITTEE MEMBERS:
Externo à Instituição - LUCAS EMANUEL DA SILVA - UFBA
Externo à Instituição - MARCUS VINÍCIUS AMARAL E SILVA - UFPel
Presidente - ***.092.287-** - BRUNO SILVA DE MORAES GOMES - UFJF
Interno - ***.915.177-** - EVERLAM ELIAS MONTIBELER - UFES
Interna - 1863173 - MARIA VIVIANA DE FREITAS CABRAL