ArticleBMC health services research2019
The retention of physicians to primary health care in Brazil: motivation and limitations from a qualitative perspective.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Reducing referrals in primary care through specialist-supported telehealth: quasi-experimental evidence from Northeast Brazil.Frontiers in digital health · 2026Article
- Retaining family physicians in comprehensive primary care: Scoping review.Canadian family physician Medecin de famille canadien · 2025Article
- Exploring the motivations and challenges of private dental practitioners in rural India: A qualitative analysis.Journal of family medicine and primary care · 2025Article
- The landscape of family medicine in India - A cross-sectional survey study.PLOS global public health · 2025Article
- Factors associated with the attraction and retention of family and community medicine and nursing residents in rural settings: a qualitative study.BMC medical education · 2023Article
- Interventions of Brazil's more doctors program through continuing education for Primary Health Care.Frontiers in public health · 2023Article
- Retention of dental practitioners in rural health services in Iran: Experiences from Kerman province.Dental research journal · 2022Article
- Context Matters: Findings from a Qualitative Study Exploring Service and Place Factors Influencing the Recruitment and Retention of Allied Health Professionals in Rural Australian Public Health Services.International journal of environmental research and public health · 2020Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study analyzed the reasons why physicians migrated from the Program to Value Primary Healthcare Professionals (PROVAB) to the Mais Médicos (More doctors) Program in 2015, opting to become physicians of the Primary Health Care.
methodsThe focal group techniques were used consisting of six doctors that made the option to remain in the PHC, being the results analyzed through content monitoring as well as the respective categories, which were identified as theme analysis.
resultsIt was evidenced that the physician's retention on primary care has a strong relationship with the acquisition of knowledge that is consistent with the context and the health needs of the population. Thus, appropriate competencies for the management of the different biopsychosocial characteristics of the territories, in consonance with abilities that use the communication centered on the patient as well as on the interdisciplinarity, producing health projects that include the uniqueness of the people, essential factor for the daily confrontation of the work of these physicians, strengthened by the training component of the program. Personal factors related to the empathetic profile with this level of care and the possibility of continuous improvement, besides the factors related to the adequate infrastructure and organizational climate with guaranteed salary in keeping with the complexity of Primary Care, positively influenced the permanence of these professionals and were drivers of changes in healthcare and management in the health units they were related to. The bond created with the team and patients was a great satisfaction factor for the professional, being identified by them as a possibility to make a difference in the treatment process of patients, strengthening the promotion of a healthier life through health education.
conclusionsPROVAB had an unparalleled contribution to the qualification of care in Primary Health Care, contributing to the birth of a new logic of medical training in Brazil. Its effective cooperation with the consolidation of the Mais Médicos Program, still in progress, is a great movement of resistance to the disarticulation and deconstruction of Unified Health System (SUS) which is in charge of public health in Brazil.
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