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publicado em 11/10/2013 às 15h23:00
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Shortage of doctors is a major obstacle in universal health coverage

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"The shortage of doctors and lack of investment in primary care are a problem of the 35 countries in the Americas, and one of the main obstacles to achieving universal health coverage in the region." The completion of the Pan American Health Organization (PAHO), was released at the end of the 52nd annual meeting in Washington last week. During the meeting, the nations debated regional priorities in Health and at the end, issued a resolution on Human Resources for Health, adopted by consensus by all countries of the continent, which brings a number of recommendations to increase the population's access health professionals.

More Doctors Program was presented at the event in Washington as a strategy to strengthen human resources for health that meets the recommendations of the international organization. The latest of these initiatives was the bold and innovative program More Doctors, Brazil, said the director of PAHO, Carissa Etienneé.

Among the policies outlined in the resolution are the intensification of international cooperation organization with its members to formulate policies and planning capabilities, and the reform of medical education graduate, increasing the number of vacancies in the specialties most needed in primary care in especially in Family Medicine. The resolution also recommends the systematic monitoring and evaluation of rules and specific benefits to recruit, hire and stabilize professionals, especially in remote and underserved.

If these reforms are implemented, the Americas may achieve a set of 20 targets for the development of human resources for health in 2007 that countries have pledged to achieve by 2015, said the director of the Pan American Health Organization, Carissa Etienneé. Are among these goals: that all countries of the Americas have 25 health professionals for every 10 thousand people and that the imbalance in the distribution of health personnel between urban and rural areas is reduced by half. Furthermore, the goals provide for the adoption of a global code of professional and ethical standards for the international recruitment of health professionals, schools health reorient their activities to basic health care and that the proportion of primary care physicians is more than 40% of the total workforce of doctors.

During the event PAHO was mentioned study on medical education graduate in 14 Latin American countries in 2010, which revealed that only 18% of total jobs in the first year of residency corresponded to Family Medicine. This number is further reduced by excluding Cuba, reaching 9% in the remaining countries. In the United States, specializing in vacancies in Family Medicine is equivalent to 11%, 28% in Spain and 43% in Canada.

To Ministry of Health

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