Geographical distribution and factors associated with physicians' and nurses' productivity in Brazilian primary healthcare.

IF 1.2 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-02-20 DOI:10.1590/1413-81232025307.11452024

Rafael Damasceno de Barros, Jorge Augusto Silva Valente de Andrade, Hugo de Cerqueira Melo, Aiara Nascimento Amaral Bomfim

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Abstract

The aim of this study was to analyze the geographical distribution and factors associated with productivity in Brazilian primary health care (PHC) for the year 2023. Productivity was defined as the number of individual consultations conducted by physicians and nurses per PHC team. The average productivity in Brazil was 247.1 and 138.8 consultations per month for physicians and nurses, respectively. The Southern region (357.7), states such as Santa Catarina (411.2), Rio Grande do Sul (353.6), and Mato Grosso (339.2), and capital cities like Curitiba (413.2), Porto Alegre (377.4), and Palmas (353.8) exhibited the highest physician productivity. Positive associations with physician and nurse productivity were found for APS coverage, registered users per team, number of nursing technicians and assistants per team, and electronic health records. Municipalities with lower social vulnerability and smaller population size demonstrated higher physician productivity. Additionally, per capita APS expenditure was positively associated with physician productivity and negatively associated with nurse productivity. Collective activities such as team meetings, health education, and group consultations were positively correlated with physician and nurse productivity.

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巴西初级卫生保健中与医生和护士生产力相关的地理分布和因素。

本研究的目的是分析2023年巴西初级卫生保健（PHC）的地理分布和与生产力相关的因素。生产力被定义为每个初级保健团队由医生和护士进行的个人咨询次数。巴西的医生和护士的平均生产力分别为每月247.1次和138.8次咨询。南部地区（357.7）、圣卡塔琳娜州（411.2）、南大德州（353.6）和马托格罗索州（339.2）等州以及库里蒂巴（413.2）、阿雷格里港（377.4）和帕尔马斯（353.8）等首府城市的医生生产率最高。发现APS覆盖率、每个团队的注册用户、每个团队的护理技术人员和助理数量以及电子健康记录与医生和护士生产力呈正相关。社会脆弱性越低、人口规模越小的城市医师生产力越高。此外，人均APS支出与医生生产力呈正相关，与护士生产力负相关。小组会议、健康教育和小组会诊等集体活动与医生和护士的工作效率呈正相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.60

自引率

11.80%

发文量

533

审稿时长

12 weeks

期刊介绍： Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.