How is the current economic crisis shaping Brazil's health system? Strengthening health workforce and provision of services in São Paulo and Maranhão

• Grant number: 17/50356-7
• Support Opportunities: Research Grants - Research in Public Policies
• Duration: June 01, 2018 - September 30, 2021
• Field of knowledge: Health Sciences - Collective Health
• Convênio/Acordo: CONFAP ; Newton Fund, with FAPESP as a partner institution in Brazil ; MRC, UKRI
• Principal Investigator: Mário César Scheffer
• Grantee: Mário César Scheffer
• Principal researcher abroad: Giuliano Russo
• Institution abroad: Queen Mary University of London, England
• Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil
• Partner institutions: Secretaria da Saúde (São Paulo - Estado). Coordenadoria de Regiões de Saúde
• Associated scholarship(s): 20/02147-2 - Mentoring activities in quantitative research (epidemiological survey) to evaluate the impact of the crisis on the Brazilian health system, BP.TT; 19/26461-0 - Mentoring activity: qualitative work 1, BP.TT; 19/11511-2 - Mentoring activity: qualitative work 1, BP.TT; 18/19707-0 - Mentoring activities: secondary data (RAIS basis), BP.TT; 18/19792-8 - Mentoring activities: secondary data (CAGED basis), BP.TT

Abstract

This project aims to evaluate the impact of the current economic crisis in the Brazilian Health System, especially in health human resources and in the offer of health services to vulnerable population. To archive that, we will analyze secondary data, collect primary quantitative and qualitative data. The study will be conducted in the states of São Paulo and Maranhão, chosen for their disparities in economic reality, health system organization, availability of medical workforce and in the health status of the population. We expect, with the result of this study, to support policy making and adoption of measures to attenuate eventual impacts of the economic crisis in Brazil's health. (AU)

Scientific publications

(13)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

ANDRIETTA, LUCAS SALVADOR; LEVI, MARIA LUIZA; SCHEFFER, MARIO C.; SOARES DE BRITTO E ALVES, MARIA TERESA SEABRA; CARNEIRO ALVES DE OLIVEIRA, BRUNO LUCIANO; RUSSO, GIULIANO. The differential impact of economic recessions on health systems in middle-income settings: a comparative case study of unequal states in Brazil. BMJ GLOBAL HEALTH, v. 5, n. 2, FEB 2020. (17/50356-7)

SCHEFFER, MARIO; CASSENOTE, ALEX; SEABRA SOARES DE BRITTO E ALVES, MARIA TERESA; RUSSO, GIULIANO. The multiple uses of telemedicine during the pandemic: the evidence from a cross-sectional survey of medical doctors in Brazil. GLOBALIZATION AND HEALTH, v. 18, n. 1, p. 10-pg., 2022-09-19. (17/50356-7)

SCHEFFER, MARIO CESAR; PASTOR-VALERO, MARIA; CASSENOTE, ALEX JONES FLORES; COMPAN ROSIQUE, ANTONIO F.. How many and which physicians? A comparative study of the evolution of the supply of physicians and specialist training in Brazil and Spain. HUMAN RESOURCES FOR HEALTH, v. 18, n. 1, APR 21 2020. (17/50356-7)

MIOTTO, BRUNO ALONSO; ALVES GUILLOUX, ALINE GIL; FLORES CASSENOTE, ALEX JONES; MAINARDI, GIULIA MARCELINO; RUSSO, GIULIANO; SCHEFFER, MARIO CESAR. Physician's sociodemographic profile and distribution across public and private health care: an insight into physicians' dual practice in Brazil. BMC HEALTH SERVICES RESEARCH, v. 18, APR 23 2018. (17/50356-7, 13/18158-0)

RUSSO, GIULIANO; CASSENOTE, ALEX J. FLORES; GUILLOUX, ALINE G. ALVES; SCHEFFER, MARIO CESAR. The role of private education in the selection of primary care careers in low and middle-income countries. Findings from a representative survey of medical residents in Brazil. HUMAN RESOURCES FOR HEALTH, v. 18, n. 1, FEB 17 2020. (17/50356-7)

RUSSO, GIULIANO; LEVI, MARIA LUIZA; SOARES DE BRITTO E ALVES, MARIA TERESA SEABRA; CARNEIRO ALVES DE OLIVEIRA, BRUNO LUCIANO; BRITTO FERREIRA DE CARVALHO, RUTH HELENA DE SOUZA; ANDRIETTA, LUCAS SALVADOR; FILIPPON, JONATHAN GONCALVES; SCHEFFER, MARIO CESAR; GARCIA, JONATHAN. How the `plates' of a health system can shift, change and adjust during economic recessions: A qualitative interview study of public and private health providers in Brazil's Sao Paulo and Maranhao states. PLoS One, v. 15, n. 10, OCT 26 2020. (17/50356-7)

MAINARDI, GIULIA MARCELINO; FLORES CASSENOTE, ALEX J.; ALVES GUILLOUX, ALINE G.; MIOTTO, BRUNO A.; SCHEFFER, MARIO CESAR. What explains wage differences between male and female Brazilian physicians? A cross-sectional nationwide study. BMJ OPEN, v. 9, n. 4, JUN 2019. (17/50356-7)

SCHEFFER, MARIO; PAIVA, VERA S. F.; BARBERIA, LORENA G.; RUSSO, GIULIANO. Monkeypox in Brazil between stigma, politics, and structural shortcomings: have we not been here before?. LANCET REGIONAL HEALTH-AMERICAS, v. 17, p. 6-pg., 2023-01-20. (17/50356-7)

RUSSO, GIULIANO; LEVI, MARIA LUIZA; SOARES DE BRITTO E ALVES, MARIA TERESA SEABRA; CARNEIRO ALVES DE OLIVEIRA, BRUNO LUCIANO; BRITTO FERREIRA DE CARVALHO, RUTH HELENA DE SOUZA; ANDRIETTA, LUCAS SALVADOR; FILIPPON, JONATHAN GONCALVES; SCHEFFER, MARIO CESAR; GARCIA, JONATHAN. How the 'plates' of a health system can shift, change and adjust during economic recessions: A qualitative interview study of public and private health providers in Brazil's Sao Paulo and Maranhao states. PLoS One, v. 15, n. 10, p. 20-pg., 2020-10-26. (17/50356-7)

SCHEFFER, MARIO C.; PASTOR-VALERO, MARIA; RUSSO, GIULIANO; HERNANDEZ-AGUADO, ILDEFONSO. Revolving doors and conflicts of interest in health regulatory agencies in Brazil. BMJ GLOBAL HEALTH, v. 5, n. 4, p. 5-pg., 2020-04-01. (17/50356-7)

DIAS, IVAN WILSON HOSSNI; MATIJASEVICH, ALICIA; RUSSO, GIULIANO; SCHEFFER, MARIO CESAR; LOERBROKS, ADRIAN. Effects of individual and organizational factors on job tenure of primary care physicians: A multilevel analysis from Brazil. PLoS One, v. 18, n. 4, p. 16-pg., 2023-04-27. (17/50356-7)

MARIA LUIZA LEVI; JULIANA SOUSA; CRISTIANE JESUS ALMEIDA; KAREN MATSUMOTO; STEFANIE SUSSAI; LUCAS ANDRIETTA; MÁRIO CÉSAR SCHEFFER. Médicos e terceirização: percepções de trabalhadores e gestores sobre as transformações recentes no mercado de trabalho. Trab. educ. saúde (Online), v. 20, 2022-11-25. (17/50356-7)

DE OLIVEIRA, BRUNO LUCIANO CARNEIRO ALVES; ANDRIETTA, LUCAS SALVADOR; REIS, REGIMARINA SOARES; DE CARVALHO, RUTH HELENA DE SOUZA BRITTO FERREIRA; ALVES, MARIA TERESA SEABRA SOARES E; SCHEFFER, MARIO CESAR; RUSSO, GIULIANO. The Impact of the COVID-19 Pandemic on Physicians' Working Hours and Earnings in Sao Paulo and Maranhao States, Brazil. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, v. 19, n. 16, p. 13-pg., 2022-08-01. (17/50356-7)