Preferência declarada: adesão e permanência na percepção de profissionais do Programa Mais Médicos - 2025

Amanda Luiza Marinho Feitosa; Wallace Enrico Boaventura Santos; Lucélia Luiz Pereira; Tiago Salessi Lins; Taciana Silveira Passos; Ivana Cristina Holanda Cunha Barreto; Leonor Maria Pacheco Santos

doi:10.1590/SciELOPreprints.15219

##article.authors##

Amanda Luiza Marinho Feitosa Secretaria de Saúde do Estado do Ceará https://orcid.org/0000-0003-2182-7333
- Methodology
- Investigation
- Writing – Original Draft Preparation
- Writing – Review & Editing
Wallace Enrico Boaventura Santos University of Brasília https://orcid.org/0000-0001-5705-936X
- Writing – Review & Editing
- Writing – Original Draft Preparation
Lucélia Luiz Pereira University of Brasília https://orcid.org/0000-0001-9722-143X
- Writing – Review & Editing
- Writing – Original Draft Preparation
Tiago Salessi Lins Federal University of Paraíba https://orcid.org/0000-0001-5587-4504
- Formal Analysis
- Investigation
- Methodology
- Writing – Original Draft Preparation
- Writing – Review & Editing
Taciana Silveira Passos University of Brasília https://orcid.org/0000-0002-5312-095X
- Investigation
- Methodology
- Writing – Review & Editing
- Writing – Original Draft Preparation
Ivana Cristina Holanda Cunha Barreto Oswaldo Cruz Foundation https://orcid.org/0000-0001-8447-3654
- Formal Analysis
- Investigation
- Methodology
- Writing – Original Draft Preparation
- Writing – Review & Editing
- Supervision
Leonor Maria Pacheco Santos University of Brasília https://orcid.org/0000-0002-6739-6260
- Formal Analysis
- Writing – Original Draft Preparation
- Writing – Review & Editing
- Supervision
- Investigation
- Methodology
- Project Administration

DOI:

https://doi.org/10.1590/SciELOPreprints.15219

Keywords:

More Doctors Program, Remote Areas, Length of Stay, Perceptions

Abstract

The More Doctors Program (PMM) aims to reduce the shortage of these professionals in priority regions for the Brazilian Unified Health System (SUS). Using the theoretical framework of discrete choice, this study analyzed physician adherence and retention in vulnerable areas, considering professional quality of life, working conditions, remuneration, employment status, and working hours. In 2025, professionals with at least two years of experience in the PMM were interviewed. After thematic analysis and identification of analytical axes, it was observed that the choice to work in remote areas combines ethical-humanitarian motivations and professional commitment, but also pragmatic factors such as remuneration, desire for stable employment, and housing allowance. Factors hindering retention include: structural weaknesses in some Basic Health Units, problems with the referral network to specialists, and the perception of professional overload. These findings highlight the attributes of medical work that influence decisions regarding adherence and retention in underserved territories.