Specialist doctors Program Pacaca and will be refurbished

Expert sees complex cycle and that takes time

Medical points difficulties. “This is SUS’s main and most complex challenge,” says sanitary doctor Gulnar Azevedo, current dean of UERJ (Rio de Janeiro State University). “Medicine at this level of specialization is expensive, increasingly expensive, and requires a lot of time investment and money to train good professionals and give the proper infrastructure.”

You need to make a diagnosis to deconcentrate and use the SUS structure to think about local solutions, says sanitarist. She was also president of Abrasco (Brazilian Association of Collective Health) for three years. According to her, different places have different demands for specialties, which means that the orthopedics line can be agile in a state, while oncology faces the worst picture. In addition, the largest concentration of experts is always in urban centers, especially in the south and southeast.

Process should start in the training of professionals. “What has to be thought: no good professionals are formed overnight, it does not take the corner, it has to have investment. In addition, with the MEC (Ministry of Education), it has to stimulate the formation of specialties according to the places they need them. Or will follow the bottleneck, focused on large centers.”

You also need to ensure the purchase and maintenance of equipment and infrastructure. “The expert can only do the specific treatment for that specific disease if the diagnosis is done right. If not, it is throwing money in the wrong place,” says Azevedo.