Education in the Mais Médicos program: the gap between proposals and implementation

Detalhes bibliográficos
Autor(a) principal: Rocha,Erika Maria Sampaio
Data de Publicação: 2021
Outros Autores: Sarti,Thiago Dias, Azevedo,George Dantas de, Filippon,Jonathan, Siqueira,Carlos Eduardo Gomes, Andrade,Maria Angélica Carvalho
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Educação Médica (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022021000100223
Resumo: Abstract: Introduction: The scarcity and inequalities in the geographical distribution of physicians challenge the consolidation of the right to health and create migratory flows that increase health inequities. Due to their complex and multidimensional characteristics, they demand multisectoral political approaches, considering several factors related to the availability and area of ​​practice of medical doctors, as well as the social vulnerability of local populations. Objective: This study aimed at analysing results of the “Mais Médicos” (More Doctors) Program Educational Axis in Brazil. Methodology: A documental research was conducted, highlighting the location and the public or private nature of new undergraduate medical school vacancies between the years 2013 until 2017, which were then compared to the goals and strategies outlined in the official Program documents. Results: The Educational Axis reached important milestones despite the resistance of some institutional actors. The Program extended its undergraduate vacancies by 7696 places, 22.48% of that in public institutions and 77.52% in private ones. Vacancy distribution prioritized cities in rural areas of Brazil, at the same instance bringing forward significant regulatory changes for undergraduate medical courses. However, political disputes with representatives of medical societies and stakeholders interested in favouring the private educational and healthcare sectors surface in the official discourses and documents. These factors weakened the program normative body, creating a hiatus between its core objectives and respective implementation. Evidence related to the concentration of vacancies in the Southeast regions allow the maintenance of a known unequal workforce distribution, despite a proportionally bigger increase in the Midwest, North and Northeast regions. Conclusion: The predominance of vacancies in private institutions and the weakening of the new undergraduate courses monitoring instruments can compromise changes in the graduate students’ profiles, which are necessary for the fixation of physicians in strategic geographic areas to promote Primary Healthcare.
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spelling Education in the Mais Médicos program: the gap between proposals and implementationMore Doctors ProgramMedical EducationPublic Health PoliciesAbstract: Introduction: The scarcity and inequalities in the geographical distribution of physicians challenge the consolidation of the right to health and create migratory flows that increase health inequities. Due to their complex and multidimensional characteristics, they demand multisectoral political approaches, considering several factors related to the availability and area of ​​practice of medical doctors, as well as the social vulnerability of local populations. Objective: This study aimed at analysing results of the “Mais Médicos” (More Doctors) Program Educational Axis in Brazil. Methodology: A documental research was conducted, highlighting the location and the public or private nature of new undergraduate medical school vacancies between the years 2013 until 2017, which were then compared to the goals and strategies outlined in the official Program documents. Results: The Educational Axis reached important milestones despite the resistance of some institutional actors. The Program extended its undergraduate vacancies by 7696 places, 22.48% of that in public institutions and 77.52% in private ones. Vacancy distribution prioritized cities in rural areas of Brazil, at the same instance bringing forward significant regulatory changes for undergraduate medical courses. However, political disputes with representatives of medical societies and stakeholders interested in favouring the private educational and healthcare sectors surface in the official discourses and documents. These factors weakened the program normative body, creating a hiatus between its core objectives and respective implementation. Evidence related to the concentration of vacancies in the Southeast regions allow the maintenance of a known unequal workforce distribution, despite a proportionally bigger increase in the Midwest, North and Northeast regions. Conclusion: The predominance of vacancies in private institutions and the weakening of the new undergraduate courses monitoring instruments can compromise changes in the graduate students’ profiles, which are necessary for the fixation of physicians in strategic geographic areas to promote Primary Healthcare.Associação Brasileira de Educação Médica2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022021000100223Revista Brasileira de Educação Médica v.45 n.1 2021reponame:Revista Brasileira de Educação Médica (Online)instname:Associação Brasileira de Educação Médica (ABEM)instacron:ABEM10.1590/1981-5271v45.1-20200416.inginfo:eu-repo/semantics/openAccessRocha,Erika Maria SampaioSarti,Thiago DiasAzevedo,George Dantas deFilippon,JonathanSiqueira,Carlos Eduardo GomesAndrade,Maria Angélica Carvalhoeng2021-02-24T00:00:00Zoai:scielo:S0100-55022021000100223Revistahttp://www.educacaomedica.org.br/https://old.scielo.br/oai/scielo-oai.phprevista@abem-educmed.org.br||revista@educacaomedica.org.br1981-52710100-5502opendoar:2021-02-24T00:00Revista Brasileira de Educação Médica (Online) - Associação Brasileira de Educação Médica (ABEM)false
dc.title.none.fl_str_mv Education in the Mais Médicos program: the gap between proposals and implementation
title Education in the Mais Médicos program: the gap between proposals and implementation
spellingShingle Education in the Mais Médicos program: the gap between proposals and implementation
Rocha,Erika Maria Sampaio
More Doctors Program
Medical Education
Public Health Policies
title_short Education in the Mais Médicos program: the gap between proposals and implementation
title_full Education in the Mais Médicos program: the gap between proposals and implementation
title_fullStr Education in the Mais Médicos program: the gap between proposals and implementation
title_full_unstemmed Education in the Mais Médicos program: the gap between proposals and implementation
title_sort Education in the Mais Médicos program: the gap between proposals and implementation
author Rocha,Erika Maria Sampaio
author_facet Rocha,Erika Maria Sampaio
Sarti,Thiago Dias
Azevedo,George Dantas de
Filippon,Jonathan
Siqueira,Carlos Eduardo Gomes
Andrade,Maria Angélica Carvalho
author_role author
author2 Sarti,Thiago Dias
Azevedo,George Dantas de
Filippon,Jonathan
Siqueira,Carlos Eduardo Gomes
Andrade,Maria Angélica Carvalho
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Rocha,Erika Maria Sampaio
Sarti,Thiago Dias
Azevedo,George Dantas de
Filippon,Jonathan
Siqueira,Carlos Eduardo Gomes
Andrade,Maria Angélica Carvalho
dc.subject.por.fl_str_mv More Doctors Program
Medical Education
Public Health Policies
topic More Doctors Program
Medical Education
Public Health Policies
description Abstract: Introduction: The scarcity and inequalities in the geographical distribution of physicians challenge the consolidation of the right to health and create migratory flows that increase health inequities. Due to their complex and multidimensional characteristics, they demand multisectoral political approaches, considering several factors related to the availability and area of ​​practice of medical doctors, as well as the social vulnerability of local populations. Objective: This study aimed at analysing results of the “Mais Médicos” (More Doctors) Program Educational Axis in Brazil. Methodology: A documental research was conducted, highlighting the location and the public or private nature of new undergraduate medical school vacancies between the years 2013 until 2017, which were then compared to the goals and strategies outlined in the official Program documents. Results: The Educational Axis reached important milestones despite the resistance of some institutional actors. The Program extended its undergraduate vacancies by 7696 places, 22.48% of that in public institutions and 77.52% in private ones. Vacancy distribution prioritized cities in rural areas of Brazil, at the same instance bringing forward significant regulatory changes for undergraduate medical courses. However, political disputes with representatives of medical societies and stakeholders interested in favouring the private educational and healthcare sectors surface in the official discourses and documents. These factors weakened the program normative body, creating a hiatus between its core objectives and respective implementation. Evidence related to the concentration of vacancies in the Southeast regions allow the maintenance of a known unequal workforce distribution, despite a proportionally bigger increase in the Midwest, North and Northeast regions. Conclusion: The predominance of vacancies in private institutions and the weakening of the new undergraduate courses monitoring instruments can compromise changes in the graduate students’ profiles, which are necessary for the fixation of physicians in strategic geographic areas to promote Primary Healthcare.
publishDate 2021
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