Where family and community physicians from Brazil get their medical degree?
DOI:
https://doi.org/10.5712/rbmfc16(43)2626Keywords:
Family Practice, Primary Health Care, Education, Medical, Undergraduate, Schools, Medical.Abstract
Little is known about the characteristics of medical graduation in Family and Community Medicine in Brazil. Purpose: to characterize the higher education institutions (HEIs) where physicians who specialized in family and community medicine in Brazil graduated by 2018. Methods: A descriptive study based on secondary data from Lattes platform of all family physicians (FP) operating in Brazil, including information about the place and year of physician’s graduation. Results: 4,065 (65.2%) curricula of the 6,238 FPs identified were located. 3,889 (62.3%) registered the HEI in which they graduated in medicine. 3,769 (96.9%) FPs graduated from 169 Brazilian HEIs and 120 (3.1%) graduated from 48 foreign HEIs. Most FPs graduated from public HEIs (n = 2,396; 63.8%), located in cities with more than 100,000 inhabitants (n = 3,446; 96.7%) and in South and Southeast regions of the country. The Southeast region concentrated the HEIs responsible for the graduation of more than 45.0% of the FPs. All states in the Northeast, Midwest and North regions of the country account for less than 4.5% of Brazil’s total FPs. Private HEIs have gained greater importance in FP graduation from 2008. Conclusion: Most FPs who obtained their specialty titles in Brazil were graduated in medicine in their own country, in public HEIs located in the large urban centers of the South and Southeast regions of the country, a pattern that resembles that of global medical education in Brazil.
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(1) Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005; 83(3):457-502. DOI: https://doi.org/10.1111/j.1468-0009.2005.00409.x
(2) Dussault G, Kawar R, Castro Lopes S, Campbell J. Building the primary health care workforce of the 21st century - Background paper to the Global Conference on Primary Health Care: From Alma-Ata Towards Universal Health Coverage and the Sustainable Development Goals. Geneva: World Health Organization; 2018.
(3) Ellner AL, Phillips RS. The coming primary care revolution. J Gen Intern Med. 2017;32(4):380–6. DOI: https://doi.org/10.1007/s11606-016-3944-3
(4) Malta DC, Santos MAS, Stopa SR, Vieira JEB, Melo EA, Reis AAC. A Cobertura da Estratégia de Saúde da Família (ESF) no Brasil, segundo a Pesquisa Nacional de Saúde, 2013. Ciênc. saúde coletiva. 2016; 21(2):327-38. DOI: https://doi.org/10.1590/1413-81232015212.23602015
(5) Alves MGM, Casotti E, Oliveira LGD, Machado MTC, Almeida PF, Corvino MPF, et al. Fatores condicionantes para o acesso às equipes da Estratégia Saúde da Família no Brasil. Saúde debate. 2014; 38(spe):34-51. DOI: https://doi.org/10.5935/0103-1104.2014S004
(6) Mourão Netto JJ, Rodrigues ARM, Aragão OC, Goyanna NF, Cavalcante AES, Vasconcelos MAS, et al. Programa Mais Médicos e suas contribuições para a saúde no Brasil: revisão integrativa. Rev Panam Salud Publica. 2018;42:e2. DOI: https://doi.org/10.26633/RPSP.2018.2
(7) Trindade TG, Batista SR. Medicina de Família e Comunidade: agora mais do que nunca! Ciênc. saúde coletiva. 2016;21(9):2667-2669. DOI: https://doi.org/10.1590/1413-81232015219.18862016
(8) Oliveira FP, Araújo CA, Torres OM, Figueiredo AM, Souza PA, Oliveira FA, et al. O Programa Mais Médicos e o reordenamento da formação da residência médica com enfoque na Medicina de Família e Comunidade. Interface (Botucatu). 2019;23(Suppl 1):e180008.
(9) Scheffer M. Programa Mais Médicos: em busca de respostas satisfatórias. Interface (Botucatu). 2015;19(54):637-670. DOI: https://doi.org/10.1590/1807-57622015.0245
(10) Yang Y, Li J, Wu X, Wang J, Li W, Zhu Y, et al. Factors influencing subspecialty choice among medical students: a systematic review and meta-analysis. BMJ Open. 2019;9:e022097. DOI: https://doi.org/10.1136/bmjopen-2018-022097
(11) Scheffer MC, Cassenote AJF, Guilloux AGA, Dal Poz MR. Internal migration of physicians who graduated in Brazil between 1980 and 2014. Hum Resour Health. 2018;16(1):21. DOI: https://doi.org/10.1186/s12960-018-0286-8
(12) Fontenelle LF, Rossi SV, Oliveira MHM, Brandão DJ, Sarti TD. Postgraduate education among family and community physicians in Brazil: the Trajetórias MFC project. Fam Med Community Health. 2020;8(3):e000321. DOI: https://doi.org/10.1136/fmch-2020-000321
(13) Oliveira BLCA, Lima SF, Pereira MUL, Pereira Júnior GA. Evolução, distribuição e expansão dos cursos de medicina no Brasil (1808-2018). Trab. educ. saúde. 2019;17(1):e0018317. DOI: https://doi.org/10.1590/1981-7746-sol00183
(14) Scheffer M, Cassenote A, Guilloux AGA, Miotto BA, Mainardi GM, et al. Demografia Médica no Brasil 2018. São Paulo: FMUSP, CFM, Cremesp; 2018.
(15) Mendonça MHM, Matta GC, Gondim R, Giovanella L, organizadores. Atenção Primária à Saúde no Brasil: conceitos, práticas e pesquisa. Rio de Janeiro: Editora Fiocruz; 2018.
(16) Oliveira FP, Pinto HA, Figueiredo AM, Cyrino EG, Oliveira Neto AV, Rocha VXM. Programa Mais Médicos: avaliando a implantação do Eixo Formação de 2013 a 2015. Interface (Botucatu). 2019;23(Suppl 1):e170949.
(17) Dias HS, Lima LD, Teixeira M. A trajetória da política nacional de reorientação da formação profissional em saúde no SUS. Ciênc. saúde coletiva. 2013;18(6):1613-1624. DOI: https://doi.org/10.1590/S1413-81232013000600013
(18) Justino JLA, Oliver LL, Melo TP. Implantação do Programa de Residência em Medicina de Família e Comunidade da Secretaria Municipal de Saúde do Rio de Janeiro, Brasil. Ciênc. saúde coletiva. 2016;21(5):1471-1480. DOI: https://doi.org/10.1590/1413-81232015215.04342016
(19) Storti MMT, Oliveira FP, Xavier AL. A expansão de vagas de residência de Medicina de Família e Comunidade por municípios e o Programa Mais Médicos. Interface (Botucatu). 2017;21(Suppl 1):1301-1314. DOI: https://doi.org/10.1590/1807-57622016.0511
(20) Simas KBF, Gomes AP, Simões PP, Augusto DK, Siqueira-Batista R. A residência de Medicina de Família e Comunidade no Brasil: breve recorte histórico. Rev Bras Med Fam Comunidade. 2018;13(40):1-13. DOI: https://doi.org/10.5712/rbmfc13(40)1687
(21) Maciel Filho R. Estratégias para a distribuição e fixação de médicos em sistemas nacionais de saúde: o caso brasileiro [tese]. Rio de Janeiro (RJ): Instituto de Medicina Social da Universidade do Estado do Rio de Janeiro; 2007.
(22) González Cárdenas LT, Cuesta Mejías L, Pérez Perea L, Presno Labrador MC, Fernández Díaz IE, Pérez Díaz TC, et al. El Programa del médico y enfermera de la familia: desarrollo del modelo de atención médica en Cuba. Rev Panam Salud Publica. 2018;42:e31. DOI: https://doi.org/10.26633/RPSP.2018.31
(23) Arantes LJ, Shimizu HE, Merchán-Hamann E. Contribuições e desafios da Estratégia Saúde da Família na Atenção Primária à Saúde no Brasil: revisão da literatura. Ciênc. saúde coletiva. 2016;21(5):1499-1510. DOI: https://doi.org/10.1590/1413-81232015215.19602015
(24) Coelho GC, Antunes, VH, Oliveira A. A prática da Medicina de Família e Comunidade no Brasil: contexto e perspectivas. Cadernos Saúde Pública. 2019;35(1):e00170917. DOI: https://doi.org/10.1590/0102-311x00170917
(25) Ono T, Schoenstein M, Buchan J. Geographic imbalances in doctor supply and policy responses. Paris: OECD Publishing; 2014. (OECD Health Working Papers 69).
(26) Russo LX, Scott A, Sivey P, Dias J. Primary care physicians and infant mortality: evidence from Brazil. PLoS One. 2019;14(5):e0217614. DOI: https://doi.org/10.1371/journal.pone.0217614
(27) Basu S, Berkowitz SA, Phillips RL, Bitton A, Landon BE, Phillips RS. Association of Primary Care Physician Supply With Population Mortality in the United States, 2005-2015. JAMA Intern Med. 2019;179(4):506-514. DOI: https://doi.org/10.1001/jamainternmed.2018.7624
(28) Vallejo-Torres L, Morris S. Primary care supply and quality of care in England. Eur J Health Econ. 2018;19(4):499–519. DOI: https://doi.org/10.1007/s10198-017-0898-2
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