Distribution in the national territory of medical course degrees from a public and a private medical school: role in medical demography
International Journal of Development Research
Distribution in the national territory of medical course degrees from a public and a private medical school: role in medical demography
Received 18th July, 2020; Received in revised form 10th August, 2020; Accepted 19th September, 2020; Published online 30th October, 2020
Copyright © 2020, Lorena Aline dos Santos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Aims: Adding information on the place of training, displacement and transfer of doctors, variables which add complexity to the territorial concentration of professionals, is at the core of the present study, which aims to trace the distribution of doctors in Brazilian territory in relation to the institution that trains a given loco-region, in order to obtain the effective contribution, or not, of this training institution for the distribution of medical professionals in order to meet the needs of the Brazilian population. Methods: Descriptive, exploratory and retrospective study with data processing about doctors, extracted from different secondary sources: data obtained from the training institution and data from the administrative record of the Regional Councils of Medicine (RCMs), integrated into the database of the Federal Council of Medicine (FCM). Time frame from 2008 to 2016. Results: 1,124 doctors included in the study; most of the graduates from the Medical School of São José do Rio Preto (FAMERP), São Paulo have active registration at the UF of origin and of HEI, 498 (91.7%) and 515 (94.8%) and respectively, while the graduates of the São Lucas University center (UniSL), Rondônia are registered mostly outside the UF of origin (415 - 75.6%) and outside the UF of the HEI (375 - 68.3%). When the two variables are associated, FAMERP graduates are registered, mostly, in the UF of origin and of HEI (515 - 94.8%) while the graduates of UniSL are registered, mostly, outside the UF of origin and of HEI (305 - 55.6%). Alltheseresults are statisticallysignificant (p < 0,001). Conclusions: The data presented herein traces the distribution of graduates in the Brazilian territory in relation to the HEI that trains a given loco-region, and puts in question the contribution of this HEI to the distribution of medical professionals in order to minimize regional inequalities, respecting their vocation. The results of the present study show that the settlement of doctors in unassisted areas transcends the governability of training institutions and seems to demand the confrontation of socio-cultural, economic and political factors.
