COMMERCIALIZATION OF MEDICAL EDUCATION
DOI:
https://doi.org/10.56238/levv16n54-116Keywords:
Commercialization, Medical Education, Healthcare Education, Public Health, Professional TrainingAbstract
This study analyzes the commercialization of medical education in Brazil, a phenomenon driven by the expansion of medical schools, particularly in the private sector. The rapid opening of new institutions, without proper infrastructure and qualified faculty, has raised concerns about the quality of health professionals' training and its impact on the Unified Health System (SUS). The narrative review was conducted based on publications from 2014 to 2024 in the PUBMED, LILACS, and SCIELO databases, selecting 25 articles for final analysis. The results indicate that the market-driven approach to medical education undermines students' practical training and exacerbates inequalities in access to healthcare, as poorly prepared professionals enter the workforce. The study concludes that greater government regulation and faculty appreciation are needed to reverse the negative impacts of commercialization and ensure high-quality medical education that aligns with societal and SUS needs.
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BENOIST, S; PAUTRAT, K; MITRY, E, et al. Treatment strategy for patients with colorectal cancer and synchronous irresectable liver metastases. British Journal of Surgery, v. 92, p. 1155-1160, 2005.
BOANAFINA, Anderson; MACIEL, Carina Elisabeth; DA SILVA LIMA, Tatiane. A dualidade da educação superior brasileira: entre inclusão e mercantilização. Revista Ibero-Americana de Estudos em Educação, p. e024087-e024087, 2024.
COELHO, JCU; CAMPOS, JCJ; TENÓRIO, SB. Solicitação de exames pré-operatórios. Revista do Colégio Brasileiro de Cirurgiões, v. 25, p. 353-358, 1997.
CORREIA, Maria Valéria Costa; DOS SANTOS, Viviane Medeiros; ALVES, Pâmela Karoline Lins. A mercantilização da saúde no enfrentamento da Covid-19: o fortalecimento do setor privado. Humanidades & Inovação, v. 8, n. 35, p. 71-85, 2021.
Illich I. A expropriação da Saúde: Nêmesis da Medicina. 3. ed. Rio de Janeiro: Editora Nova Fronteira, 1975.
LEMMENS, VEP; JANSSEN-HEIJNEN, MLG; VERHEIJ, CDGW, et al. Co-morbidity leads to altered treatment and worse survival of elderly patients with colorectal cancer. British Journal of Surgery, v. 92, p. 615-623, 2005.
LIDUÁRIO, Ester de Almeida et al. A mercantilização e privatização do ensino superior e seus rebatimentos sobre a saúde do docente. 2013.
LOURES BUENO, RR; PIERUCCINI, MC. Conselho Federal de Medicina. Abertura de Escolas de Medicina no Brasil: relatório de um cenário sombrio. 2. ed. 2005.
MICHOTA, FA; FROST, SD. The preoperative evaluation: use the history and physical rather than routine testing. Cleveland Clinic Journal of Medicine, v. 71, p. 63-70, 2004.
PIRES, Rodrigo Otávio Moretti; NAVARRO, Vera Lucia. A mercantilização da saúde: o trabalho dos cirurgiões dentistas em um contexto de mudanças – estudo com cirurgiões dentistas assalariados do município de Ribeirão Preto (SP). 2005.
ROIZEN, ME; KAPLAN, EG; SCHREIDER, BD, et al. The relative role of the history and physical examination, and laboratory testing in preoperative evaluation for outpatient surgery: the "Starling" curve of preoperative laboratory testing. Anesthesiology Clinics of North America, v. 5, p. 15-34, 1987.
ROIZEN, MF. Preoperative evaluation. In: MILLER, RD (ed). Anesthesia. 4. ed. New York: Churchill-Levingstone, 1994. p. 827-834.
SANTOS JR, Júlio César Monteiro dos. Avaliação médica: o consumo na medicina e a mercantilização da saúde. Revista Brasileira de Coloproctologia, v. 26, p. 70-85, 2006.
SARELA, AI; GUTHRIE, JA; SEYMOUR, MT, et al. Non-operative management of the primary tumour in patients with incurable stage IV colorectal cancer. British Journal of Surgery, v. 88, p. 1352-1356, 2001.
SARELA, AI; O'RIORDAIN, DS. Rectal adenocarcinoma with liver metastases: management of the primary tumour. British Journal of Surgery, v. 88, p. 163-164, 2001.
TASK FORCE MEMBERS. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery - executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation, v. 105, p. 1257-1267, 2002.
TEBBUTT, NC; NORMAN, AR; CUNNINGHAM, D, et al. Intestinal complications after chemotherapy for patients with unresected primary colorectal cancer and synchronous metastases. Gut, v. 52, p. 568-573, 2003.
TEMPLE, LK; HSIEH, L; WONG, WD, et al. Use of surgery among elderly patients with stage IV colorectal cancer. Journal of Clinical Oncology, v. 22, p. 3475-3484, 2004.
WORD DEVELOPMENT REPORT. Investing in health. World Bank. Oxford: Oxford University Press, 1993.
ZUCCHI, P; DEL NERO, C; MALIK, AM. Gastos em saúde: os fatores que agem na demanda e na oferta dos serviços de saúde. Saúde e Sociedade, v. 9, p. 127-150, 2000.
