Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.

From the specific actions to government mark: medicine in the trajectory of the national policy of education and work regulation in health

  • Henrique Sant’Anna Dias
  • Luciana Dias de Lima
  • Marcia Teixeira
  • Henrique Sant’Anna Dias

    Secretaria de Estado de Saúde do Rio de Janeiro, Rio de Janeiro, Brasil.

    Luciana Dias de Lima

    Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca, Departamento de Administração e Planejamento em Saúde, Rio de Janeiro, Brasil.

    Marcia Teixeira

    Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca, Departamento de Administração e Planejamento em Saúde, Rio de Janeiro, Brasil.partamento de Administração e Planejamento em Saúde



Abstract

This article analyzes the trajectory of the Brazilian policy of education and work regulation considering institutional issues and forms of incorporation of medicine on the policy, comprising the period from 2003 to 2015. This study was based on contributions of historical institutionalism, involving the analysis of legal and normative documents, interviews with state personnel and data from federal financing reports of the policy. Five key moments were defined, considering political-institutional contexts, governmental initiatives, and the insertion of medicine into the agenda of governments. The emphasis on the medical profession evolved from one-off actions to the status of a landmark, in a context of loss of space of the health workforce agenda and increasing prioritization of education actions, associated with institutional gains and changes in funding. The More Doctors Program resulted from the dynamics of the trajectory, incorporating advances in the training and incorporation of physicians into the Unified Health System of Brazil. Challenges remain, however, related to precarious employment relationships, the privatization of medical education, and professional regulation that considers the exercise of medicine in the private sector.

Keywords

health workforce,
medicine,
public health policy

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Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio

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