{"id":478095,"date":"2023-06-06T19:28:20","date_gmt":"2023-06-06T22:28:20","guid":{"rendered":"https:\/\/revistapesquisa.fapesp.br\/?p=478095"},"modified":"2023-06-06T19:28:51","modified_gmt":"2023-06-06T22:28:51","slug":"medical-services-blighted-by-inequality-in-brazil","status":"publish","type":"post","link":"https:\/\/revistapesquisa.fapesp.br\/en\/medical-services-blighted-by-inequality-in-brazil\/","title":{"rendered":"Medical services blighted by inequality in Brazil"},"content":{"rendered":"<p>Vit\u00f3ria, the state capital of Esp\u00edrito Santo, has 15 physicians for every 1,000 inhabitants. Macap\u00e1, the state capital of Amap\u00e1, has just 2 for every 1,000 people. \u201cThe inequality is persistent,\u201d said M\u00e1rio Scheffer of the School of Medicine at the University of S\u00e3o Paulo (FM-USP) when presenting the results of the sixth <em>Medical Demography in Brazil 2023 <\/em>report on the morning of February 8 at the headquarters of the Brazilian Medical Association (AMB) in the city of S\u00e3o Paulo. There are sharp contrasts. While residents of Southeast Brazil have an average of 3.9 medical appointments per year, residents in the North have 1.86. In January 2023, there were 562,229 doctors working in Brazil, concentrated primarily in state capitals and certain states. Those with the most physicians are the Federal District (5.5 per 1,000 inhabitants), Rio de Janeiro (3.7), and S\u00e3o Paulo (3.5); those with the least are Par\u00e1 (1.1 physician per 1,000 inhabitants), Maranh\u00e3o (1.2), and Amazonas (1.3). Scheffer, who led the survey in collaboration with the AMB, highlighted the advance of private medical schools, which currently account for 90% of medical students. \u201cIt is the privatization of medical education,\u201d he observed. There is also a growing consolidation of physicians in the private sector, with 28.3% of physicians working exclusively in private healthcare; half (50.2%) working in both the private and public sector, and 21.5% exclusively in public medical centers. Among resident physicians, only 12% are interested in working exclusively or primarily for the Brazilian public health system (SUS). \u201cSUS helps train physicians, but it does not hold onto them after they qualify,\u201d he concluded.<\/p>\n<p>&nbsp;<\/p>\n<picture data-tablet=\"\/wp-content\/uploads\/2023\/05\/RPF-notas-2023-03-info-760.png\" data-tablet_size=\"760x663\" alt=\"\">\n    <source srcset=\"\/wp-content\/uploads\/2023\/05\/RPF-notas-2023-03-info-760.png\" media=\"(min-width: 1920px)\" \/>\n    <source srcset=\"\/wp-content\/uploads\/2023\/05\/RPF-notas-2023-03-info-760.png\" media=\"(min-width: 1140px)\" \/>\n    <img decoding=\"async\" class=\"responsive-img\" src=\"\/wp-content\/uploads\/2023\/05\/RPF-notas-2023-03-info-640.png\" \/>\n  <\/picture><span class=\"embed media-credits-inline\">Alexandre Affonso \/ Revista Pesquisa FAPESP<\/span>\n","protected":false},"excerpt":{"rendered":"Survey highlights inequality in medical services between different regions of Brazil","protected":false},"author":475,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1651],"tags":[247,260],"coauthors":[785],"class_list":["post-478095","post","type-post","status-publish","format-standard","hentry","category-notes","tag-medicine","tag-public-health"],"acf":[],"_links":{"self":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/posts\/478095","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/users\/475"}],"replies":[{"embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/comments?post=478095"}],"version-history":[{"count":4,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/posts\/478095\/revisions"}],"predecessor-version":[{"id":481385,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/posts\/478095\/revisions\/481385"}],"wp:attachment":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/media?parent=478095"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/categories?post=478095"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/tags?post=478095"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/coauthors?post=478095"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}