Policies for expanding access to higher education and changing the profile of medical graduates in Brazil: a cross-sectional study

Ciencia e Saude Coletiva

article

Figueiredo, Alexandre Medeiros de¹  Lima, Kenio Costa de²  Massuda, Adriano³  Azevedo, George Dantas de⁴ 

[1]Universidade Federal da Paraíba

[2]Universidade Federal do Rio Grande do Norte

[3]Fundação Getúlio Vargas

[4]UFRN

关键词: Workforce;    Medical Education;    Public Policy;    Socioeconomic factors;    Social Segregation;   

DOI  :  10.1590/1413-81232022279.07092022EN

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This study assesses the effectiveness of policies to expand access to higher education in reducing inequities in the profile of graduates from medical courses in Brazil. This work consists of a cross-sectional study using data from the 2018 Higher Education Census. Analyses were carried out to identify the association between being a beneficiary of the Quota Law, the University for All Program, or the Student Financing Fund and three markers: born in a small-sized municipality, being non-white, or having attended high school in a public school. Analyses were performed using Pearson’s chi-square test, and multivariate analysis was conducted using Poisson regression. A significant association was found between being a beneficiary of these policies and being a non-white graduate, who was born in a small town and who had studied in a public high school. All policies presented adjusted Prevalence Ratio (PR), which demonstrated an association with statistical significance. The Quota Law was the most effective policy, with RP=1.92 for non-white graduates, RP=6.66 for having studied in a public high school, and RP=1.08 for being born in a small town. Despite these results, these groups remain underrepresented in medical courses and in the workforce.

【 授权许可】

CC BY