Analysis of the parliamentary amendments to the Mais Médicos Program: the medical training model in dispute

ABSTRACT Qualitative-quantitative documentary research, which aimed to analyze the Mais Médicos (More Doctors) Program legislative process and normative acts. The study categorizes the 575 amendments submitted and the changes in the Provisional Measure. It shows the set of interests and disputes involved in the process, resulting in changes mainly in the Medical Education Chapter. It highlights the clashes in the amendments that serve corporate interests and those allied to the constitutional principle of universal health. It concludes that the controversy, interests and dispute among ideological positions did not compromise the governmental initiative to reduce the shortage of doctors for the Public Health System (SUS).

摘要：本研究采用定性-定量文献研究方法，旨在分析巴西‘更多医生（Mais Médicos）’计划的立法进程与规范性文件。本研究对提交的575项修正案及《临时政令》的修订内容进行分类梳理，揭示了该进程中涉及的一系列利益诉求与博弈，并指出修订主要集中于医学教育章节。研究重点剖析了两类修正案的冲突：一类服务于企业利益，另一类则契合全民健康的宪法原则。研究最终得出结论：不同意识形态立场间的争议、利益博弈并未影响政府为缓解公共卫生系统（Sistema Único de Saúde，简称SUS）医生短缺问题所推行的举措。