Brazil’s experiment to expand its medical workforce through private and public schools: Impacts and consequences of the balance of regulatory and market forces in resource-scarce settings

We conclude that Brazil's policy approach has delivered a substantial overhaul of its medical workforce through a combination of public and private sector policies. However, progress in students' diversity and quality of education has been mixed. Brazil's experiment suggests that private schools can be an option for rapid health workforce expansions in middle-income economies. However, close monitoring of their outputs would be needed, as our analysis shows they do little to address inequalities, and casts doubt on the quality of the training offered.

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Publication Details

Journal
Globalization and Health
Published
2025-03-28
DOI
https://doi.org/10.1186/s12992-025-01105-8
Citations
11
Primary Topic
Global Health Workforce Issues
Type
article
Field-Weighted Citation Impact
27.68

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article

Brazil’s experiment to expand its medical workforce through private and public schools: Impacts and consequences of the balance of regulatory and market forces in resource-scarce settings

Giuliano Russo, Paola A. Mosquera, Alex Jones Flores Cassenote, Mário Scheffer et al.
11 citations
Globalization and Health
Global Health Workforce Issues
27.68
article

Brazil’s experiment to expand its medical workforce through private and public schools: Impacts and consequences of the balance of regulatory and market forces in resource-scarce settings

Giuliano Russo, Paola A. Mosquera, Alex Jones Flores Cassenote, Mário Scheffer, Barbara McPake
article en
11 citations

Abstract

We conclude that Brazil's policy approach has delivered a substantial overhaul of its medical workforce through a combination of public and private sector policies. However, progress in students' diversity and quality of education has been mixed. Brazil's experiment suggests that private schools can be an option for rapid health workforce expansions in middle-income economies. However, close monitoring of their outputs would be needed, as our analysis shows they do little to address inequalities, and casts doubt on the quality of the training offered.

Globalization and HealthVol. 21(1)
The University of Melbourne (AU), Queen Mary University of London (GB), Universidade de São Paulo (BR)
Fundação de Amparo à Pesquisa do Estado de São Paulo, Pan American Health Organization, Medical Research Council
Openalex Percentile: Top 0%
Global Health Workforce Issues
27.68
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Brazil’s experiment to expand its medical workforce through private and public schools: Impacts and consequences of the balance of regulatory and market forces in resource-scarce settings — Giuliano Russo, Paola A. Mosquera, et al. · Globalization and Health (2025) | TGRS Research Map | TGRS