Medicina tecnológica, cuidado e business: estudo sobre a prática dos médicos oncologistas no Brasil

Abstract

This thesis consists of a research on the medical work and practice, based on Weber s ideal type of technological medicine, of the specialized medical practice, equipped and fragmented, that started in Brazil in the 1960 s. We selected for this research clinical oncologists working in public and private health services. The choice for clinical oncologists was due to the recognition of oncology as a highly specialized, equipment and protocol-driven practice that grew stronger in Brazil during the 1960 s.We attempted to comprehend the particularities of this practice, focusing on education the type of care that was given to patients, the placement of doctors in the public and privates sectors and their connection. It begins with an overview of the medical practice based on knowledge of diseases, on the historical and cultural process of learning the practice and its repercussions on society and on the job market.Following, we present a summary of the history of Oncology in Brazil, the social significance of cancer, the health policies for that area and the relationship between doctors, the State and society in that field. This section was named Medical Oncological Project .During fieldwork, we used quality assessment through interviews with six oncologists that worked both in the Instituto Nacional do Câncer (National Institute for Cancer) and in the private health sector. We conducted a pilot interview in order to fully present the topics that would be brought up in the interviews that followed.Based on the doctors points of view and thoughts, we present four categories for discussion and comments. In closing the research, we present a problematic consideration of the ideal model for technological medicine based on the categories obtained from the fieldwork.