Universidade Federal do Maranhão. São Luís, Maranhão, Brazil.
Rev Bras Enferm. 2022 Mar 30;75(4):e20210500. doi: 10.1590/0034-7167-2021-0500. eCollection 2022.
to analyze the influence of privatization and geographic inequalities in the distribution and expansion of higher education in nursing in Brazil.
a cross-sectional study, with online data of 1,244 courses and 190,610 nursing vacancies, started between 1890 and 2019. Proportions were estimated and differences were verified with statistical tests (α=5%), vacancy rate per 10,000 inhabitants and private ratio/public.
there was an accelerated, disorderly and heterogeneous growth in the number of courses and vacancies for nursing over 129 years, with strong private influence, favoring their concentration in large urban centers, capitals and richer states.
the significant expansion of higher education in nursing in Brazil occurred with excessive private supply and unequal distribution between its locations, indicating the need for state regulation in the opening of new courses and vacancies, which can minimize the negative repercussions on the quality of education, health care and workforce imbalances.
分析私有化和地理不平等对巴西护理高等教育分布和扩张的影响。
这是一项横断面研究，在线数据包括 1244 个课程和 190610 个护理空缺，时间跨度为 1890 年至 2019 年。采用比例估计和统计检验（α=5%）来验证差异，检验指标为每 10000 居民的空缺率和私立/公立比例。
在 129 年的时间里，护理课程和空缺数量呈现加速、无序和不均匀的增长，私立部门的影响很大，有利于其在大城市中心、首府和较富裕的州集中。
巴西护理高等教育的显著扩张是在过度的私立供应和地理位置分布不均的情况下发生的，这表明需要对新的课程和空缺进行国家监管，以最大限度地减少对教育质量、医疗保健和劳动力失衡的负面影响。
