La medicina institucional y la práctica de los profesionales de la medicina: lectura crítica desde la salud colectiva

Abstract

This paper presents a reflection from a collective health perspective on management technologies introduced into institutional medicine and its consequences for the training of medical professionals. Three level of analysis are proposed: a) structural conditions and the neoliberal reform with its consequences on the health system and on social health determinants; b) institutional medicine, its complexity and the management changes that are necessary in order to achieve targets and indicators; and c) the practice of medical professionals in that context. All this within the Mexican context. Though the perspective of social determination of collective health processes, the conclusion is that medical specialists  in the course of their training- put aside their technical Knowledge and are subjected to the stress of the institutional complexity in which they are involved.