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Revista Brasileira de Coloproctologia
Print version ISSN 0101-9880
SANTOS JR, Júlio César Monteiro dos. Avaliação médica: o consumo na medicina e a mercantilização da saúde. Rev bras. colo-proctol. [online]. 2006, vol.26, n.1, pp. 70-85. ISSN 0101-9880. http://dx.doi.org/10.1590/S0101-98802006000100011.
BACKGROUND: The Health has been threatened by the physician's managerial colonization that, begun inside of the University, continues in the work environment. That action has origin of the teaching in disagreement with the scientific reality and in the assertion of individualistic tendencies expressing isolated and not-distinguished opinions, in general induced by the investigations requested to give rise to the market of drugs and devices disposable for physician and pharmacists. PURPOSE: The aim of this report is to use the General Surgeon's point of view to comment on the commercialization of the health and on the way as the Industrial Institution, using the medical company, acts and modifies the physician's action contributing to the high cost of the medicine. MATERIAL AND METHODS: The bases will be the laboratory exams and the preoperative cardiovascular routine evaluation used for noncardiac surgery on patients with cardiomyopathies. The material and the content for discussion were extracted from Ivan Illich's1 book, Coelho and col.2 article, from the model proposed in Cleveland Clinic3 on preoperative tests, and from the established norms of ACC1 and of the AHA* about the orientation on minimum medical evaluation and exam of patient with cardiac disease, when they are candidates to a noncardiac surgery4.
Keywords : Laboratory tests; preoperative evaluation; noncardiac surgery; health commercialization.