Socio-political context and the organization of the workforce and the provision of primary care services

Detalhes bibliográficos
Autor(a) principal: Lopes, Wellington Pereira
Data de Publicação: 2023
Outros Autores: Carvalho, Brígida Gimenez, Mendonça, Fernanda de Freitas, Santini, Stela Maris Lopes, Martins, Caroline Pagani
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2005
Resumo: In order to analyze the repercussions of the socio- political and normative context for the organization of work in primary care, considering the composition, forms of supply of workers and the perception of managers about performance according to the type of bond, a qualitative study was carried out in 16 municipalities in the northern macro-region of Paraná, Brazil. Coordinators and health secretaries were interviewed from July to October 2021. The findings were presented in three categories: organization of primary care; forms of hiring professionals; and perception of managers about the workers’ performance according to the work bond. There is a preponderance of the Family Health Strategy in the organization of work in the 16 municipalities studied, in which there was the existence of primary care teams in only three. Regarding the forms of hiring, there was an increase in precarious bonds. Regarding the managers perception regarding the performance related to the type of bond, it is evident the idea that outsourced professionals present greater dedication when compared to those who have stability. The socio- political and normative context interfered in the organization and form of provision of professionals, as well as in the managers perception regarding performance and work bond.
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spelling Socio-political context and the organization of the workforce and the provision of primary care servicesContexto sociopolítico y organización de la fuerza de trabajo y prestación de servicios de atención básicaContexto sociopolítico e a organização da força de trabalho e oferta de serviços da Atenção Básica Atenção Primária à SaúdeEstratégia Saúde da Família Gestão em saúdeRecursos humanos em saúde.Primary Health CareFamily Health Strategyhealth managementhuman resources in healthAtención Primaria de SaludEstrategia de Salud De La Familiagestión de la saludrecursos humanos en saludIn order to analyze the repercussions of the socio- political and normative context for the organization of work in primary care, considering the composition, forms of supply of workers and the perception of managers about performance according to the type of bond, a qualitative study was carried out in 16 municipalities in the northern macro-region of Paraná, Brazil. Coordinators and health secretaries were interviewed from July to October 2021. The findings were presented in three categories: organization of primary care; forms of hiring professionals; and perception of managers about the workers’ performance according to the work bond. There is a preponderance of the Family Health Strategy in the organization of work in the 16 municipalities studied, in which there was the existence of primary care teams in only three. Regarding the forms of hiring, there was an increase in precarious bonds. Regarding the managers perception regarding the performance related to the type of bond, it is evident the idea that outsourced professionals present greater dedication when compared to those who have stability. The socio- political and normative context interfered in the organization and form of provision of professionals, as well as in the managers perception regarding performance and work bond.Con el fin de analizar las repercusiones del contexto sociopolítico y normativo para la organización del trabajo en la atención básica, al considerar la composición, las formas de fomento de los trabajadores y la percepción de los directivos sobre el rendimiento en función del tipo de vínculo, se realizó un estudio cualitativo en 16 municipios de la macrorregión norte de Paraná, Brasil. Se entrevistó a coordinadores y secretarios de salud de julio a octubre de 2021. Los resultados se presentaron en tres categorías: organización de la atención básica; formas de contratación de los profesionales; y percepción de los gerentes sobre el desempeño de los trabajadores según el vínculo laboral. Hay preponderancia de la Estrategia de Salud de la Familia en la organización del trabajo en los 16 municipios estudiados, en los que se ha comprobado la existencia de equipos de atención primaria en sólo tres. En cuanto a las formas de contratación, hubo un aumento de vínculos precarios. En cuanto a la percepción de los gerentes sobre el desempeño relacionado con el tipo de vínculo, es evidente la idea de que los profesionales de terceros muestran una mayor dedicación en comparación con los que cuentan con estabilidad. El contexto sociopolítico y normativo ha interferido en la organización y la forma de la promoción de los profesionales, así como en la percepción de los administradores en relación con el desempeño y la vinculación del trabajo.Com o objetivo de analisar as repercussões do contexto sociopolítico e normativo para a organização do trabalho na Atenção Básica, ao se considerarem a composição, as formas de provimento dos trabalhadores e a percepção de gestores sobre o desempenho conforme o tipo de vínculo, realizou-se um estudo qualitativo em 16 municípios da macrorregião Norte do Paraná. Foram entrevistados coordenadores e secretários de saúde de julho a outubro de 2021. Os achados foram apresentados em três categorias: organização da Atenção Básica; formas de contratação dos profissionais; e percepção dos gestores sobre o desempenho dos trabalhadores conforme o vínculo de trabalho. Há preponderância da Estratégia Saúde da Família na organização do trabalho nos 16 municípios estudados, nos quais se verificou a existência de equipes de Atenção Primária em apenas três. Sobre as formas de contratação, houve aumento de vínculos precários. Quanto à percepção dos gestores a respeito do desempenho relacionado ao tipo de vínculo, fica evidente o ideário de que profissionais terceirizados apresentam maior dedicação quando comparados àqueles que contam com estabilidade. O contexto sociopolítico e normativo interferiu na organização e na forma de provimento dos profissionais, assim como na percepção dos gestores em relação ao desempenho e vínculo de trabalho. Foto: 8photo/FreepikEscola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2023-07-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/200510.1590/1981-7746-ojs02005Trabalho, Educação e Saúde; v. 21 (2023); 151981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2005/1060Copyright (c) 2023 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLopes, Wellington Pereira Carvalho, Brígida Gimenez Mendonça, Fernanda de Freitas Santini, Stela Maris Lopes Martins, Caroline Pagani 2023-10-05T17:56:03Zoai:ojs.pkp.sfu.ca:article/2005Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:01:56.065845Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Socio-political context and the organization of the workforce and the provision of primary care services
Contexto sociopolítico y organización de la fuerza de trabajo y prestación de servicios de atención básica
Contexto sociopolítico e a organização da força de trabalho e oferta de serviços da Atenção Básica
title Socio-political context and the organization of the workforce and the provision of primary care services
spellingShingle Socio-political context and the organization of the workforce and the provision of primary care services
Lopes, Wellington Pereira
Atenção Primária à Saúde
Estratégia Saúde da Família
Gestão em saúde
Recursos humanos em saúde.
Primary Health Care
Family Health Strategy
health management
human resources in health
Atención Primaria de Salud
Estrategia de Salud De La Familia
gestión de la salud
recursos humanos en salud
title_short Socio-political context and the organization of the workforce and the provision of primary care services
title_full Socio-political context and the organization of the workforce and the provision of primary care services
title_fullStr Socio-political context and the organization of the workforce and the provision of primary care services
title_full_unstemmed Socio-political context and the organization of the workforce and the provision of primary care services
title_sort Socio-political context and the organization of the workforce and the provision of primary care services
author Lopes, Wellington Pereira
author_facet Lopes, Wellington Pereira
Carvalho, Brígida Gimenez
Mendonça, Fernanda de Freitas
Santini, Stela Maris Lopes
Martins, Caroline Pagani
author_role author
author2 Carvalho, Brígida Gimenez
Mendonça, Fernanda de Freitas
Santini, Stela Maris Lopes
Martins, Caroline Pagani
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Lopes, Wellington Pereira
Carvalho, Brígida Gimenez
Mendonça, Fernanda de Freitas
Santini, Stela Maris Lopes
Martins, Caroline Pagani
dc.subject.por.fl_str_mv Atenção Primária à Saúde
Estratégia Saúde da Família
Gestão em saúde
Recursos humanos em saúde.
Primary Health Care
Family Health Strategy
health management
human resources in health
Atención Primaria de Salud
Estrategia de Salud De La Familia
gestión de la salud
recursos humanos en salud
topic Atenção Primária à Saúde
Estratégia Saúde da Família
Gestão em saúde
Recursos humanos em saúde.
Primary Health Care
Family Health Strategy
health management
human resources in health
Atención Primaria de Salud
Estrategia de Salud De La Familia
gestión de la salud
recursos humanos en salud
description In order to analyze the repercussions of the socio- political and normative context for the organization of work in primary care, considering the composition, forms of supply of workers and the perception of managers about performance according to the type of bond, a qualitative study was carried out in 16 municipalities in the northern macro-region of Paraná, Brazil. Coordinators and health secretaries were interviewed from July to October 2021. The findings were presented in three categories: organization of primary care; forms of hiring professionals; and perception of managers about the workers’ performance according to the work bond. There is a preponderance of the Family Health Strategy in the organization of work in the 16 municipalities studied, in which there was the existence of primary care teams in only three. Regarding the forms of hiring, there was an increase in precarious bonds. Regarding the managers perception regarding the performance related to the type of bond, it is evident the idea that outsourced professionals present greater dedication when compared to those who have stability. The socio- political and normative context interfered in the organization and form of provision of professionals, as well as in the managers perception regarding performance and work bond.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-04
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2005
10.1590/1981-7746-ojs02005
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2005
identifier_str_mv 10.1590/1981-7746-ojs02005
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2005/1060
dc.rights.driver.fl_str_mv Copyright (c) 2023 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 21 (2023); 15
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
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