Inserção do serviço social nos processos de trabalho em serviços públicos de saúde - concepções e práticas: estudo de caso em um Hospital Universitário João Pessoa PB

• Autor(a) principal: Miranda, Ana Paula Rocha de Sales
• Data de Publicação: 2011
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/17558
• topic: Processo de trabalho em saúde; Serviço social em hospital universitário; Cultura organizacional; Hospital Universitário Lauro Wanderley; Work process in health; Social service in university hospital; Organizational culture; CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL

This thesis evaluate the work process in public health services with insertion of Social Service, starting from a case study accomplished with Social Assistants of Hospital Universitário Lauro Wanderley (HULW). Total sample was 18 subjects, being 88,89 of this sample evaluated. The purpose of this research was elucidate how the Social Workers organize their activities and what cultural traces of public service and their inflections reflects on socio-occupational space and work. Refer to Social Service work theme starting from centrality of work category as main mediation of man, being in mind that work process are influenced by the organizational culture or professions subcultures. It exposes the work starting from Marxist theory, explicit the work specificities in services and discuss the process of work in health, demonstrating the continuity and possibilities for new conductions, enlighten the reorganization necessity and highlighting the importance of organizational culture that consolidate health care oriented practices, beyond the necessity of culture of public service vice settle that lead to disrespect to the citizens rights, adding, yet, a historical Social Service in health panorama. Enters, in sequence, in the hospital universe, and from that, particularizes the practices of the category in HULW. Four documental research instruments were used, analytical tools of health services elaborated by Franco e Merhy (2003) - "fluxograma" and "rede de petição e compromissos", - questionnaire and interview. From assembling of Social Service ambulatory "fluxograma" and "rede de petição e compromisso" 14 Social Workers and 3 residents of Social Service were enrolled. In the Clinics "fluxograma" 8 professionals and 3 residents were enrolled, being this tools constructed in June. The interviews and questionnaires were applied between June and July, with 15 Social Workers. This study particularizes the analysis of professional practice of the Social Workers, the main accomplished actions and surrounding concepts, available work conditions, as well organizational culture about HULW and interferences that public service culture has over his work and institution. The main results show that this is a vertical, centralized and burocratic-normativ, with practices leaded by irrationality and absence of work cult, giving to the work an aspect of favor, instead of cooperation. The physician is central in the work process, what leads to knowledge isolation and users interests subordination, conditioning the main demands of Social Service to circumscription of the paradox fixed between universal right and restrict access, giving the resolution of barriers from itself, but not as access provider. The importance of emphasis observed in socioeducative actions is highlighted, but also the necessity of internal project elaboration for the category and critical analysis of his actions, in a way to go beyond elaboration of answers for immediate demands of population