NEW MANAGEMENT MODELS IN PRIMARY HEALTH CARE AND THE DIFFICULTIES AT WORK

Detalhes bibliográficos
Autor(a) principal: Penha de Oliveira Santos, Renato
Data de Publicação: 2022
Outros Autores: Chinelli, Filippina, Ferreira Fonseca, Angélica
Tipo de documento: Artigo
Idioma: por
Título da fonte: Caderno CRH
Texto Completo: https://periodicos.ufba.br/index.php/crh/article/view/43776
Resumo: The article discusses the reconfiguration of work in Primary Health Care (PHC) based on changes implemented by the Brazilian federal  government since 2017, which have aggravated precarious work conditions. Methodologically it is inspired by Michael Burawoy’s  expanded case ethnography, dialoguing with studies on productive  restructuring and New Public  Management (NGP), linked to the concept of difficulty. Participant  observation and semi-structured  interviews with workers from a health  team from a basic unit of the Unified  Health System (SUS) in Rio de Janeiro  were used. Difficulty has been  characterized as: the constant demand for changes in the organization of daily work and overload due to the  extensive workday, and the demand  for reaching established goals despite  the work conditions. This paper  emphasized the need to continue  analyzing the reconfiguration of health work, considering the impacts of the Constitutional Amendment 95 (2016);  the labor reform (2017); and the  COVID-19 pandemic. 
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spelling NEW MANAGEMENT MODELS IN PRIMARY HEALTH CARE AND THE DIFFICULTIES AT WORKLES NOUVEAUX MODÈLES DE GESTION DES SOINS DE SANTÉ PRIMAIRES ET LA PÉNIBILITÉ AU TRAVAILNOVOS MODELOS DE GESTÃO NA ATENÇÃO PRIMÁRIA À SAÚDE E AS PENOSIDADES DO TRABALHOAtenção Primária à SaúdeGestão do trabalho em saúdePenosidadePrecarizaçãoReestruturação ProdutivaNovos modelos de gestão do trabalho na saúdePrimary Health CareHealth Work ManagementDifficultyPrecarizationProductive RestructuringSoins de Santé PrimairesGestion du Travail en SantéPénibilitéPrécarisationRestructuration Productive.The article discusses the reconfiguration of work in Primary Health Care (PHC) based on changes implemented by the Brazilian federal  government since 2017, which have aggravated precarious work conditions. Methodologically it is inspired by Michael Burawoy’s  expanded case ethnography, dialoguing with studies on productive  restructuring and New Public  Management (NGP), linked to the concept of difficulty. Participant  observation and semi-structured  interviews with workers from a health  team from a basic unit of the Unified  Health System (SUS) in Rio de Janeiro  were used. Difficulty has been  characterized as: the constant demand for changes in the organization of daily work and overload due to the  extensive workday, and the demand  for reaching established goals despite  the work conditions. This paper  emphasized the need to continue  analyzing the reconfiguration of health work, considering the impacts of the Constitutional Amendment 95 (2016);  the labor reform (2017); and the  COVID-19 pandemic. Cet article discute la reconfiguration du travail en Soins de Santé Primaires (SSP) selon des changements mis en ouvre par le gouvernement fédéral brésilien depuis 2017, lesquels aggravent des circonstances de la précarisation du travail. Du point de vue méthodologique, la recherche  s’inspire de l’ethnographie de cas  élargi, selon Michael Burawoy, en  dialogue avec des études sur la restructuration productive et la  Nouvelle Gestion Publique (NGP), liées au concept de la pénibilité au travail.  Nous utilisons l’observation  participante et des entretiens  semistructurées avec des travailleuses  d’un établissement de soins de santé de base du Système de Santé Unifié brésilien (SUS) à Rio de Janeiro. Ont été caractérisées comme types de  pénibilité: l’exigence constante des changements dans l’organisation du  travail quotidien et la surcharge  causée par la longue journée du travail; et la demande pour répondre  des objectifs fixés sans considérer des  particularités du contexte de travail.  L’étude souligne la nécessité de  continuer des analyses de la  reconfiguration du travail en santé en consonance avec des impacts de l’Amendement Constitutionnel 95  (2016) ; de la réforme du travail (2017); et de la pandémie de COVID-19.O artigo trata da reconfiguração do trabalho na Atenção Primária à Saúde (APS) a partir de mudanças implementadas pelo governo federal desde 2017, que agravam as circunstâncias de precarização do  trabalho. Metodologicamente, inspira-se na etnografia de caso ampliado de  Michael Burawoy, dialogando com  estudos sobre a reestruturação produtiva e a Nova Gestão Pública  (NGP), articulados ao conceito de  penosidades. Utilizou-se a observação participante e entrevistas  semiestruturadas com trabalhadoras e uma equipe de saúde de uma unidade  básica do Sistema Único de Saúde  (SUS) do Rio de Janeiro. Caracterizam-se como penosidades: exigência  constante de mudanças na  organização do cotidiano do trabalho e  sobrecarga devido à extensa jornada de trabalho, e cobrança pelo alcance  de metas a despeito das condições de  trabalho. Ressalta-se a necessidade de  continuar análises da reconfiguração  do trabalho em saúde, considerando  os impactos da Emenda Constitucional  nº 95 (2016); da reforma trabalhista  (2017) e da pandemia de Covid-19. Universidade Federal da Bahia2022-12-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Avaliado pelos pares"pesquisa qualitativaapplication/pdfhttps://periodicos.ufba.br/index.php/crh/article/view/4377610.9771/ccrh.v35i0.43776Caderno CRH; v. 35 (2022): Publicação Contínua; e0220371983-82390103-4979reponame:Caderno CRHinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAporhttps://periodicos.ufba.br/index.php/crh/article/view/43776/28126Copyright (c) 2022 Caderno CRHhttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPenha de Oliveira Santos, Renato Chinelli, FilippinaFerreira Fonseca, Angélica2022-08-24T13:24:41Zoai:ojs.periodicos.ufba.br:article/43776Revistahttps://portalseer.ufba.br/index.php/crh/about/editorialPolicies#custom-0PUBhttps://old.scielo.br/oai/scielo-oai.phprevcrh@ufba.br||revcrh@ufba.br1983-82390103-4979opendoar:2022-08-24T13:24:41Caderno CRH - Universidade Federal da Bahia (UFBA)false
dc.title.none.fl_str_mv NEW MANAGEMENT MODELS IN PRIMARY HEALTH CARE AND THE DIFFICULTIES AT WORK
LES NOUVEAUX MODÈLES DE GESTION DES SOINS DE SANTÉ PRIMAIRES ET LA PÉNIBILITÉ AU TRAVAIL
NOVOS MODELOS DE GESTÃO NA ATENÇÃO PRIMÁRIA À SAÚDE E AS PENOSIDADES DO TRABALHO
title NEW MANAGEMENT MODELS IN PRIMARY HEALTH CARE AND THE DIFFICULTIES AT WORK
spellingShingle NEW MANAGEMENT MODELS IN PRIMARY HEALTH CARE AND THE DIFFICULTIES AT WORK
Penha de Oliveira Santos, Renato
Atenção Primária à Saúde
Gestão do trabalho em saúde
Penosidade
Precarização
Reestruturação Produtiva
Novos modelos de gestão do trabalho na saúde
Primary Health Care
Health Work Management
Difficulty
Precarization
Productive Restructuring
Soins de Santé Primaires
Gestion du Travail en Santé
Pénibilité
Précarisation
Restructuration Productive.
title_short NEW MANAGEMENT MODELS IN PRIMARY HEALTH CARE AND THE DIFFICULTIES AT WORK
title_full NEW MANAGEMENT MODELS IN PRIMARY HEALTH CARE AND THE DIFFICULTIES AT WORK
title_fullStr NEW MANAGEMENT MODELS IN PRIMARY HEALTH CARE AND THE DIFFICULTIES AT WORK
title_full_unstemmed NEW MANAGEMENT MODELS IN PRIMARY HEALTH CARE AND THE DIFFICULTIES AT WORK
title_sort NEW MANAGEMENT MODELS IN PRIMARY HEALTH CARE AND THE DIFFICULTIES AT WORK
author Penha de Oliveira Santos, Renato
author_facet Penha de Oliveira Santos, Renato
Chinelli, Filippina
Ferreira Fonseca, Angélica
author_role author
author2 Chinelli, Filippina
Ferreira Fonseca, Angélica
author2_role author
author
dc.contributor.author.fl_str_mv Penha de Oliveira Santos, Renato
Chinelli, Filippina
Ferreira Fonseca, Angélica
dc.subject.por.fl_str_mv Atenção Primária à Saúde
Gestão do trabalho em saúde
Penosidade
Precarização
Reestruturação Produtiva
Novos modelos de gestão do trabalho na saúde
Primary Health Care
Health Work Management
Difficulty
Precarization
Productive Restructuring
Soins de Santé Primaires
Gestion du Travail en Santé
Pénibilité
Précarisation
Restructuration Productive.
topic Atenção Primária à Saúde
Gestão do trabalho em saúde
Penosidade
Precarização
Reestruturação Produtiva
Novos modelos de gestão do trabalho na saúde
Primary Health Care
Health Work Management
Difficulty
Precarization
Productive Restructuring
Soins de Santé Primaires
Gestion du Travail en Santé
Pénibilité
Précarisation
Restructuration Productive.
description The article discusses the reconfiguration of work in Primary Health Care (PHC) based on changes implemented by the Brazilian federal  government since 2017, which have aggravated precarious work conditions. Methodologically it is inspired by Michael Burawoy’s  expanded case ethnography, dialoguing with studies on productive  restructuring and New Public  Management (NGP), linked to the concept of difficulty. Participant  observation and semi-structured  interviews with workers from a health  team from a basic unit of the Unified  Health System (SUS) in Rio de Janeiro  were used. Difficulty has been  characterized as: the constant demand for changes in the organization of daily work and overload due to the  extensive workday, and the demand  for reaching established goals despite  the work conditions. This paper  emphasized the need to continue  analyzing the reconfiguration of health work, considering the impacts of the Constitutional Amendment 95 (2016);  the labor reform (2017); and the  COVID-19 pandemic. 
publishDate 2022
dc.date.none.fl_str_mv 2022-12-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Avaliado pelos pares"
pesquisa qualitativa
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufba.br/index.php/crh/article/view/43776
10.9771/ccrh.v35i0.43776
url https://periodicos.ufba.br/index.php/crh/article/view/43776
identifier_str_mv 10.9771/ccrh.v35i0.43776
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.ufba.br/index.php/crh/article/view/43776/28126
dc.rights.driver.fl_str_mv Copyright (c) 2022 Caderno CRH
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Caderno CRH
http://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 Universidade Federal da Bahia
publisher.none.fl_str_mv Universidade Federal da Bahia
dc.source.none.fl_str_mv Caderno CRH; v. 35 (2022): Publicação Contínua; e022037
1983-8239
0103-4979
reponame:Caderno CRH
instname:Universidade Federal da Bahia (UFBA)
instacron:UFBA
instname_str Universidade Federal da Bahia (UFBA)
instacron_str UFBA
institution UFBA
reponame_str Caderno CRH
collection Caderno CRH
repository.name.fl_str_mv Caderno CRH - Universidade Federal da Bahia (UFBA)
repository.mail.fl_str_mv revcrh@ufba.br||revcrh@ufba.br
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