Impactos da gestão das organizações sociais de saúde nos trabalhadores de um hospital público estadual no Espírito Santo

• Autor(a) principal: Fernandes, Lorena Estevam Martins
• Data de Publicação: 2023
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
• Texto Completo: http://repositorio.ufes.br/handle/10/17024
• topic: Saúde Coletiva; Organizações Sociais de Saúde; Recursos humanos; Hospitais públicos; Serviços terceirizados; Gestão em saúde; subject.br-rjbn

The Social Organizations (OS) emerged in Brazil in the State managerial counterreform, in 1995, to differentiate exclusive activities from non-exclusive ones. This “new” management advocated the implementation of a results-oriented management model. The inclusion of SUS in the counter-reform was justified to improve the performance of public health services, through the transfer of hospital management to Social Health Organizations (OSS) through the signing of management contracts with the Executive Branch. This research discussed the outsourcing of management through OSS as an alternative to public management considered inefficient and without quality, and aimed to analyze the impacts of management through OSS on workers at a state hospital in Espírito Santo. It consisted of an unprecedented work in Brazil and proposed a single case study in a hospital with mixed labor, public servants assigned and employees hired by the OSS. Forty interviews with medical, nursing, administrative and multidisciplinary professionals were analyzed. These were submitted to document analysis and thematic analysis, based on the Grounded Theory of Data or Grounded Theory. The findings showed that OSS management was self-centered and hierarchical. It did not have, or were not granted, indicators or significant consolidated HR information demonstrating the non-priority given to the management of health work. There were impacts of OSS management on people management, health and quality of life of workers. The main losses were in the mental health of workers, generated by precariousness, suffering, violence, work overload and mental illness of employees. The conclusions showed that the OSS did not add quality to the hiring and management processes of professionals, because despite providing manpower, they did not do it in sufficient numbers, did not invest in training or in improving working conditions. OSS management did not prove to be an adequate choice for the management of this hospital service in the Unified Health System.