A gestão do trabalho na Estratégia Saúde da Família : o governo de si e do outro sob a ótica do gestor

• Autor(a) principal: Galavote, Heletícia Scabelo
• Data de Publicação: 2016
• 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/10/10090
• topic: Work management; Family health; Workers; Healthcare manager; Gestão do trabalho; Saúde da família; Gestor de saúde; Saúde Coletiva; Família - Saúde e higiene; Trabalhadores; Saúde - Administração; Administradores de saúde; 614

The process of healthcare work management in the scenario of the Family Health Strategy is highlighted as an analytical intention founded on the concepts proposed by Foucault about the apparatuses of power and the techniques for the care of self and others as the foundtion of a political power exercise. The analysis unity transits between the space of macro-politics and that of the micro-politics of the management of work in healthcare, which permeated the teritory of imanence between what is taken as the norm and re-normalization. The objective it to analize the management of work in the Family Health Strategy in the state of Espirito Santo, starting from the discourse of the managers, as well as identifying the pratices involved by the managers in the constitution of the government of self and others. This is a descriptive and exploratory study, with a qualitative approach. To achieve this objectives, managers from 36 municipalities of the state of Espirito Santo were invited to participate: the Municipal Health Secretary; the Municipal Coordinator for the Family Health Strategy; and the Municipal Coordinator for Primary Health Care. A semi-structured interview and participant observation were used for the collection of data. The discourse analysis was the basis for data analysis, and the cartography was used as a complementary method of research. There are elements in the discourse that are highlighted for signaling to a practice of management through discipline and control over the workers, through the attainement of results, founded in mandatory acts and in the normalization of the work, which is called prescribed, dead, amputating the autonomy and creativity of the worker. For the managers, to innovate means to mobilize the workers based on a political centralization that warrants for the manager the final decision and the definition of the directions, once the teams have little governability relating to the definition of goals and indicators. The managers produce self practices, but are inprisoned by the normalizations of the healthcare organiztion itself through the marks that are inscribed on their bodies and that determine a healthcare manager with serialized discourses and actions. They are stultus managers, since they don't exercize the self care as freedom, and bare a subordinate will, which is not free