A ideologia da humanização e o projeto ético-político do serviço sociaL: tendências e perspectivas no trabalho do assistente social no Hospital Universitário da Universidade Federal do Maranhão (HUUFMA)

• Autor(a) principal: RODRIGUES, Suene da Silva
• Data de Publicação: 2023
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFMA
• Texto Completo: https://tedebc.ufma.br/jspui/handle/tede/tede/4998
• topic: serviço social;; projeto ético-político do serviço social;; política nacional de humanização;; ideologia da humanização;; social work;; ethical-political project of social work;; national humanization policy;; ideology of humanization.; Serviço Social

The National Humanization Policy (PNH) was approved in the first government of Luís Inácio Lula da Silva, in 2003, after a review of the former National Program for Humanization and Hospital Care (PNHAH) and has as one of its objectives the change of culture of care in health services. The implementation of the PNH, a cross-cutting policy to the Unified Health System (SUS), would aim to bring greater quality in health and improvement in care that would become more humanized. By analyzing the humanization policy beyond its appearance, it can be identified that an ideology of humanization is present in it, highlighting characteristics such as a-historicism, emphasis on subjective issues, focus on communication and superficiality when dealing with the problems faced by public health. Its documents lack articulation with the political, economic and social aspects of the country. There is the presence of an "ingrained romanticism" with the proposal of humanizing the relationships established in the capitalist system, which at its core carries dehumanization. The PNH is aligned with the proposals of the Neoliberal Project for Health of privatization, outsourcing, underfunding of the sector in addition to proposing the de-responsibility of the State. There is also its articulation with the institutionalization of new management models in the SUS. The Social Service, a profession that makes up the technical health team, is also part of the professional staff that works directly with the humanization proposals both through the Humanization Working Group (GTH) and in their daily care. The Ethical-Political Project (PEP) of Social Work is based on Marxist thought and has among its principles freedom and human emancipation in addition to overcoming the current societal project. In addition, the Ethical-Political Project also aligns with the proposals of the Health Reform Project in affirming health as a right and duty of the State. The conception of humanization present in Marxism has work as a central category in the process of transformation of the human being into a social being. However, capitalism changes the nature of work making it an element of dehumanization through alienation. Using the method of dialectical historical materialism, we sought to understand through the articulation between field, documentary and bibliographic research how social workers apprehend the PNH. The theoretical-ideological bases on which the PNH (aligned with the neoliberal project and postmodern thought) and the PEP (aligned with Marxism) were built are differentiated, which reflects the definition of humanization present in both. It was noticed that the issues that permeate humanization end up being dissolved amid the alienating daily life and the immediate care of the professionals. Although there are criticisms of the PNH, they do not point to the essence of relevant issues and problematize its intentions. There is a departure from the perspective of humanization as proposed by Marxism, the basis of the PEP. Although the need for appropriation of the Ethical Political Project is recognized, there is no internalization of its principles, which leaves gaps for other conceptions to have space and to be reproduced, such as the ideology of humanization.