Labor relations under decentralized health management and dilemmas in the relationship between work expansion and casualization in the Brazilian Unified National Health System
This article analyzes the logic behind human resources management in primary health care from the perspective of municipal health systems administrators in Brazil, rethinking the decentralization process based on mediation between Federal government guidelines and the health services' daily pra...
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| Veröffentlicht in: | Cadernos de saúde pública 2010-05, Vol.26 (5), p.918-928 |
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| creator | Junqueira, Túlio da Silva Cotta, Rosângela Minardi Mitre Gomes, Ricardo Corrêa Silveira, Suely de Fátima Ramos Siqueira-Batista, Rodrigo Pinheiro, Tarcísio Márcio Magalhães Sampaio, Rosana Ferreira |
| description | This article analyzes the logic behind human resources management in primary health care from the perspective of municipal health systems administrators in Brazil, rethinking the decentralization process based on mediation between Federal government guidelines and the health services' daily practice. This was a cross-sectional study using a semi-structured questionnaire applied to municipal health secretaries in the Southeastern Health Macro-Region (Minas Gerais State). The municipal health secretaries had a mean age of 39.4 years and low schooling, and a large proportion did not belong to the health field. As for the workforce in the Family Health Program, the municipal governments hired 93.3% of the health professionals, mostly on temporary contracts. The findings confirm gaps in the workers' political and social rights. Paradoxically, the government itself, through the municipal administration, is responsible for failing to comply with the prevailing labor legislation. |
| doi_str_mv | 10.1590/S0102-311X2010000500014 |
| format | Article |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PAIS Index; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Brazil Collective bargaining Contracts Cross-Sectional Studies Decentralization in government Educational Status Family Female Health Personnel - organization & administration Health Personnel - statistics & numerical data Health policy Health Services Administration - legislation & jurisprudence Health Services Administration - statistics & numerical data Humans Legislation Male Medical service Middle Aged Primary Health Care - organization & administration Public health Questionnaires Surveys and Questionnaires |
| title | Labor relations under decentralized health management and dilemmas in the relationship between work expansion and casualization in the Brazilian Unified National Health System |
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