Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.

Work division in the health sector and the social relationship of tension between workers and managers

  • Arlene Laurenti Monterrosa Ayala
  • Walter Ferreira de Oliveira
  • Arlene Laurenti Monterrosa Ayala

    Enfermeira da Secretaria Municipal de Saúde de Joinville, Brasil. Mestre em Saúde Pública pelo Centro de Ciências da Saúde da Universidade Federal de Santa Catarina (UFSC).

    Walter Ferreira de Oliveira

    Professor Titular do Centro de Ciências da Saúde da Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brasil. Doutor em Social and Philosophical Foundations of Education Program pela Universidade de Minnesota.



Abstract

This study is based on a critical analysis of work management in the public health sector in Joinville (State of Santa Catarina), with regards to the daily work situation of health care workers in the basic Unified National Health System (SUS) units. It identifies a few of the health service's operating principles, as set forth by the management such as work domination mechanisms, and which result from its division, as follows: the fragmentary nature of work organization in the health sector, management's conflict domination, worker control by production goals, and health care worker resistance to imposed workloads. The study uses the following research techniques to show the work division: interviews and direct observation of the work.

Keywords

work division,
health management,
health sector

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