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.

Human resources in state hospitals managed by health social organizations: the logic of the private

  • Lorena Estevam Martins Fernandes
  • Gabriella Barreto Soares
  • Fabiana Turino
  • Elda Coelho de Azevedo Bussinguer
  • Francis Sodré
  • Lorena Estevam Martins Fernandes

    Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, Espírito Santo, Brasil.

    Gabriella Barreto Soares

    Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, Espírito Santo, Brasil

    Fabiana Turino

    Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, Espírito Santo, Brasil.

    Elda Coelho de Azevedo Bussinguer

    Faculdades Integradas de Vitória, Programa de Pós-Graduação em Direitos e Garantias Fundamentais, Vitória, Espírito Santo, Brasil.

    Francis Sodré

    Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Saúde Coletiva, Vitória, Espírito Santo, Brasil.



Abstract

The main goal of the present study was to analyze the politics of human resources in health in state hospitals managed by health social organizations in the state of Espírito Santo, Brazil. We conducted a qualitative research, choosing as the field of investigation the social organizations that manage public hospitals in the state. During the data collection process, we sought the regulations and management contracts signed between 2008 and 2016, and performed individual interviews with the human resources managers of the participating institutions. During the analysis of the fieldwork materials, we used the content analysis technique, and chose five empirical categories of analysis of the contracts: the employment relationship model, the permission to hire legal entities, the percentage of expenses with staff, the procedure used to hire staff, and the goals regarding people management. The interviews were analyzed through the units of meaning proposed by Kvale. The results showed that the contracts omit legally-required information and have too many amendments. The people management practices are typical of private companies, and follow some guidelines of the work in health, but without reference to the Brazilian Unified Health System (Sistema Único de Saúde, SUS, in the Portuguese acronym). They adopt methods that are different from the rules of the public service entrance exams and the non-precarization of labor.

Keywords

social organizations,
human resources in health,
hospital manegement

Download


Metrics

  • Views - 828

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio

Most read articles by the same author(s)

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.