Equidade e regionalização da saúde na contracorrente

Gestão do trabalho de equipes da saúde da família

“…27 Specifically, for the CHA, there is an intensification of administrative activities to the detriment of the time for home visits added to a work proposal for the collection of information Family health work management Gleriano JS, Fabro GCR, Tomaz WB, Forster AC, Chaves LDP and the filling of information systems, resulting in a tension in unequal employment relationships and precarious working conditions with underpaid. 28 Given the limits imposed by economic policy, it is important to remember that there are mechanisms for hiring personnel through Non-Governmental Organizations (NGOs) and Civil Society Organizations of Public Interest (Oscip), whose expenditures are accounted for as "third-party services" and not as "personnel expenses, 29 devices used to circumvent the Fiscal Responsibility Law. This shows the need for a mechanism to create possibilities to increase spending, without being confronted with the law of fiscal responsibility and respecting contracting.…”

“…30 However, the PCCS is an instrument that mobilizes and enhances the motivation of workers, contributes to the valorization, establishment and perspective of career in service. 31 The already recognized limits of difficulties in attracting and retaining professionals and the lack of consolidation of the career plan, positions and salaries as a strategic instrument for labor management 29 have been worked on by the Secretariat of Labor Management and Health Education (SGTES) through technical cooperation projects with municipalities and states to leverage initiatives to strengthen the Program for the Depreciation of Labor in the SUS (DeprecarizaSUS), however, there is still a lack of demonstrations of monitoring and evaluation capacity, and recognized HR managers are unaware of the DeprecarizaSUS. 32 However, these issues are like important challenges for the management and workforce in PHC of SHS, capable of considerably impacting the organization of the care model, the work process, and the effectiveness of health care practices.…”