Impasses Para a Implementação Integral Da Política Nacional De Saúde Do Trabalhador E Da Trabalhadora

Abstract

OBJECTIVE: To analyze the obstacles to the full implementation of the National Workers' Health Policy. MATERIALS AND METHODS: An integrative literature review was carried out using the following databases: Latin American and Caribbean Health Sciences Literature (LILACS), Medical Analysis and Retrieval System Online (MEDLINE) and Nursing Database (BDENF). The inclusion criteria were: complete articles, in Portuguese, with no restriction on the years of publication and which met the study' s objective. The exclusion criteria were: articles that were repeated across platforms, incomplete, theses, dissertations, book chapters and that did not address the theme. RESULTS AND DISCUSSION: Five studies were selected for the final sample. These showed that there are training and structural factors that prevent the national policy from being fully implemented. It was found that workers' health actions are not well structured and there is little connection with the Workers' Health Reference Center and other health services, weakening workers' health care. FINAL CONSIDERATIONS: There are visible problems in the policy itself, ranging from training to structural issues, and it is important to review the policy so that it can be considered comprehensive.