Precarização do trabalho e processo produtivo do cuidado

Abstract

resumoApesar de suas especificidades, o setor saúde também sofre influências neoliberais que provocam efeitos no mundo do trabalho. Este artigo retrata as conseqüências negativas da precarização sobre o processo de produção de cuidado em saúde, a partir da análise de uma Unidade de Saúde cuja maioria da equipe é terceirizada. Por meio dos relatos obtidos, pode-se verificar o sentimento de desvalorização expresso pelos trabalhadores, assim como a constatação de que a assistência à saúde da população fica comprometida devido ao ambiente tenso, marcado pela instabilidade do emprego, insatisfação e adoecimento dos trabalhadores. Sugerese o investimento em políticas de enfrentamento da precarização no SUS, visto que ela coloca em risco as diretrizes e princípios desta política pública.Palavras-chave: Política de saúde. Força de trabalho. Precarização. Processo de trabalho.

The work process and care production in a Brazilian indigenous health service

“…29 Such factors, together with the lack of guidance of some municipal managers and political and economic interests, have led to an increase in recruitment through partnerships with non-governmental organization, and cooperatives. 28 The effects of this recruitment context are enhanced in the indigenous Work and care in an indigenous health service Ribeiro AA, Aciole GG, Arantes CIS, Reading J, Kurtz DLM, Rossi LA healthcare system, as the Brazilian government has transferred actions related to indigenous healthcare to the private sphere with little or no regulation. 4 These findings indicate that, for indigenous health services, the state does not mean "public"; the private service and its logic can be predominant in the public indigenous services.…”

“…26,28 With the transfer of responsibility for healthcare from the federal to the municipal level in 1993, municipalities and cities became responsible for contracting personnel in Brazil. 27 However, the Brazilian Fiscal Responsibility Law, enacted in 2000, based on neoliberal ideology, appears to restrict municipal autonomy in personnel recruitment.…”

“…[26][27][28][29] According to this system of scientific management principles, elaborated by Fred Taylor, the workers became more productive when they follow a machinelike routine and eliminate avoidable motion. 30 Merhy 9,13 used Taylorism ideas 30 as a way to explain how intense domination of work in manufacturing can also be reproduced in the provision of care at a health center.…”

“…9,23 The creative ability of the worker and the potential opportunity to provide person-centered care cannot resist the deterioration resulting from a fragmented practice in a structured health service. 23,28 In relation to health technology, the nursing workers at the CASAI predominantly used the hand and head suitcases in the care production. 13 The focus on procedures, which is the work object for the healthcare providers at the CASAI, requires structured knowledge (e.g., clinical expertise, anatomical expertise).…”

Vínculos de trabalho no setor saúde: o cenário da precarização na macrorregião Oeste do Paraná

“…Inúmeros estudos têm sido publicados a respeito dessa temática, especialmente nas duas últimas décadas (ANTUNES, 1995;KOSTER, 2008;KALLEBERG, 2009;SILVEIRA ET AL., 2010;FARIA;DALBELLO-ARAUJO, 2011).…”