Navegando por Palavras-chave "Organizações sociais de saúde"

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    Gestão da atenção básica por organizações de saúde no município de São Paulo : uma análise micropolítica
    (Universidade Federal de São Paulo (UNIFESP), 2017-06-26) Bragagnolo, Larissa Maria [UNIFESP]; Andreazza, Rosemarie [UNIFESP]; Reis, Ademar Arthur Chioro dos [UNIFESP]; http://lattes.cnpq.br/0107536337908259; http://lattes.cnpq.br/1447772258702244; http://lattes.cnpq.br/0600138582199721; Universidade Federal de São Paulo (UNIFESP)
    Introduction: This research focuses the work management in primary care in two basic healthcare units (UBS) done by two different Social Health Organizations (OSS). Objective: analyze the management of two UBS in the municipality of São Paulo managed by OSS. Method: qualitative research, multiple case study type, of a cartographic nature made through participant observation in two UBS in the municipality of São Paulo that resulted in a field journal composed by registers of scenes observed in everyday work. Two shared seminaries held with the subjects of the UBS that are the study object were also adopted. For the material analysis, it was used the “visibility plans” concept, which is something that becomes more prominent or visible/sayable from the scene connections of similar “nature” registered in the journals. The researchers’ estrangement from the team was used as an analyzer of team relations with OSS. Results: the professionals show a well-established relationship with OSS which starts from a big disturbance related the field researchers, and constantly worry about the possibility of the researchers to take part of a control and evaluation strategy. Those professionals are ignorant of the management strategies adopted by OSS, and managerialism is evident. An institutional malaise is exposed, even so professionals support this management model that is why are placed between fear and trust in the relationship with the company. Those professionals also point out that a pronounced rationalization of the practices places care as well as numbers and goals accomplishments in antagonistic positions. However, the professionals estimate the managerialism tools with the illusion they will get past structural issues of health work. This situation constantly places those professionals in a paradox between autonomy and goals. It was also possible to observe managers, the OSS’s spokespeople, having a discourse of valuing numbers and managing UBS based on productivity goals imposed by management instruments of the relationship between OSS and city council. Due to intense adoption of managerialism tools, work is like business logic so the spokespeople support a discourse which does not go beyond common sense about Sistema Único de Saúde (SUS) as well as certain externality. In addition to an identification and greater belonging with public entity they take a position and dispute the OSS management model. It was also possible to identify singularities and regularities among OSS because they are similar when it comes to managerial management and deepening of the entrepreneurship, however they differ in what they represent for their workers. Questionings about the legitimacy of that SUS produced in UBS managed by OSS and possible iniquities related to health from very complex organizational structures are now open.