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- ItemAcesso aberto (Open Access)Percepção de médicos da estratégia de saúde da família do município de São Paulo: o cotidiano do trabalho médico sob a gestão de organizações sociais(Universidade Federal de São Paulo, 2015-12-17) Ballarotti, Bruna [UNIFESP]; Junqueira, Virginia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This qualitative study aimed to identify perceptions of physicians hired by Social Organizations (SO) in the Family Health Strategy (FHS) of São Paulo, about the forms of management and its relations with their daily work. Regarding the method, the search for physicians was done through the snowball sampling technique, and interviews were conducted from a semi-structured script. The content analysis technique was used to the transcripts. As a result, five physicians were interviewed, they have worked in three regions, seven districts of the city of São Paulo and hired by five different SO. Four out of five respondents were physicians with expertise in the area, presenting, therefore, identification with Primary Health Care work. Regarding the analysis of the interviews, the categories extracted were: labor relations, management, work organization and democratization. Overall perceptions dialogued with the literature on various topics: multiplicity of physicians working ties in Brazil, including concurrent ties between the public service and private service; the lack of a proper workforce management directed to the SUS and the FHS; high turnover in FHS; the contradictions between the formal defense of SO as a more efficient management model for the SUS and the daily work, in which the majority of physicians did not report benefits; the infrastructure limitations; the workers´ autonomy limitations; work overload; the work process under vertical and rigid management formats; the work evaluation and supervision occur mainly through quantitative targets set at a central level; the conflicting relations with the goals, sometimes naturalized, sometimes circumvented; threats on workers to reach the goal; the quality of service are not addressed in the daily work; the existence of meetings that had limited power of decision; the failure to implement the democratization policy of labor relations in the SUS. More research is needed in order to bring up elements for analysis of the SUS, for beyond the numbers shown by social organizations, municipal and federal governments.