Tania França

Gestão do trabalho e da educação em saúde: recursos humanos em duas décadas do SUS

Este artigo discute os desafios contemporâneos que se apresentam no campo da gestao de recursos humanos em saude no Brasil. Apresenta destaques da tematica no continente americano, colocando em evidencia o Brasil por suas caracteristicas organizacionais nesse setor. Apresenta, ainda, os achados de uma pesquisa sobre a capacidade gestora de recursos humanos em Secretarias estaduais e municipais de Saude de grandes centros urbanos e a capilaridade das politicas setorias de gestao do trabalho e da educacao na saude. A questao central diz respeito as mudancas ocorridas nessa area com a criacao da Secretaria de Gestao do Trabalho e Educacao na Saude. Observa-se uma variacao dos resultados, com indices de adesao mais significativos para as acoes prioritarias da regulacao do trabalho em relacao aos programas estrategicos da educacao em saude. Tal fato configura, por um lado, um quadro em que os orgaos de recursos humanos tem o potencial para se constituirem, de fato, em espacos efetivos de gestao do trabalho do sistema de saude; por outro, a necessidade de fortalecimento das competencias para as politicas de educacao. A partir da analise desses resultados, sao apontados limites, acumulos e possibilidades que se apresentam para apoiar as esferas subnacionais no Brasil, alem de modelos que possam ser apropriados por paises vizinhos de continente e da comunidade de lingua portuguesa.

Modelos econométricos de estimativa da força de trabalho: uma revisão integrativa da literatura

The integrative literature review aimed to raise the current state of knowledge on econometric models of projection of the labor force in Brazil and to identify the most suitable for application in Primary Health Care. The search was conducted in several sources: electronic databases, journals, conference proceedings, cross-reference and Plataforma Lattes, through descriptors and key words. The sample consisted of nine publications, which were read, summarized and analyzed. The results indicate the use of six methods to estimate labor force, but most of the methodologies propose predictive calculations for staff sizing with a view to the immediate allocation / reallocation of professionals. It emphasizes the impossibility of defining the best econometric model for the projection of health manpower in primary health care, due to the small number of national publications on the subject, which showed no homogeneity, although they display a greater concern with the allocation of health manpower, especially in hospitals.

Avaliação de desempenho: discutindo a tecnologia para o planejamento e gestão de recursos humanos em saúde

This essay presents the outcome of reflections and analyses from examining the conceptual options inherent to the methodologies of employee performance appraisal (PA) and its possible application in the health area. It sets a conceptual discussion of the area, associating and integrating knowledge from different fields - health and public administration. It promotes an intersection between public health work management and personnel management strategies. It has the purpose to generate new analyses and studies that would allow for a new approach of the management practices for performance appraisals used in companies, adapting them to meet the specificities of the health sector.Este ensayo presenta el producto de reflexiones y analisis basado en el examen de las opciones conceptuales inherentes a las teorias de evaluacion del desempeno (ED) de los profesionales y su posible aplicacion en el area de salud. Establece una discusion conceptual para el area, articulando e integrando conocimientos de diversos campos - el de la salud y el de la administracion publica. Promueve la interseccion entre la gestion del trabajo en salud en el sector publico y las tecnicas de administracion de personal. Pretende ser generador de nuevos analisis y estudios que permitan una relectura de las practicas administrativas para evaluacion de desempeno utilizadas en las organizaciones y adaptarlas para atender a las particularidades del sector de salud.

Rotatividade da força de trabalho médica no Brasil

Objetivou-se calcular o indice de rotatividade dos medicos brasileiros. Estudo descritivo, exploratorio, quantitativo, realizado por meio de dados secundarios, que foram analisados por estatistica descritiva. Constatou-se maior indice de rotatividade nas regioes Sudeste e Sul, com medias superiores a nacional (36,7%). A menor media foi evidenciada na regiao Norte (24,7%). A estratificacao por porte populacional aponta para maior rotatividade nos grupamentos de municipios com populacao entre dez mil e cem mil habitantes; e menor indice nos municipios de grande porte. A rotatividade nao pode ser inteiramente compreendida sem que se analise o contexto no qual estao inseridos os profissionais.

Planos de carreira, cargos e salários no âmbito do Sistema Único de Saúde: além dos limites e testando possibilidades

RESUMO Este estudo objetivou analisar experiencias de planos de carreira, cargos e salarios premiadas pelo Ministerio da Saude. Para tanto, foi realizada pesquisa descritiva e qualitativa, em 2013, mediante analise documental e entrevistas com gestores de secretarias de saude com planos implantados. Dados foram analisados a luz das diretrizes nacionais para a instituicao de planos no Sistema Unico de Saude. Os planos estudados, negociados com os trabalhadores e baseados nas diretrizes, consideram a avaliacao de desempenho e a qualificacao profissional para a progressao na carreira. Conclui-se que os planos necessitam incluir os diversos tipos de vinculos empregaticios e formas de remuneracao compativeis com as carreiras da saude.

The influence of family health strategy on health indicators in the municipalities of Rio de Janeiro, Brazil

ABSTRACT: This study examines the behavior of health indicators deployment of Family Health in the cities of Rio de Janeiro, Nova Iguacu and Duque de Caxias. This is ecological study of time series of selected variables in the period 1998 to 2010. Data were collected at the websites of DATASUS and Department of Primary Care and later exported into a spreadsheet, tabulated and analyzed using inferential statistics with calculation of Pearson coefficient (r) and t test at a significance level of 5% (α = 0.05). There was a strong negative correlation with statistical significance between the evolution of family health and: number of deaths from infectious and parasitic diseases in Rio de Janeiro and Duque de Caxias; frequency of hospitalized children with diarrhea in Rio de Janeiro and Nova Iguacu; and frequency of hospitalization for diabetes mellitus in Rio de Janeiro. It is concluded that the strategy of family health influence the behavior of health indicators for the cities studied, however, further research will be needed to investigate further the impact of family health in cities with high population density.

A distribuição regional da oferta de formação na modalidade Residência Multiprofissional em Saúde

RESUMO Os programas de Residencia Multiprofissional em Saude (RMS) provocam reflexoes sobre o cotidiano, as relacoes e o processo de trabalho e tem potencial de modificar nao apenas a perspectiva do individuo formado, mas os proprios espacos em que se desenvolvem, fortalecendo o continuo processo de educacao permanente em saude. Estudos que investiguem como tem se estruturado os programas de residencia multiprofissional apoiados pelo Ministerio da Saude (MS) sao oportunos e relevantes, ante as contribuicoes dessas iniciativas para o Sistema Unico de Saude. Este trabalho analisa as RMS, com o objetivo de identificar de que maneira os programas financiados pelo MS encontram-se distribuidos regionalmente pelo Pais. Realizou-se uma pesquisa documental exploratoria utilizando-se editais e portarias publicados pelo MS no periodo de 2009 a 2015. A maioria dos programas aprovados se concentrou na regiao Sudeste, principalmente em Sao Paulo, seguida pelas regioes Nordeste e Sul. As regioes Norte e Centro-Oeste foram as menos representativas no total de programas selecionados. Ja o Nordeste apresentou um incremento de programas induzido pela prioridade dada nos editais publicados. Observou-se uma tentativa de organizacao na distribuicao e uma tendencia ao aumento dos programas apresentados e aprovados.

Política de Gestão do Trabalho e Educação em Saúde: a experiência do ProgeSUS

Aim To evaluate the stage of labor management and education policies in municipal and state health secretariats (SMS and SES, respectively), having as reference the adherence to a qualification and structuring program of work management and education in the Unified Health System. Method A descriptive and quantitative study, developed with 519 representatives from the Human Resources (HR) area of SMS and SES, through a survey composed of 56 questions, via a computer-assisted telephone interview in 2012. Responses were processed in a computerized database and the data treated by descriptive statistics. Results Changes in professional qualification, the establishment of job and salary plans and negotiation processes were identified; on the other hand, there was no progress related to the financial and budgetary autonomy of the area of work management and health education. Conclusion It is observed progress in the incorporation of innovations in the management in SES and SMS from the process of training of managers and financial induction. It is necessary to monitor and periodically evaluate the operationalization of labor and education policies aimed at strengthening them, correcting directions and implementing innovative actions.Aim To evaluate the stage of labor management and education policies in municipal and state health secretariats (SMS and SES, respectively), having as reference the adherence to a qualification and structuring program of work management and education in the Unified Health System. Method A descriptive and quantitative study, developed with 519 representatives from the Human Resources (HR) area of SMS and SES, through a survey composed of 56 questions, via a computer-assisted telephone interview in 2012. Responses were processed in a computerized database and the data treated by descriptive statistics. Results Changes in professional qualification, the establishment of job and salary plans and negotiation processes were identified; on the other hand, there was no progress related to the financial and budgetary autonomy of the area of work management and health education. Conclusion It is observed progress in the incorporation of innovations in the management in SES and SMS from the process of training of managers and financial induction. It is necessary to monitor and periodically evaluate the operationalization of labor and education policies aimed at strengthening them, correcting directions and implementing innovative actions.

Performance evaluation: discussing technology for planning and managing health worforce

This essay presents the outcome of reflections and analyses from examining the conceptual options inherent to the methodologies of employee performance appraisal (PA) and its possible application in the health area. It sets a conceptual discussion of the area, associating and integrating knowledge from different fields - health and public administration. It promotes an intersection between public health work management and personnel management strategies. It has the purpose to generate new analyses and studies that would allow for a new approach of the management practices for performance appraisals used in companies, adapting them to meet the specificities of the health sector.Este ensayo presenta el producto de reflexiones y analisis basado en el examen de las opciones conceptuales inherentes a las teorias de evaluacion del desempeno (ED) de los profesionales y su posible aplicacion en el area de salud. Establece una discusion conceptual para el area, articulando e integrando conocimientos de diversos campos - el de la salud y el de la administracion publica. Promueve la interseccion entre la gestion del trabajo en salud en el sector publico y las tecnicas de administracion de personal. Pretende ser generador de nuevos analisis y estudios que permitan una relectura de las practicas administrativas para evaluacion de desempeno utilizadas en las organizaciones y adaptarlas para atender a las particularidades del sector de salud.

Evaluación de desempeño: discutiendo tecnología para planificación y gestión de recursos humanos en salud

This essay presents the outcome of reflections and analyses from examining the conceptual options inherent to the methodologies of employee performance appraisal (PA) and its possible application in the health area. It sets a conceptual discussion of the area, associating and integrating knowledge from different fields - health and public administration. It promotes an intersection between public health work management and personnel management strategies. It has the purpose to generate new analyses and studies that would allow for a new approach of the management practices for performance appraisals used in companies, adapting them to meet the specificities of the health sector.Este ensayo presenta el producto de reflexiones y analisis basado en el examen de las opciones conceptuales inherentes a las teorias de evaluacion del desempeno (ED) de los profesionales y su posible aplicacion en el area de salud. Establece una discusion conceptual para el area, articulando e integrando conocimientos de diversos campos - el de la salud y el de la administracion publica. Promueve la interseccion entre la gestion del trabajo en salud en el sector publico y las tecnicas de administracion de personal. Pretende ser generador de nuevos analisis y estudios que permitan una relectura de las practicas administrativas para evaluacion de desempeno utilizadas en las organizaciones y adaptarlas para atender a las particularidades del sector de salud.