As consequências para os trabalhadores, do novo modelo de gestão na saúde pela Empresa Brasileira de Serviços Hospitalares, no Hospital Universitário Júlio Müller

Abstract

This dissertation highlights the changes that have occurred in the world of work within the Júlio Muller University Hospital (HUJM) of the Federal University of Mato Grosso, since the adhesion and implementation of the management of the Brazilian Hospital Services Company (EBSERH). This study seeks to understand the structural changes in the management of the Júlio Müller University Hospital and the consequences of these for the workers, given the institutional, political and social specificities of public health, especially of a university hospital whose main function is to train several professionals through teaching, research and extension, but which may have its primacy in the production of knowledge subordinated to market management. To develop this research we use a quantitative-qualitative approach of descriptive type, focusing on the management and organization of work conditions and relationships, based on the perception of the workers at the higher level of care, chosen through an intentional sampling. The study reveals that the advance of the neoliberal offensive has caused the continuous dismantling of social policies, through outsourcing and privatization of public services, which in health are reflected through the new management models, which include EBSERH. And finally, we can say that the managerial discourse of modernization of management has compromised the quality and continuity of public services and intensified the precariousness of conditions and working relations of the celetistas and statutory.