Banca de DEFESA: SHIRLEI DA SILVA XAVIER

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : SHIRLEI DA SILVA XAVIER
DATA : 11/12/2019
HORA: 14:00
LOCAL: Auditório do Instituto de Saúde Coletiva
TÍTULO:

CONCEPTIONS AND MANAGEMENT PRACTICES IN A STATE HEALTH SECRETARIAT

PALAVRAS-CHAVES:

Health Institutions. Trajectories. Health Management. Management Capacity. Job.

PÁGINAS: 175
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Healthcare organizations can be seen as social microcosms if we consider the complexity and scope of the actions they need to operate. They have a large contingent of professionals, hierarchically distributed, with a view to the development of their characteristic activities. In addition to being a wide range of possibilities, involving the creativity of those who are yearning for processes, such activities depend on varied knowledge and skills. The formation that the different actors had throughout their lives and the experiences they had in the practice of professional practice also compose this scenario, favoring a constant search for the subjects to match the knowledge brought with the challenges posed by the practice within the institutions. In this sense, occasionally managers and technicians may be led to fill positions and develop management functions with little preparation and low appropriation of the work object for which they were held responsible. This study aimed to analyze the concepts and practices of management in different contexts of the State Secretariat of Health of Bahia. Bourdieu's concepts of social space and capital, Matus's ability to govern and Mendes- Gonçalves's health work process were used as theoretical support. This is a qualitative research, carried out in two SESAB units, using semi-structured interviews and document analysis as techniques. Twenty-nine interviews were conducted from August to October 2018, with eight technicians and twenty-one managers. Among the documents that have been analyzed are the State Guidelines for Surveillance and Comprehensive Health Care, the Participatory Multiannual Plan - PPA (2016-2019), the State Health Plan - PES (2016-2019), the Annual Health Programming - PAS (2016, 2017) and the Annual Management Reports - RAG (2016, 2017). Crossing the categories formation and professional experience that underlie the concept of government capacity formulated by Matus and adopted for this study, to the cultural and bureaucratic capitals of Bourdieu's theory, it was observed that most of the interviewed agents are strengthened by the trajectories that they have been developing, to act in the subspace of health management. However, those agents whose trajectories are still far from this scope need to be contemplated by formative actions that prepare them for the exercise of their functions. In addition, and more broadly, the reorganization of work processes, in which teamwork and knowledge sharing prevail, using more democratic, horizontal and participatory management perspectives seem to favor the development of agents, even though initially present low volume of cultural and bureaucratic capital. It is hoped that the results of this study may contribute to the development of agents working in health management subspaces, with regard to the social valuation of the work performed by their own peers and society in general. In addition, the perspective is that the elements highlighted lead to work management practices and promotion of training processes more appropriate to the real needs of the secretariat.

MEMBROS DA BANCA:
Presidente - 3359216 - ISABELA CARDOSO DE MATOS PINTO
Externo à Instituição - JANETE LIMA DE CASTRO - UFRN
Externo à Instituição - KATIA REJANE DE MEDEIROS - Fiocruz - PE
Interno - 3498044 - MONIQUE AZEVEDO ESPERIDIAO
Externo à Instituição - THAIS REGIS ARANHA ROSSI - UNEB