Entrincheiramento organizacional: um estudo entre auditores SUS / Bahia

Abstract

This dissertation aims to understand the organizational entrenchment link between SUS/BA Auditors, through the perception of the social actors involved. The concept of organizational entrenchment adopted was proposed by Rodrigues (2009), whose composition comprises the following dimensions: Social Position Adjustments, Impersonal Bureaucratic Arrangements and Alternative Limitations. In order to achieve the outlined objective, a descriptive research was carried out, with a qualitative and transversal approach. The research was carried out within the scope of SUS/BA Audit, a control body, part of the National Audit System, linked to the State Health Department of Bahia. The choice of the SUS/BA Audit was due to the fact that the researcher is part of this institution’s staff. Data collection took place in two stages. In the first stage, two focal groups were carried out online with the total participation of nine auditors who exert operational activities. In the second stage, seven individual semi-structured interviews were conducted with managers. The data obtained was analyzed using the thematic categorial content analysis technique. The results revealed the perception of the commitment and organizational entrenchment links among the auditors. Impersonal Bureaucratic Arrangements and Limited Alternatives are the dimensions that determine entrenchment in the auditors' perception. Regarding the antecedents, there is a greater notion of the influence of organizational factors on the link, especially stability. Regarding the consequents, it became evident that entrenchment negatively affects both the individual level, with work overload and illness, as well as the organizational level, with the work’s quality loss and bad organizational climate. Finally, the research revealed actions and organizational practices that, in the perception of managers, can help the entrenchment management. In this sense, the role of leadership stands out, as well as the need of qualified managers, the investment in organizational practices that encourage professional development, promotion of the civil servant’s appreciation, recognition of work, participation in decision-making processes, as well as raising institutional visibility. Based on the results obtained in this research, it is suggested that studies on organizational links, especially entrenchment, be expanded to Sesab, in order to identify factors that hinder the adoption and implementation of organizational actions and practices, recognized in the literature as necessary for the establishment and development of a more favorable link to the server-organization binomial.