Organizações sociais como via de contratação de profissionais de saúde: análise da gestão do trabalho em um caso hospitalar da rede própria do SUS Bahia.

Abstract

With the expansion of health professionals working in hospital units of the Unified Health System (SUS) through Social Health Organizations (OSS), the objective of this study was to analyze the management of work in the relations between SESAB, OSS and unit management , regarding the nursing professionals contractually linked via OSS at the HGRS. This is a qualitative, exploratory research on a hospital case in the SUS Bahia network. The data sources were primary, being analyzed as a document the Term of Reference (TR) and four interviews with strategic actors with the function of coordinating OSS contracts at the central level of SESAB, nursing coordination of these contracts, supervisor of the HGRS contract and nursing director of the HGRS. The collected data were submitted to the content analysis plan, whose categories were pre-established from the theoretical framework about work management. The study was approved by the CEP with CAAE nº 44808821.7.0000.5030. As a result, it was recognized that there is a distance from the contracting party in the recruitment process and a lack of guidelines for selection, monitoring of available resources or monitoring of the conditions to which workers are exposed. It was concluded that the type of employment relationship that prevailed in the analysis was the CLT, however, there was no reference to an information system that would enable the management of people and jobs. In addition, these results allowed the understanding of obstacles in the management of work in an OSS, highlighting the importance of instrumentalizing monitoring by SESAB to the management of hospital units, so that this monitoring is aligned with SUS guidelines in the field of management from work.