0181/2018 - Desafios para o trabalho em saúde: Um estudo comparado de Hospitais Universitários na Argélia, Brasil e França. Challenges for work in health: Comparative study on University Hospitals in Algeria, Brazil and France.
O estudo compara os desafios no trabalho em serviços de emergência de hospitais universitários públicos na Argélia, Brasil e França. A descrição e análise estão organizadas em três eixos: contexto e trajetória dos sistemas, hospitais e serviços de emergência, e os desafios enfrentados. Nos serviços foram feitas entrevistas, questionários, observação e groupes de rencontre du travail/GRT. Para o processo analítico utilizou-se técnicas do participatory appraisal complementadas com triangulação de fontes e dados. Os principais desafios referidos foram: déficit da força de trabalho; falta de leitos nos serviços de internação; déficit de infraestrutura e materiais; excesso de atividades cronofágicas; transição geracional; violência pelos usuários e familiares. Apesar de particularidades, os países coincidem quanto aos desafios. Medidas de racionalização e contenção de gastos repercutem de modo mais intenso na Argélia e no Brasil onde há um baixo patamar de financiamento público, mas também ocorrem na França. Nota-se que a gestão hospitalar não pode estar dissociada do planejamento da rede de atenção, tendo em vista as crescentes pressões do complexo produtivo, da transição demográfica e epidemiológica. A médio prazo, medidas que possam atenuar atividades cronofágicas, o déficit de materiais e a violência devem ser consideradas na melhoria do trabalho em emergências.
Palavras-chave:
Sistemas de saúde, Hospitais universitários, Emergências, Pessoal de saúde, Força de trabalho.
Abstract:
This study compares the challenges for work in emergency services of public university hospitals in Algeria, Brazil and France. The description and analysis are organized in three axes: context and trajectory of the health systems, hospitals and emergency services, and the challenges faced. Interviews, surveys, observation and groups of rencontre du travail / GRT were carried out. The data analysis was done using participatory appraisal techniques associated to triangulation of sources and data. The main challenges were: workforce deficit; lack of hospitals beds in inpatient units; deficit of infrastructure and materials; excess of chronophagic activities; generational transition; and violence by patients and families.Despite the particularities, the countries coincide on the challenges. Measures to rationalize and restrain spending have a greater impact on Algeria and Brazil there is a low level of public funding, but they also occur in France. The hospital management can not be dissociatedhealthcare system planning, due to the increasing pressures of the productive complex, the demographic and epidemiological transition.In medium term, measures that may mitigate chronophagic activities, materials deficit and the violence should be considered to improve work in emergencies.
Keywords:
Health Systems, Hospitals University, Emergencies, Health Personnel, Labor Force.
Challenges for work in health: Comparative study on University Hospitals in Algeria, Brazil and France.
Resumo (abstract):
This study compares the challenges for work in emergency services of public university hospitals in Algeria, Brazil and France. The description and analysis are organized in three axes: context and trajectory of the health systems, hospitals and emergency services, and the challenges faced. Interviews, surveys, observation and groups of rencontre du travail / GRT were carried out. The data analysis was done using participatory appraisal techniques associated to triangulation of sources and data. The main challenges were: workforce deficit; lack of hospitals beds in inpatient units; deficit of infrastructure and materials; excess of chronophagic activities; generational transition; and violence by patients and families.Despite the particularities, the countries coincide on the challenges. Measures to rationalize and restrain spending have a greater impact on Algeria and Brazil there is a low level of public funding, but they also occur in France. The hospital management can not be dissociatedhealthcare system planning, due to the increasing pressures of the productive complex, the demographic and epidemiological transition.In medium term, measures that may mitigate chronophagic activities, materials deficit and the violence should be considered to improve work in emergencies.
Palavras-chave (keywords):
Health Systems, Hospitals University, Emergencies, Health Personnel, Labor Force.
Scherer, M.D.A., Eleonor Minho Conill, Jean, R., Taleb, A, Gelbcke, FL, Pires, D.E.P., Joazeiro, EMG. Desafios para o trabalho em saúde: Um estudo comparado de Hospitais Universitários na Argélia, Brasil e França.. Cien Saude Colet [periódico na internet] (2018/Abr). [Citado em 08/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/desafios-para-o-trabalho-em-saude-um-estudo-comparado-de-hospitais-universitarios-na-argelia-brasil-e-franca/16714?id=16714&id=16714
