0266/2021 - Perícias em saúde e Saúde do Trabalhador: a definição do tempo de afastamento em foco Health Evaluation and Worker Health: the settlement of the length of time off the work in focus
• Rafaela Teixeira Zorzanelli - Zorzanelli, R.T. - Rio de Janeiro, RJ - <rtzorzanelli@hotmail.com>
Resumo:
No intuito de analisar temas que ligam as questões dos processos de saúde-doença-trabalho às práticas periciais no serviço público federal e seu diálogo com a Saúde do Trabalhador, este artigo se debruça sobre o tema da definição do tempo para tratamento da própria saúde, na esfera do Subsistema Integrado de Atenção à Saúde do Servidor Público(SIASS). Para isso, examinaram-se os parâmetros de afastamento fornecidos pelo Manual de Perícia Oficial e as falas sobre esse tópico por parte dosentrevistados. A importância conferida ao tema se deve ao fato de estar associado ao tempo de recuperação do trabalhador, o que implica menos dias destinados à produtividade. Entrevistaram-se 32 profissionais (médicos, psicólogos, assistentes sociais, odontólogos efisioterapeuta) de 5 instituiçõesde ensino, enfatizando-se, neste artigo, as categorias analíticas que conduziram aos pontos explorados: dias de afastamento, Manual de Perícia e divergências entre profissionais da perícia e médicos assistentes.Os resultados indicamautilidade de revisar o Manual com base na Saúde do Trabalhador, identificandocontradições; a necessidade de construção de uma perícia efetivamente interdisciplinar; e que a queixa dos periciados possa ser manejada da perspectiva do cuidado ao trabalhador,e não apenas com referência no controlee na vigilância, em que a pressuposição da suspeita está sempre presente.
Palavras-chave:
Saúde do Trabalhador, perícia em saúde, serviço público federal.
Abstract:
For the purpose of analyzing topics linking the health-illness-work process to medical evaluation practices under the scope of the federal public service and their interaction with Worker Health, this article investigates the issue of determining the sick leave period a worker is granted for caring for their own health, within the SubsistemaIntegrado de Atenção à Saúde do Servidor (SIASS). To that end, the parameters for granting time off work, as provided by the Manual de PeríciaOficial. The importance given to the topic of ‘days off work’ arisesthe fact that it is related to the time the worker takes to recover, which implies fewer days dedicated to being productive. Interviews were conducted with 32professionals (physicians, psychologists, social workers, dentists and physiotherapist)5 educational institutions, and this article highlights some analytical categories: days off work; Manual da Perícia and disagreement between medical evaluators and attending physicians. The results point to the usefulness of reframing the Manual taking into account Worker Health, identifying contradictions; the need for shaping an effectively interdisciplinary evaluation, so that the worker’s health-related complaints can be handledthe perspective of care to the worker, and not simply concerning control and surveillance, the assumption of distrust is always present.
Keywords:
Health Worker; health evaluation; federal public service.
Health Evaluation and Worker Health: the settlement of the length of time off the work in focus
Resumo (abstract):
For the purpose of analyzing topics linking the health-illness-work process to medical evaluation practices under the scope of the federal public service and their interaction with Worker Health, this article investigates the issue of determining the sick leave period a worker is granted for caring for their own health, within the SubsistemaIntegrado de Atenção à Saúde do Servidor (SIASS). To that end, the parameters for granting time off work, as provided by the Manual de PeríciaOficial. The importance given to the topic of ‘days off work’ arisesthe fact that it is related to the time the worker takes to recover, which implies fewer days dedicated to being productive. Interviews were conducted with 32professionals (physicians, psychologists, social workers, dentists and physiotherapist)5 educational institutions, and this article highlights some analytical categories: days off work; Manual da Perícia and disagreement between medical evaluators and attending physicians. The results point to the usefulness of reframing the Manual taking into account Worker Health, identifying contradictions; the need for shaping an effectively interdisciplinary evaluation, so that the worker’s health-related complaints can be handledthe perspective of care to the worker, and not simply concerning control and surveillance, the assumption of distrust is always present.
Palavras-chave (keywords):
Health Worker; health evaluation; federal public service.
Pizzinga, V. H., Zorzanelli, R.T.. Perícias em saúde e Saúde do Trabalhador: a definição do tempo de afastamento em foco. Cien Saude Colet [periódico na internet] (2021/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/pericias-em-saude-e-saude-do-trabalhador-a-definicao-do-tempo-de-afastamento-em-foco/18165?id=18165
