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卫生部门就业关系的灵活性:巴西一所联邦大学医院的实际情况。

The flexibilization of employment relationships in the health sector: the reality in a Federal University Hospital in Brazil.

作者信息

Alves Sheila Maria Parreira, Coelho Maria Carlota de Rezende, Borges Luiz Henrique, Cruz César Albenes de Mendonça, Massaroni Leila, Maciel Paulete Maria Ambrósio

机构信息

Hospital Universitário Cassiano Antonio Moraes, Universidade Federal do Espírito Santo, Vitória, ES, Brasil,

Escola Superior de Ciências da Santa Casa Misericórdia de Vitória, Brasil.

出版信息

Cien Saude Colet. 2015 Oct;20(10):3043-50. doi: 10.1590/1413-812320152010.11592014.

DOI:10.1590/1413-812320152010.11592014
PMID:26465847
Abstract

This was a socio-historical study that aimed to analyze the repercussions of the flexibilization of labor relationships within a University hospital (UH) using the thematic oral history method and triangulation of sources made up of workers' statements, institutional documents and relevant literature. It was observed that flexibilization, driven by state reform in the 1990s, had a structural impact on the trajectory of this institution, that, due to government downsizing policy, adopted outsourcing to maintain staff, leading to high staff turnover, various types of conflicts, and discontinuity and lack of organization of work processes. We conclude that the flexibilization of employment relationships became a handicap for this UH, disrupting services, negatively affecting students and service users, contributing to the deterioration of working conditions and lack of protection of workers.

摘要

这是一项社会历史研究,旨在运用主题口述历史方法以及由工人陈述、机构文件和相关文献构成的资料三角互证法,分析大学医院(UH)内劳动关系灵活化所产生的影响。研究发现,20世纪90年代国家改革推动的灵活化对该机构的发展轨迹产生了结构性影响,由于政府的精简政策,该机构采用外包来维持员工数量,导致员工流动率高、各类冲突不断,以及工作流程的不连续和缺乏组织性。我们得出结论,雇佣关系的灵活化成为了这家大学医院的一个障碍,扰乱了服务,对学生和服务使用者产生了负面影响,导致工作条件恶化以及工人缺乏保护。

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