OUTSOURCING IN HEALTHCARE, CHANGES IN SUS MANAGEMENT AND WORK RELATIONS IN A NEOLIBERAL BRAZIL

Anderson Iacer Bueno Carneiro, Caio Murilo Leite, Rafael Santiago
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Abstract

Labor relations have been adapting to new legislation and the market profile over the years, a way that broadens a debate in the health sector, correlating changes in the management of the Unified Health System (SUS) and the arrival of the provision of services, by the cooperative entities, with a contractual configuration,which reinforces the labor issue and expresses the scenario of neoliberalism in Brazil. The present research aims to raise the discussions present in the cited parts, having the versions, such as unions, associations and workers’representatives,which present a critical position and point to the precariousness of labor relations, fearing the lack of inspection of resources transferred in the current model, while public managers and service providers say they are able to meet the demands and contracts signed with municipalities and states, so that health outsourcing takes place in our country. Legislation in constant adaptation seeking to guide the quality assistance to the health user seeking a political and social balance. For this, a bibliographic review was carried out on the proposed themes, with the main and most recent articles found. In this way, it is considered that in a country that descends from slavery and exploitation of cheap labor, the problem is not that social spending fits in the public budget, but that universal rights fit in the psyche of the elites, who are indignant with basic rights offered the working class.
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新自由主义巴西的医疗外包、疑似管理和工作关系的变化
多年来,劳动关系一直在适应新的立法和市场概况,这种方式扩大了卫生部门的辩论,将统一卫生系统(SUS)管理的变化和合作实体提供服务与合同配置联系起来,这加强了劳动问题,表达了巴西新自由主义的情景。本研究的目的是提出上述部分的讨论,其中包括工会、协会和工人代表,他们提出了批判性的立场,指出劳动关系的不稳定性,担心在目前的模式下缺乏对资源转移的检查,而公共管理者和服务提供者则表示他们能够满足与市政府和州政府签订的要求和合同,因此在我国出现了卫生外包。立法在不断调整,以指导向医疗用户提供高质量的援助,寻求政治和社会平衡。为此,我们对所提议的主题进行了文献综述,找到了最新的主要文章。通过这种方式,我们认为,在一个从奴隶制和廉价劳动力剥削中走出来的国家,问题不在于社会支出是否符合公共预算,而在于普世权利是否符合精英阶层的心理,他们对工人阶级的基本权利感到愤慨。
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