VÍNCULOS PROFISSIONAIS EM HOSPITAIS DE PEQUENO PORTE BRASILEIROS

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

RESUMO Este estudo descreve os vínculos profissionais a partir de pesquisa em 3.524 hospitais de pequeno porte (HPP) brasileiros definidos na faixa de 0 a 50 leitos. Realizado in loco por meio de survey, teve como resultado relevante, além de criar base de dados até então inexistente, fornecer evidências para caracterizar essas instituições. Os principais resultados encontrados demonstram diferentes vínculos profissionais sendo utilizados nos contratos de trabalho, com maior ênfase nos vínculos estatutário, Consolidação das Leis Trabalhistas (CLT) e autônomos, e não sugerem diferenças quanto ao perfil de atenção e/ou aspectos gerais de estrutura e funcionamento. O vínculo profissional, mesmo refletindo uma situação contextual de origens estruturais nos novos rearranjos do mundo do trabalho e emprego, não permite conclusões definitivas acerca de seu impacto no cotidiano da saúde, mas abre possibilidades de estudos futuros em sintonia com outras dimensões de análise.

Translated abstract

RESUMEN Este estudio describe los vínculos profesionales basado en una investigación efectuada en 3.524 hospitales de pequeño porte (HPP) brasileños, definidos en el rango de 0 a 50 lechos. La encuesta, realizada in situ, además de crear una base de datos hasta entonces inexistente, tuvo como resultado relevante la obtención de evidencias para caracterizar esas instituciones. Los principales resultados demuestran diferentes vínculos profesionales utilizados en los contratos de trabajo, con mayor énfasis en los vínculos estatutarios, Consolidación de las Leyes Laborales (Consolidação das Leis Trabalhistas [CLT]) y autónomos, y no sugieren diferencias en cuanto al perfil de atención y/o aspectos generales de estructura y funcionamiento. El vínculo profesional, aunque refleje una situación contextual de orígenes estructurales en los nuevos reordenamientos del mundo laboral, no permite conclusiones definitivas a cerca de su impacto en el día a día de la salud, pero abre posibilidades para estudios futuros en sintonía con otras dimensiones de análisis.

Translated abstract

ABSTRACT The present study describes the work and employment relations observed in a survey with 3,524 small hospitals (HPP) - i.e., hospitals with 0-50 beds - in Brazil. It was conducted in loco and its relevant results were the creation of a groundbreaking database on the subject and evidence for characterizing these institutions. The main findings show various work and employment relations in use in work agreements, with a greater emphasis on statutory relationships, agreements regulated by the Consolidated Labor Laws (Consolidação das Leis Trabalhistas [CLT]), and self-employment. Findings do not suggest differences regarding the profile of attention and/or general aspects of structure and functioning. Although they reflect a context structurally originated from new rearrangements in the work and employment world, work and employment relations do not allow definite conclusions about their impact on healthcare's daily routine. However, it opens the possibility for future studies in line with other dimensions of analysis.

Related collections

Most cited references 31

Record: found
Abstract: found
Article: not found

A performance assessment framework for hospitals: the WHO regional office for Europe PATH project.

N Klazinga, A-L Guisset, V A Kazandjian … (2005)

The World Health Organization (WHO) Regional Office for Europe launched in 2003 a project aiming to develop and disseminate a flexible and comprehensive tool for the assessment of hospital performance and referred to as the performance assessment tool for quality improvement in hospitals (PATH). This project aims at supporting hospitals in assessing their performance, questioning their own results, and translating them into actions for improvement, by providing hospitals with tools for performance assessment and by enabling collegial support and networking among participating hospitals. PATH was developed through a series of four workshops gathering experts representing most valuable experiences on hospital performance assessment worldwide. An extensive review of the literature on hospital performance projects was carried out, more than 100 performance indicators were scrutinized, and a survey was carried out in 20 European countries. Six dimensions were identified for assessing hospital performance: clinical effectiveness, safety, patient centredness, production efficiency, staff orientation and responsive governance. The following outcomes were achieved: (i) definition of the concepts and identification of key dimensions of hospital performance; (ii) design of the architecture of PATH to enhance evidence-based management and quality improvement through performance assessment; (iii) selection of a core and a tailored set of performance indicators with detailed operational definitions; (iv) identification of trade-offs between indicators; (v) elaboration of descriptive sheets for each indicator to support hospitals in interpreting their results; (vi) design of a balanced dashboard; and (vii) strategies for implementation of the PATH framework. PATH is currently being pilot implemented in eight countries to refine its framework before further expansion.