SAÚDE DO TRABALHADOR NO SERVIÇO PÚBLICO FEDERAL: Desafios para uma Política de Atenção à Saúde e Segurança do Trabalho no contexto de um Hospital Universitário

Abstract

There are major remaining obstacles to consolidation of programs, policies and actions involving assistance, promotion, monitoring and prevention of work related diseases. Changes are needed in the work process covering the health-work relations in all of its complexity. The creation Integrated Attention to Workers’ Health Subsystem (SIASS) structuring base of the Attention to Health and Safety of Federal Civil Workers Policy (PASS) emerges with the task of ensuring sustainability and effectiveness through work management. This dissertation, Occupational Health in the Federal Public Service: Challenges the policies of health care and work safety at the University Hospital context, aims to analyze the effectiveness of the policies on health and safety in implementation by the Federal Government in the context of the University Hospital at the Federal University of Goias (HC/UFG). We sought to understand and analyze the social, economic, technological organization influencing the process of disease in the workers. To support the debate on the existing conceptual differences of workers’ health; health and work; and genre and work, theoretical references of researchers have been studied. We also sought to further the principles, objectives and guidelines of established public policies of health and safety as reference. This study is presented methodologically as a quantitative and qualitative research. The methodological procedure as the objective of this study was an exploratory research. The research location was chosen mainly because the University Hospital (HC/UFG) has the largest number of absences due to sickness in the Federal University of Goias. A proportional stratified probability sampling of simple random type was performed. The study population consisted of 986 effective workers linked to the Unitary Judicial Regime and 131 workers were selected to participate. As for the data collection, two questionnaires were especially developed with objective and subjective questions. One questionnaire was used for the technical and administrative staff of the University Hospital/ UFG, and the other was applied to the managers at SIASS/ UFG. The review of specialized literature, documental research, and field research, all contributed with the reflection and analysis of data. A discussion was sought out about the perception aspects of technical and administrative staff; managers of SIASS/UFG, as the executing agency of the institution analyze the development and implementation of PASS. Regarding the profile of those involved in the research, there’s a prevalence of women with 79% aged between 41 and 60 years, with 71% prevalence of qualified education, 90% did not undergo periodic examinations, and 56%of respondents with double employment bond. The analysis of data infers that the implementation of Federal Health Care Policy is unsatisfactory relating to Public Workers in the University Hospital/UFG regarding health promotion and work safety, and it has been unable to cope with sickness of the workers.