O PROCESSO DE TRABALHO EM UMA PERSPECTIVA DE GESTÃO PARTICIPATIVA

Abstract

The work process (PT), described in its entirety, is a dynamic in which the man uses the means of production to transform an object, or any reality, in a product or service that will satisfy any need. In health, the decentralization promoted by the establishment of the SUS in Brazil, the changes in the health care model, as well as other factors such as intensive use of technology, flexibility of labor relations and others, require a management facing the current reality. The debate concerning the changes in the health care model management brings the challenge to overcome the control models and work regulation, adopted by the institutions operating in the public health in Brazil. The search for work processes which ensure the relationship between the employment contract and the actual production of health services, suggests a participatory management model, in which agents are active subjects of PT. From the perspective of establishing a PT that share their mission and responsibilities between its agents, providing opportunities to these agents to have an active participation in the production and qualification of actions and health services, we proposed as the main aim of the present study to describe the process of working on a Regional Health Office from the state of Goiás. This is an exploratory, descriptive and quantitative approach. It was held at the Southwest Regional Health Office I-GO in Rio Verde, and had a sample size of 40 servers that act effective for more than 3 years in the institution. After situational diagnosis of the elements of the PT, we applied a questionary for the investigation of the interpersonal relationships prevalent in the environment, as well as motivating and demotivating factors for work. The results revealed that the practice of describing PT must be a constant management process in the institutions which seek to invest in qualifying people and results. The participation of workers in planning their actions, as well as in decision making, enables a better understanding of their object of study, qualifies the interpersonal relationships at work, and it is essentially a motivating factor for their actions.