TRABALHO E TERCEIRIZAÇÃO NA SAÚDE PÚBLICA EM GOIÁS: O MODELO DE GESTÃO DAS ORGANIZAÇÕES SOCIAIS E A CLASSE TRABALHADORA

Abstract

The research object that integrates the Master's thesis presented to the Post- Graduation Program in Social Work of the Pontifical Catholic University of Goiás is the relationship between work and outsourcing in public health, in the management model of Social Organizations (OS) adopted by the State Government of Goiás. The study, when examining the contracting / bidding implications made by the State Government of Goiás for granting the management of hospital units to the Social Organizations - OS, develops a critical approach on how outsourcing works in politics Public health, its limitations, its advances, its strategies and, mainly, it apprehends aspects of the reality and working conditions of the workers of a hospital unit. To that end, the work reality of the technical-administrative workers of the Governor Otávio Lage de Siqueira Emergency Hospital - HUGOL in Goiânia-GO was selected as the field of investigation, a unit that, since its installation in 2015, has outsourced management. The dissertation analyzes the labor relations in the public health policy in the context of the socio-historical transformations of the world of work, with a focus on outsourcing / privatization. Work and outsourcing are analyzed in the context of the neoliberal state in its socio-juridical aspects, and the historical transformations addressed in the determinations that affect outsourcing. In this sense, the world of work is metamorphosed by the logic of outsourcing. The conditions and labor relations in outsourced public health are examined, considering the strategies of the State Government of Goiás before the privatization of the management of public hospitals. In the analysis of the historical transformations of the work and the working class, the work category is prioritized as a historical and theoretical construction, and the outsourcing in the management of health policy related to labor rights. The present study compiles the examination of the working and health conditions of the outsourced worker based on the field research related to the precariousness of work, the socio-legal aspects of outsourcing and the conflicts between the legality and the illegality of the outsourcing of the final activities. The profile of the reference unit and the profile of the identified subjects in end-activities and middle-activities were considered. The study focused on the implications of outsourced management, via O.S., in a public institution, seizing the conditions of the outsourced worker, the effects of this work condition and their physical and mental health. In summary, this dissertation is part of the analysis that seeks to understand how capital responds to its structural crisis, how it works with transformations in the world of work, among them, outsourcing. The pattern of flexible accumulation characterized by the intensification and precariousness of relations and working conditions intensifies the increase in structural unemployment, subjects the worker to illegal working conditions and demands a specific, multi-skilled, passive and specialized profile. The working class is harmed both in terms of working conditions and labor rights.