Abstract

GOULART, Bethania Ferreira  and  FREITAS, Maria Imaculada de Fátima. Involvement of workers from municipal outpatient services in Uberaba, Minas Gerais State, Brazil, in the reorganization of services under the Unified National Health System. Cad. Saúde Pública [online]. 2008, vol.24, n.9, pp. 2123-2130. ISSN 0102-311X.  http://dx.doi.org/10.1590/S0102-311X2008000900018.

This study was conducted in two specialized municipal outpatient clinics in the city of Uberaba, Minas Gerais State, Brazil. The study analyzes the involvement of professionals in their work and the reorganization of health services from their perspective, considering the participatory management recommended by the Unified National Health System (SUS). The study included nine workers with or without specific health training, all involved in health sector activities. Participants were selected according to profession or job (groups: dentistry, infrastructure, medicine, social work, psychology, coordination, nursing, pharmacy, and biochemistry), with one participant per "category" for each clinic. The content was submitted to structural narrative analysis. Three analytical categories were identified: management, involvement in work, and involvement in the SUS proposals. The study was not intended to generalize results on health workers' involvement, but it does highlight the importance of understanding the interaction between the management model and the reorganization of services as recommended under the SUS.

Keywords : Health Services Administration; Ambulatory Health Services; Single Health System.