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Gaceta Sanitaria

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DAL POZ, M.R.. Changes in the hiring of health personnel: the family health program in Brazil. Gac Sanit [online]. 2002, vol.16, n.1, pp.82-88. ISSN 0213-9111.

This article analyzes the procedures involved in the hiring of health personnel in the Family Program in Brazil. We examine the values, problems and relative outcomes of each of the processes used in hiring doctors, nurses and health community workers. Before analyzing hiring procedures, the author briefly describes the importance and role of the Family Health Program of the Brazilian health care system. Based on these factors, this article aims to demonstrate the characteristics and effects of this key program, considered a pivotal reform in the Brazilian health system, on the development of human resources. Finally, after presenting and analyzing the data available on the hiring models and the various salaries of physicians and nurses in several Brazilian states and municipalities, the author highlights the new social context in which the government, at different levels, flouts the labor regulations, which are their responsibility to enforce. This fact alone reinforces the hypothesis that a new phase of reforms has already begun.

Keywords : Family health; Human resources for health; Health policy; Health manpower; Personnel management; Health care reform.

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