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Gaceta Sanitaria

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MACHADO, M.H.  and  PEREIRA, S.. Human resources and the health system in Brazil. Gac Sanit [online]. 2002, vol.16, n.1, pp.89-93. ISSN 0213-9111.

This article discusses some questions related to human resources that act on Brazilian health system. At the beginning, it identifies the trends on health human resources in the last years. Then it shows on a brief discussion the health system reform, pointing out changes in the health model design through the implementation of the Family Health Program. This program tries to reorder the health care model, bringing the primary health care, in order to substitute the traditional model, designed to the cure of diseases and centered on hospitals. It also points out important changes on work conditions, such as: doctors' and dentists' no liberal work, low salaries, consultations paid by the HMO's, flexibilization of work, loss of work guarantees. Finally, it identifies serious problems in the Family Health Program, especially those related to the instability of work process and decreasing of social protection of workers who act on this program.

Keywords : Human resources; Reform; Health care system; Working conditions.

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