Dimensão cultural do trabalho técnico em gestão em saúde

Abstract

This thesis presents a theoretical and methodological approach using the concept of professional culture with the aim to analyse cultural dimensions of technical jobs in health care management. The grounds of this research rely on the professional culture category and its sub-categories, i.e. career, social identity and interactive reflexivity. The goal is to understand cultural dimensions of such jobs discussing issues that may happen on the working life of technical health workers, i.e. how they recognise their reality, which educational and career paths lead them to their working positions, which identity connections unite them as a group, as well as their decision spaces and critical elaboration on issues that may happen on their daily routine. This investigation reaffirms the dialectical historical materialism as the analytical method, in which dialectical pairs are applied to understand the data that has been collected in an empirical fashion. The hypothesis of this study is that analysing cultural dimensions of technical jobs, from the Marxist framework perspective, allows capturing the interactional dynamics of this group as well as making links with economic and political issues, which affect the job itself in contemporary society. Obtained results indicate the relevance of this approach to understand conflicts and contradictions that may permeate cultural dimensions of such jobs. Additionally, further discussions allow creating projects to improve the qualification of such workers with the development of a more sensible career path, which enables workers to criticise and transform their jobs, while reaffirming the universal design of a public health system