Análise dos diferentes modelos de contratação dos trabalhadores de saúde adotadas pela SES-RJ, nas atividades fim, nos últimos 15 anos e a experiência do Instituto Estadual de Infectologia São Sebastião (IEISS)

Abstract

The present study addresses the theme of the different models of contracting human resources, in core activities, exercised in these last fifteen years (2008 to 2022), by the Secretary of Health of the State of Rio de Janeiro (SES-RJ), body of the Direct Administration of the State Executive Branch, responsible for state public health units, directly managing its workforce, or indirectly, through new management models, through contracts signed with third sector entities, in which SES -RJ works with its controlling bodies, in the measurement of indicators and established goals. In addition to addressing the evolutionary history of the State Institute of Infectology São Sebastião (IEISS), on the subject. In this sense, the objective of this work is to describe the trends and behavior of health management models in the state public sector during this period, demonstrating the main changes in the composition and employment relationships in the sets of units, thus describing the experience at the IEISS, analyzing the dynamics of its physical and human resources breakdown, with the impact on the user service. To this end, a complementary review of the literature on the subject was carried out since 1995, the period of the State Reform, to understand the process of modifying management models in Brazil and in the state of Rio de Janeiro, contextualizing it with the political-political changes. institutions in the period. Then there was the analysis and interpretation of data from the Human Resources Directory of SES-RJ, for the discussion and conclusion of the theme. Presenting suggestions, such as a viable proposal for restructuring and expanding the Institute, it proposes, together, the elaboration of policies for computerization systems at SES-RJ, for better control and storage of human resources management data, thus encouraging decision-making decision by SES-RJ, in addition to pointing out the need for new research approaches on recruitment, hiring of workforce and on the quality of care from the perspective of different management models.