Do macro ao micropolítico: um estudo do modelo de gestão gerencial e seus impactos no trabalho de profissionais de uma clínica da família carioca

Abstract

This research aims to carry out an analysis of managerialism in public management under the prism of the general aspects of the model and its repercussions in the micropolitical sphere, notably in work routines, based on the case study of the management on a health unit located in the north of Rio de Janeiro city, pointing out some criticisms about this model and its effects according to the basic principles of Brazil’s public health system and the main legal principles of public management. Faced with the scarcity of scientific articles and books published on the aforementioned proposed theme, this work intends to collaborate to fill this existing gap, in addition to proposing and encouraging other studies and lines of research in this field of knowledge, which encompasses the areas of public health management , managerialism and public health policies. Additionally, a bibliographical research was carried out, contemplating scientific articles and published books. Documentary research was also carried out on normative and regulatory provisions of the department of health of Rio de Janeiro city, in addition to documents for administrative use. Finally, information was sought for the analysis of the micropolitical environment of public management structure, from the application of semi-structured interview questionnaires with eight health workers from a family clinic addressed in the present study, using the method of content analysis for interpretation of such measured data.