Limitações à gestão de recursos humanos em saúde no nível municipal

Abstract

This doctoral thesis focuses the limitation faced by the local health systems managers to provide quality services at the local level. The concept human resources management goes beyond its traditional definition, to encompass issues related to the Brazilian federalist make up as well as to take into account the structural and cultural diversity of the country. The data selection encompassed primary sources (interviews with experienced managers in the area either at the local or state level) as well as secondary ones (previews research reports available in the field of HR management). Another analysis relies on the confrontation of structural traits of the Brazilian Federalist and challenges built in the key conception and makeup of the national health system. The results of this study bring lights to alternative paths to overcome the present limitations of human recourses management in the level local.