Abstract
Resumo Este artigo analisa as estratégias de gestão do trabalho da Fundação Estatal Saúde da Família (FESF-SUS), criada para suprir a necessidade de médicos no Estado da Bahia. Objetiva contribuir com o debate acerca das dificuldades de provimento e fixação de médicos na Estratégia Saúde da Família (ESF). A pesquisa consistiu em um estudo de caso, por meio de diversas estratégias metodológicas, destacando-se a análise documental. Os achados apontam como solução a criação de uma carreira intermunicipal. A proposta de gestão do trabalho da Fundação Estatal Saúde da Família (FESF-SUS, n.d.) incluiu os seguintes aspectos: remuneração variável, mobilidade do trabalhador entre os municípios e fatores associados ao suprimento de médicos. A complexidade dessa proposta se depara com a ausência de experiência na gestão desse modelo e também com as questões estruturais e institucionais que marcaram historicamente a gestão do trabalho nos municípios.
Highlights
Retaining health professionals in primary healthcare is not an issue that is unique to Brazil (Collar, Almeida, & Ferla, 2015; Oliveira et al, 2015; Scheffer, 2015a)
It was the formulation of the Career, Employment and Salaries Plan (PECS), as well as structuring inter-municipal careers for primary healthcare in Bahia, one of the outcomes of the creation of FESF-SUS, established through the approval of laws in 69 municipalities of Bahia
The FESF-SUS proposal contemplated the construction of a career for the SUS, a problem mentioned in the origin of the SUS and contemplated in the Final Report of the Brazilian Health Sector Reform Commission (National Commission for Health Sector Reform [CNRS], 1986).to undertake this agenda as a project for the expansion of the Estratégia Saúde da Família” (ESF), through the attempt of promoting and retaining professionals based on an inter-municipal career, fostered controversies, intense debates and tensions
Summary
Retaining health professionals in primary healthcare is not an issue that is unique to Brazil (Collar, Almeida, & Ferla, 2015; Oliveira et al, 2015; Scheffer, 2015a). Such initiative was established as an alternative for an inter-federative public career in health, with the aim of attracting the hiring and partnerships of municipal and state administrators, as well as workers, namely doctors, through a policy of an administration of the work with an inter-municipal scope (State Family Health Foundation [FESF-SUS], n.d.) This policy was presented by FESF-SUS as an innovation in healthcare, in the measure in which it aimed to improve existing experiences and create positive opportunities for attending to the need of incorporating practices that convey the principles of integrality, universality and equity in the scope of the SUS. This article has the purpose of analyzing the policy for providing and retaining2medical professionals, developed by FESF-SUS in the State of Bahia
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