{"id":112,"date":"2017-04-03T15:00:45","date_gmt":"2017-04-03T18:00:45","guid":{"rendered":"https:\/\/humanas.blog.scielo.org\/en\/?p=112"},"modified":"2023-04-27T13:35:44","modified_gmt":"2023-04-27T16:35:44","slug":"medical-practice-precariousness-at-the-unified-health-system-sus","status":"publish","type":"post","link":"https:\/\/humanas.blog.scielo.org\/en\/2017\/04\/03\/medical-practice-precariousness-at-the-unified-health-system-sus\/","title":{"rendered":"Medical practice precariousness at the Unified Health System \u2014 SUS"},"content":{"rendered":"<p><strong>Luiz Gonzaga Chiavegato Filho, Professor adjunto do Departamento de Psicologia da Universidade Federal de S\u00e3o Jo\u00e3o Del-Rei, S\u00e3o Jo\u00e3o Del-Rei, MG, Brazil<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-101\" src=\"https:\/\/humanas.blog.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2017\/03\/estpsi_logo-300x141.gif\" alt=\"estpsi_logo\" width=\"300\" height=\"141\" srcset=\"https:\/\/humanas.blog.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2017\/03\/estpsi_logo-300x141.gif 300w, https:\/\/humanas.blog.scielo.org\/en\/wp-content\/uploads\/sites\/2\/2017\/03\/estpsi_logo-150x71.gif 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>The doctoral thesis developed at Faculdade de Filosofia, Ci\u00eancias e Letras de Ribeir\u00e3o Preto da Universidade de S\u00e3o Paulo, by the professor Luiz Gonzaga Chiavegato Filho, had as it main purpose to study the medical practice at the Unified Health System in Jaguari\u00fana, a city in S\u00e3o Paulo state, Brazil. The present study aimed to make a close investigation about the physicians\u2019 work organization and working conditions, and through this investigation identify possible health impacts suffered, as well as aspects that could contradict or hinder the professionals\u2019 individual and collective development. The results and conclusions of this study are published in the first issue of 2017 of journal Estudos de Psicologia (Campinas) under the \u201cMedical practice at the Unified Health System: When a professional activity calls for help\u201d. The data gathered shows a marked decline of this professional activity due to the lack of work collective, professional identity weakness, and frustrated activity. Among the major associated health problems, hypertension and common mental disorders were identified. In this kind of work\u2019s situations, rather than caring for people, it is necessary to take care of work in order to obtain advances related to workers&#8217; health and to develop their capacity to act on their own activity.<\/p>\n<p>In this study, 15 physicians, from different specialties, from Jaguari\u00fana\/SP Unidades B\u00e1sicas de Sa\u00fade (Basic Health Units) and two managers from the Department of Health were interviewed in two stages. In the first stage, individual and open interviews were conducted with the 15 physicians and the 2 managers. In the second stage, five physicians who had already participated in the first stage of the study were again interviewed. However, at this stage, the interviews were based on self-confrontation techniques proposed by the Clinic of Activity.<\/p>\n<p>Previous studies on medical work have already pointed to the high psychological overload and high incidence of common mental disorders. Besides that, they attested that changes occurred in the professional\u2019s work organization during the last decades had repercussions on professional autonomy, remuneration, in their multiple employment links and work\u2019s precariousness. Recognizing the job\u2019s vitality importance may be the first step to the public policies development, which guide the health services management, in order to combat work activity\u2019s precariousness and its degradation. It also means highlighting the importance of recognizing the employee\u2019s action heterogeneity in work environments and their active role in organizing and developing activities.<\/p>\n<h3>References<\/h3>\n<p><span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.jtitle=Estudos+de+Psicologia+%28Campinas%29&amp;rft_id=info%3Adoi%2F10.1590%2F1982-02752017000100007&amp;rfr_id=info%3Asid%2Fresearchblogging.org&amp;rft.atitle=A+pr%C3%A1tica+m%C3%A9dica+no+Sistema+%C3%9Anico+de+Sa%C3%BAde%3A+quando+uma+atividade+de+trabalho+pede+socorro&amp;rft.issn=1982-0275&amp;rft.date=2017&amp;rft.volume=34&amp;rft.issue=1&amp;rft.spage=63&amp;rft.epage=73&amp;rft.artnum=http%3A%2F%2Fwww.scielo.br%2Fscielo.php%3Fscript%3Dsci_arttext%26pid%3DS0103-166X2017000100063%26lng%3Dpt%26nrm%3Diso%26tlng%3Den&amp;rft.au=CHIAVEGATO+FILHO%2C+L.&amp;rfe_dat=bpr3.included=1;bpr3.tags=Research+%2F+Scholarship%2CEducation%2C+History%2C+Law%2C+Linguistics%2C+Political+Science%2C+Sociology%2C+Psychology%2C+Social+Science%2C+Arts%2C+Ethics%2C+Library+Science%2C+Science+Communication\">CHIAVEGATO FILHO, L. G. Medical practice at the Unified Health System: When a professional activity calls for help. <em>Estud. psicol<\/em>. (Campinas) [online], 2017, vol.34, n.1, pp.63-73, ISSN 1982-0275 [viewed 22March 2017]. DOI: <a href=\"http:\/\/dx.doi.org\/10.1590\/1982-02752017000100007\" target=\"_blank\" rel=\"noopener noreferrer\">10.1590\/1982-02752017000100007<\/a>. Available from: <a href=\"http:\/\/ref.scielo.org\/92jdvz\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/ref.scielo.org\/92jdvz<\/a>.<\/span><\/p>\n<h3>External Link<\/h3>\n<p>Estudos de Psicologia (Campinas) &#8211; ESTPSI &#8211; <a href=\"http:\/\/www.scielo.br\/estpsi\" target=\"_blank\" rel=\"noopener noreferrer\">www.scielo.br\/estpsi<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The medical practice in the Unified Health System is a study topic published in the journal Estudos de Psicologia (Campinas), which reveals the working conditions of these professionals and the impacts on personal health, analyzed through interviews and self-confidence. <span class=\"ellipsis\">&hellip;<\/span> <span class=\"more-link-wrap\"><a href=\"https:\/\/humanas.blog.scielo.org\/en\/2017\/04\/03\/medical-practice-precariousness-at-the-unified-health-system-sus\/\" class=\"more-link\"><span>Read More &rarr;<\/span><\/a><\/span><\/p>\n","protected":false},"author":128,"featured_media":102,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[96,7],"tags":[97,145],"class_list":["post-112","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-estpsi","category-press-release","tag-estudos-de-psicologia-campinas","tag-psychology"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/posts\/112","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/users\/128"}],"replies":[{"embeddable":true,"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/comments?post=112"}],"version-history":[{"count":4,"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/posts\/112\/revisions"}],"predecessor-version":[{"id":1073,"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/posts\/112\/revisions\/1073"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/media\/102"}],"wp:attachment":[{"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/media?parent=112"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/categories?post=112"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/humanas.blog.scielo.org\/en\/wp-json\/wp\/v2\/tags?post=112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}