Médicos e terceirização: percepções de trabalhadores e gestores sobre as transformações recentes no mercado de trabalho

Abstract

Resumo O artigo examina as tendências recentes da forma de inserção dos médicos no mercado de trabalho à luz da regulação das relações trabalhistas na percepção de informantes-chave que atuam nos setores público e privado do sistema de saúde no estado de São Paulo. O estudo mostrou que, na percepção dos entrevistados, há uma tendência crescente de inserção de médicos como pessoa jurídica condicionada pela regulação das relações de trabalho e pela política de contratação dos estabelecimentos provedores de serviços de assistência à saúde. Em geral, a ‘pejotização’ de médicos foi associada à perda de autonomia desses profissionais em relação aos termos de contratação e às condições de realização do trabalho. O artigo conclui que a inserção ‘pejotizada’ de médicos se apresenta como parte do movimento mais geral de barateamento da força de trabalho associado à terceirização, e indica que há espaço para a exploração de políticas voltadas à gestão de trabalhadores que busquem atrair e fixar médicos no Sistema Único de Saúde.

Psychosocial Risk Factors at Work and Sleep Quality in Healthcare Workers – A Cross-Sectional Study

“…This trend was described as predominant in a previous survey, which also reported increasing difficulties for medical professionals to find jobs with a formal contract. 31 Thus, there is as association between the more flexible nature of the work relationship and both the increase in uncontrolled working hours and the number of employment ties assumed by workers, culminating in the further precariousness of working conditions as well as the loss of labor rights, social security rights, and protection from various risks. 31 A large portion of workers reported having more than one job (30%), which suggests the search for solutions for the devaluation of wages or professional dissatisfaction.…”

“…31 Thus, there is as association between the more flexible nature of the work relationship and both the increase in uncontrolled working hours and the number of employment ties assumed by workers, culminating in the further precariousness of working conditions as well as the loss of labor rights, social security rights, and protection from various risks. 31 A large portion of workers reported having more than one job (30%), which suggests the search for solutions for the devaluation of wages or professional dissatisfaction. Multiple jobs are one of the main factors that cause stress, and this problem is even more evident in female professionals, who have an additional workload consisting of domestic chores and children.…”

“…31 Thus, there is as association between the more flexible nature of the work relationship and both the increase in uncontrolled working hours and the number of employment ties assumed by workers, culminating in the further precariousness of working conditions as well as the loss of labor rights, social security rights, and protection from various risks. 31…”