Processo de trabalho de gerência: uma revisão da literatura

Abstract

O objetivo deste artigo é identificar como o trabalho de gerência tem sido abordado nas publicações científicas. Tomou-se como objeto a produção bibliográfica sobre gerência produzida entre 1989 a 1999. A coleta de dados envolveu a busca nas bases de dados Medline e Lilacs. Os trabalhos encontrados foram analisados segundo a técnica de Análise de Conteúdo, proposta por Bardin. Os resultados mostraram que 38% das publicações abordavam a dimensão organizacional da gerência; 34% abordavam a dimensão técnica; 9% a dimensão política e 19% articulavam duas ou mais dessas dimensões. A análise da literatura nos indica a necessidade de desenvolver produções científicas que discutam a gerência como um trabalho político, técnico e organizacional.

A gerência da Unidade Básica de Saúde no controle da tuberculose: um campo de desafios

“…The TB decentralization results from a legal-juridical set that has been consolidated since the end of the 1980's, which makes the municipality the management of health actions (5)(6) . Nevertheless, the managerial decentralization finds obstacles in its operationalization, such as: the lack of technical ability and the low fiscal competence of the municipalities to take over such responsibilities, among others (1,7) .…”

“…For the municipalities, those innovations are the possibility to, starting in the health area, reorganize and restructure the local management having as a guideline a democratic and participative management that is technically competent and efficient (6) .…”

“…It should be emphasized that the municipalization of health contributes to strengthening the political-managerial autonomy of municipalities, thus increasing their technical-operational capacity for planning, programming, and the administration and implementation control of actions aimed at solving health problems in specific territories (6) . The thought of an efficient and competent management from an administrative point of view makes us believe that the referred propositions are essential for the development of adequate actions for TB control.…”

“…Management work in the production of health services is an important instrument when making public policies effective, as it is both a conditioner of and conditioned by the form by which the health service production is organized as well as the current technical-care model (6) .…”

Gerência do cuidado de enfermagem em cenários hospitalares: a construção de um conceito

“…The contents found derives from reflections that appoint instruments to put in practice nursing care management and health care, such as: the nurse's function that demands competences to administer the sector, development of technical-care and staff management activities (4) ; administrative actions aim for a sole product, which is quality care for the client (5) ; phases of the administrative process (6) ; function of health team members (7) ; object of the management process that falls upon nursing workers (8) ; intermediary stage between care delivery and management of work units (9) , among others.…”