As condições de trabalho dos médicos no serviço público do Estado da Bahia

Abstract

This research studied the working conditions of doctors who work in the public service of the State of Bahia, in the perspective of analysis in the empirical framework of the more general scenario of social labor precariousness that affects the medical category. The study aimed to describe and analyze the working conditions of doctors who work in state health institutions in the metropolitan region of Salvador, seeking to put in evidence and understand to what extent they make up one of the dimensions of that precariousness. Methodologically, this dissertation was divided into two stages; the first, preceded the quantitative analysis of the working conditions that doctors allocated in the public health service face, bound directly to Bahia State’s Health Secretariat (SESAB), from a statistical analysis of secondary data obtained through constant research questionnaire "Profile of morbidity and factors underlying medical license of civil servants from the Health’s Secretary of the State of Bahia", funded by the Support Research Foundation of Bahia State - FAPESB and made by the staff of the Public Health Institute - ISC from Federal University of Bahia, in 2013. The second stage consisted in a qualitative research, where, through semi-structured interviews conducted in the first half of 2006, we sought to investigate the subjective perception of doctors who also work in the public service of the State, regardless the type of contract, on their working conditions. At this stage, it sought to further understand the impact of these conditions on personal life and motivation to work of these professionals. The results were also presented separately: the quantitative data have not led to a consistent framework of precarious working conditions, though not negligible part of the sample has highlighted negative aspects about their activity; the analysis carried out from the perspective of the subjects involved, effectively highlighted the precarious working conditions, translated empirically by: disabilities in the labor physical environment, work overload, decreased degree of autonomy, problems in interpersonal relationships and violence in the professional-patient relationship, in addition to professional wear. The diagnosis of working conditions offers contributions in order to build strategies to face this problem, which to some extent, also impacts the performance of the of public health services.