A nova gestão pública na saúde no município do Rio de Janeiro compreendida a partir do vínculo de trabalho

• Ano de defesa: 2022
• Autor(a) principal: Sá, Ariadne de Oliveira e
• Outros Autores: [e-mail]
• Orientador(a): Santos, Ronaldo Teodoro dos
• Banca de defesa: Levcovitz, Eduardo, Gontijo, José Geraldo Leandro, Rizzotto, Maria Lucia Frizon
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Saúde Coletiva
• Departamento: Centro Biomédico::Instituto de Medicina Social
• País: Brasil
• Palavras-chave em Português: Atenção primária à saúde; Organização social; Gestão em saúde; Nova gestão pública; Precarização do trabalho
• Palavras-chave em Inglês: Primary health care; Social Organization; Health management; New public management; Precariousness of work
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: http://www.bdtd.uerj.br/handle/1/18021

The way chosen by this thesis has as its main objective to bring elements about the dispute in the health work field that arise from the neoliberal influence in Rio de Janeiro through Eduardo Paes (2009-2017) and Marcelo Crivella (2017-2021) administrations. To do so, this work brings a retrospective of neoliberalism in the 90’s and of its fundamentals in what concerns public administration, highlighting the New Public Management concept. The neoliberal guidelines which have influenced the introduction of Social Organizations in Rio de Janeiro and the reform that accompanied this mark also affected the trajectory of the disputes in health field that precede this moment. Aiming to delineate the scenario in which the Reform of Primary Health Care in Rio de Janeiro took place, the present study introduces some perspectives about financing and coverage, contrasting it with Belo Horizonte, capital of Minas Gerais state that has historically shown high levels of coverage in primary health care and stability in assistance, even when Rio de Janeiro counted with less than 5% of coverage of its population. These discrepancies interest to this study and the results indicate the issue of employment relationships as a key point to explain them and to possibly point out a way that grants constancy and solidity to Rio de Janeiro’s primary health care. As methodology, it has been employed literature review, data survey as well as an important analysis of the legal framework that have guided the highlighted public conjunctures.