Transformations in the world of healthcare work: workers and future challenges

Author:

Machado Maria Helena1ORCID,Campos Francisco2ORCID,Haddad Ana Estela3ORCID,Santos Neto Pedro Miguel dos4ORCID,Machado Antônio Vieira5ORCID,Santana Vanessa Gabrielle Diniz4ORCID,Marengue Helena da Conceição Ouana6ORCID,Santos Renato Penha de Oliveira7ORCID,Mauaie Clara Cacilda6ORCID,Freire Neyson Pinheiro8ORCID

Affiliation:

1. Fundação Oswaldo Cruz (Fiocruz), Brazil

2. Fiocruz Brasília, Brazil

3. Universidade de São Paulo, Brazil

4. Fiocruz, Brazil

5. Faculdade de Ciências Médicas de Minas Gerais, Brazil

6. Ministério da Saúde de Moçambique, Moçambique

7. Universidade de Coimbra, Portugal

8. Conselho Federal de Enfermagem, Brasil

Abstract

Abstract This article addresses the world of healthcare work, especially in the Brazilian Unified Healthcare System (SUS) in the context of the COVID-19 pandemic in Brazil. This study used data from the following surveys: “Working conditions of health professionals in the context of COVID-19 in Brazil” and “The Invisible health workers: working conditions and mental health in the context of COVID-19 in Brazil”. Data analysis proves that the pandemic highlighted existing structural problems within SUS, involving the issue of healthcare workforce (HWF) management, which can be interpreted as another reflection of the socioeconomic inequalities that already exist in the country. This article highlights: the reduced provision of permanent education, the regulation of hybrid care, precariousness, a lack of protection in the work environment, as well as fragile biosecurity leading to tragic rates of illness and death of health workers. Our study concludes by showing the importance of formulating public policies in the scope of education and work management in SUS that ensure the discussion on hybrid care as a new way of acting without losing quality, together with the need to review issues related to permanent education, protection, valuation, and reduction of inequalities pointed out among the professional contingents analyzed in this article.

Publisher

FapUNIFESP (SciELO)

Subject

Public Health, Environmental and Occupational Health,Health Policy

Reference34 articles.

1. A cruel pedagogia do vírus;Santos BS,2020

2. Our duty of care: A global call to action to protect the mental health of health and care workers;Abdul Rahim HF,2022

3. Resolução nº 287, de 8 de outubro de 1998. Relaciona 14 (quatorze) categorias profissionais de saúde de nível superior para fins de atuação no CNS: assistentes sociais, biólogos, biomédicos, profissionais de educação física, enfermeiros, farmacêuticos, fisioterapeutas; fonoaudiólogos, médicos, médicos veterinários, nutricionistas, odontólogos, psicólogos e terapeutas ocupacionais,1998

4. Health Workforce: Situations and challenges in Latin America, the Caribbean, and Brazil;Machado MH,2022

5. Condições de trabalho dos profissionais de saúde no contexto da covid-19 no Brasil;Machado MH,2020

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