Specialization in Work Management and Health Education: an analysis of the national program

ABSTRACT One of the purposes of component III of the SUS Work and Education Management Structuring and Qualification Program (ProgeSUS) was to offer specialization courses in Work Management and Health Education. The objective was to analyze this formative process in the country, punctuating its results and the analytical perspectives of the leaders at the different levels of coordination; from qualiquantitative analysis. It used records of the general coordination and the application of a semi-structured questionnaire in which the analysis was subtracted from the perspective of local coordinators. In total, 1,471 managers were qualified: 557 in the Northeast, 301 in the North, 236 in the Southeast, 224 in the Midwest and 153 in the South. It was verified: great permanence of the students in the management positions; applicability of the intervention projects prepared by them; the Labor Management axis of greater evidence in the first two classes, but of equal interest with the Education Management in the third class; and requiring deepening and increasing workload on specific topics in these axes. This information constitutes important subsidies for the formulation of public policies for the continuation of this qualification process, mainly due to the growing outsourcing of health workers ‘labor relations and SUS workers’ management.

摘要 巴西统一卫生系统（Sistema Único de Saúde, SUS）工作与教育管理架构及资质认定项目（ProgeSUS）的第三模块，其设立目标之一是开设工作管理与健康教育方向的专业化培训课程。本研究旨在分析该国范围内的该培训进程，通过质量化混合分析（qualiquantitative analysis）方法，明确其实施成果与不同层级协调管理者的分析视角。研究依托总协调处的相关记录，并结合半结构化问卷（semi-structured questionnaire）的调研数据，以地方协调者的视角为核心开展分析。本次培训累计为1471名管理人员完成资质认定：其中东北部557人、北部301人、东南部236人、中西部224人、南部153人。研究证实了以下结论：参训学员在管理岗位上保有较高的任职稳定性；学员自主设计的干预项目具备实际应用可行性；在前两期培训中，工作管理轴（Labor Management axis）的实证成效更为显著，但第三期培训中，该模块与教育管理轴（Education Management axis）的受关注程度不相上下；此外，上述两大模块的部分专项内容仍需深化教学并增加课时投入。本研究成果可为该资质认定项目的后续推进提供重要的政策制定依据，这主要是由于当前卫生从业人员劳动关系外包化以及SUS系统管理人员岗位管理需求持续增长的现状。