The perception of workers about the work process in a Federal University Hospital under the management of a state-owned private law firm

ABSTRACT Research with a qualitative methodology which, based on semi-structured interviews, studied a university hospital as a case of a service that changed their model of management to a state-owned private law firm since 2014. The perception of workers was recorded and analyzed, focusing on the organization of and participation in the work process, in a Federal University Hospital (HUF) under that new model of management. The speeches brought: lack of materials, necessary to daily work, as a chronic problem; increased control over staff and lack of flexibility on work shifts; existence of many work flows; complexity of the organization chart; several hierarchical levels; difficulties in the interaction between workers with different forms of contracts; non-existence of a policy of participation of workers in the decision-making processes. Thus, only the change of the management model was not enough, in the view of the workers, to solve many of the Hospital’s problems. Several elements of the business-managerial paradigm have been identified, which is being put into practice in practically all HUF in Brazil and, rather than solving old problems, ends up creating new ones.

摘要
本研究采用定性研究方法，以2014年起将管理模式转型为国有私法法人模式的大学医院为案例，通过半结构化访谈（semi-structured interviews）收集数据，针对采用该新型管理模式的联邦大学医院（HUF），聚焦工作流程的组织与员工参与维度，对员工的感知进行记录与分析。
受访者的表述反映出诸多问题：日常工作所需物资长期短缺；对员工的管控力度加大，排班灵活性不足；工作流程繁复；组织结构图复杂，层级繁多；不同用工形式的员工间互动存在障碍；未建立员工参与决策制定的相关制度。
据此，员工认为仅更换管理模式不足以解决该医院的诸多顽疾。研究发现，巴西境内几乎所有联邦大学医院均在推行商业管理范式，该范式不仅未能解决既往存在的问题，反而催生了一系列新的难题。