Laboreal (Jul 2009)

O trabalho sob um olhar sustentável – desafios para os serviços de saúde pública: Estudo de caso do Programa Saúde da Família em São Paulo, Brasil

  • Laerte Idal Sznelwar

Journal volume & issue
Vol. V, no. 1
pp. 38 – 52

Abstract

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The theme of sustainability, increasingly present in the world of production, is generally presented as an issue involving the environment and social responsibility. The purpose of this article is first to propose a discussion on sustainability where the issue of work becomes central and secondly by proposing a sustainable vision for approaching work, in an attempt to bring this issue to the centre of the debate. Despite this proposal seeking to include work on the agenda of sustainability, this is not a new issue. The different disciplines that deal with work include this theme in their conceptual framework, even if they do not make sustainable work an explicit issue. In the case presented here, the proposal to create a sustainable view of work proposes a discussion among the different disciplines that deal with production, work design and management and is based on the ergonomics of activity and the psychodynamics of work. The argument proposed is based on a case study carried out with workers in the Family Health Program in Brazil and, more specifically, the Community Health Agents. The results of the study reveal fundamental aspects of the work these people do and show that, to develop public health programs that can be considered sustainable, i.e. that endure and are able to achieve their objectives, it is fundamental that work is treated from the perspective of its inscription in time, of the construction of health, together with personal and professional development.

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