Employment and sociodemographic characteristics: a study of increasing precarity in the health districts of Belo Horizonte, Brazil
Employment and sociodemographic characteristics: a study of increasing precarity in the health districts of Belo Horizonte, Brazil
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DOI：
10.1186/1478-4491-7-56
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发表时间：
2009-07-13
影响因子：
4.5
通讯作者：
Belisario, Soraya Almeida
中科院分区：
文献类型：
--
作者：
Ramos de Vasconcellos Coelho, Maria Cristina;Assuncao, Ada Avila;Belisario, Soraya Almeida
背景：全世界都认识到人力资源对卫生保健系统发展的根本重要性。卫生区是巴西贝洛奥里藏特市市级卫生保健系统的中层，负责处理系统各部分的需求。本研究旨在提供了解这些卫生区就业早熟现象所需的基本特征。方法：采用贝洛奥里藏特市卫生秘书处使用的法律和人力资源管理文件作为本研究的语料。为了分析就业(2002-2006年)的变化，数据从ARTERH收集，这是一个专门处理与人力资源有关的数据的计算机化数据库，于2001年开始运行。这些工人被分为永久和非永久两组，并对他们的合同权利进行了说明。在本报告所述期间，审查了就业动态和变化，重点是工人的融入及其社会和就业权利。按就业类型、性别、年龄、文化程度、工资等对2002~2006年两组人群的比较数据进行频数分布表。结果：常住职工和非常住职工在现有保障就业权利和社会保障方面存在明显差异。2002年至2006年期间，劳动力中非固定劳动力的数量增加，老年工人在固定就业人口中的比例不断增加，实际工资下降，这表明在所研究的群体中，就业早熟的过程日益加剧。结论：合理的假设是，对医疗改革的需求，以及对财政支出的法律限制，导致了新类型的合同和贝洛奥里藏特卫生区的就业现状。
Background: The fundamental importance of human resources for the development of health care systems is recognized the world over. Health districts, which constitute the middle level of the municipal health care system in the city of Belo Horizonte, Brazil, deal with demands from all parts of the system. This research seeks to provide the essential features required in order to understand the phenomenon of increase in precarity of employment in these health districts.Methods: The legal and human resource management documents used by the Municipal Health Secretariat of the City of Belo Horizonte were adopted as the corpus for this research. In order to analyse the changes in employment (2002-2006), the data were collected from ArteRH, a computerized database dealing specifically with data related to human resources, which began operating in 2001. The workers were classified into permanent and non-permanent groups, and their contractual rights were described. Employment dynamics and changes were examined, concentrating on the incorporation of workers and on their social and employment rights during the period under study. The comparative data for the two groups obtained were presented in frequency distribution tables according to type of employment, sex, age group, level of education and wages from 2002 to 2006.Results: There was a clear difference between the permanent worker and non-permanent worker groups as regards existing guaranteed employment rights and social security. The increase in the number of non-permanent workers in the workforce, the growing proportion of older workers among the permanently employed and the real wage reductions during the period from 2002 to 2006 are indicative of the process of growing precarity of employment in the group studied.Conclusion: It is a plausible supposition that the demand for health reforms, along with the legal limits imposed on financial expenditure, gave rise to the new types of contract and the present employment situation in the health districts in Belo Horizonte.