Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals

Detalhes bibliográficos
Autor(a) principal: Persson, Erik
Data de Publicação: 2021
Outros Autores: Ferlie, Ewan, Baeza, Juan
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Administração Pública
Texto Completo: https://periodicos.fgv.br/rap/article/view/84854
Resumo: This paper explores drivers, implications, and trends of professional stratification and hybridisation in the medical profession employed in Brazilian federal university hospitals (HUFs). Drawing on exploratory findings, we examine some repercussions of the migration of university hospitals to EBSERH, a public company established by the federal government to manage and organise HUFs integrated into the Unified Health System (SUS). Our research shows that transferring hospital administration to EBSERH has led to further internal stratification of the medical workforce. The shift from the logic of medical-academic professionalism to the new logic of business-like healthcare, with the adoption of distinct job contracts and more managerial logics of work and control, may well be changing subjective and formal links established between professionals, universities, and hospitals. We identify and discuss trends towards hybridisation and dehybridisation. These findings are relevant because this shift can have profound implications for the academic nature of HUFs and for the future of professionalism within these health and teaching organisations.
id FGV-4_dfd9e1b4bef916e62db88385a2efdf38
oai_identifier_str oai:ojs.periodicos.fgv.br:article/84854
network_acronym_str FGV-4
network_name_str Revista de Administração Pública
repository_id_str
spelling Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitalsComprendiendo la estratificación e hibridación profesional en la profesión médica: evidencia exploratoria de los hospitales universitarios federales de BrasilCompreendendo a estratificação profissional e hibridização na profissão médica: evidências exploratórias de hospitais universitários federais brasileirosprofessional stratificationhybridisationmedical professionfederal university hospitalsestratificación profesionalhibridaciónprofesión médicahospitales universitarios federalesestratificação profissionalhibridizaçãoprofissão médicahospitais universitários federaisThis paper explores drivers, implications, and trends of professional stratification and hybridisation in the medical profession employed in Brazilian federal university hospitals (HUFs). Drawing on exploratory findings, we examine some repercussions of the migration of university hospitals to EBSERH, a public company established by the federal government to manage and organise HUFs integrated into the Unified Health System (SUS). Our research shows that transferring hospital administration to EBSERH has led to further internal stratification of the medical workforce. The shift from the logic of medical-academic professionalism to the new logic of business-like healthcare, with the adoption of distinct job contracts and more managerial logics of work and control, may well be changing subjective and formal links established between professionals, universities, and hospitals. We identify and discuss trends towards hybridisation and dehybridisation. These findings are relevant because this shift can have profound implications for the academic nature of HUFs and for the future of professionalism within these health and teaching organisations.Este artículo explora impulsores, implicaciones y tendencias de la estratificación y la hibridación profesional en la profesión médica empleada en los hospitales universitarios federales brasileños (HUFs). A partir de hallazgos exploratorios, examinamos algunas de las repercusiones de la migración de los hospitales universitarios a la EBSERH, una empresa pública creada por el gobierno federal para administrar y organizar los HUFs integrados en el Sistema Único de Salud (SUS). Nuestra investigación muestra que la transferencia de la administración hospitalaria a la EBSERH ha llevado a una mayor estratificación interna de la fuerza laboral médica. El cambio de la lógica del profesionalismo médico-académico a una lógica empresarial en salud, con la adopción de diferentes regímenes de empleo y modos de trabajo y control más gerenciales, puede estar alterando los vínculos subjetivos y formales que se establecen entre los profesionales, las universidades y los hospitales involucrados. Se identifican y discuten tendencias hacia la hibridación y deshibridación. Estos hallazgos son relevantes porque tales cambios pueden tener profundas implicaciones para la naturaleza académica de los HUFs, así como para el futuro del profesionalismo dentro de estas organizaciones de salud y educación.Este artigo explora motivadores, implicações e tendências de estratificação e hibridização profissional na profissão médica atuante em hospitais universitários federais brasileiros (HUFs). Com base em achados exploratórios, examinamos algumas das repercussões da migração dos hospitais universitários para a EBSERH, uma empresa pública criada pelo governo federal para gerenciar e organizar os HUFs vinculados ao Sistema Único de Saúde (SUS). A pesquisa mostra que a transferência da administração hospitalar para a EBSERH tem acarretado maior estratificação interna da força de trabalho médica. A mudança da lógica de profissionalismo médico-acadêmico para uma nova lógica empresarial de saúde, com a adoção de distintos regimes empregatícios e formas de trabalho e controle mais gerenciais, podem estar alterando vínculos subjetivos e formais estabelecidos entre os profissionais, as universidades e os hospitais envolvidos. Tendências em direção à hibridização e desibridização foram identificadas e discutidas. Esses achados são relevantes tendo em vista que tais movimentos podem representar implicações profundas para a natureza acadêmica dos HUFs e para o futuro do profissionalismo nessas organizações de saúde e ensino.Fundação Getulio Vargas (FGV EBAPE)2021-10-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.fgv.br/rap/article/view/8485410.1590/0034-761220200792Brazilian Journal of Public Administration; Vol. 55 No. 5 (2021); 1034-1076Revista de Administração Pública; Vol. 55 Núm. 5 (2021); 1034-1076Revista de Administração Pública; v. 55 n. 5 (2021); 1034-10761982-31340034-7612reponame:Revista de Administração Públicainstname:Fundação Getulio Vargas (FGV)instacron:FGVporenghttps://periodicos.fgv.br/rap/article/view/84854/80305https://periodicos.fgv.br/rap/article/view/84854/80306Persson, ErikFerlie, EwanBaeza, Juaninfo:eu-repo/semantics/openAccess2021-11-08T18:31:47Zoai:ojs.periodicos.fgv.br:article/84854Revistahttps://ebape.fgv.br/publicacoes/rapONGhttps://old.scielo.br/oai/scielo-oai.php||rap@fgv.br1982-31340034-7612opendoar:2021-11-08T18:31:47Revista de Administração Pública - Fundação Getulio Vargas (FGV)false
dc.title.none.fl_str_mv Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals
Comprendiendo la estratificación e hibridación profesional en la profesión médica: evidencia exploratoria de los hospitales universitarios federales de Brasil
Compreendendo a estratificação profissional e hibridização na profissão médica: evidências exploratórias de hospitais universitários federais brasileiros
title Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals
spellingShingle Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals
Persson, Erik
professional stratification
hybridisation
medical profession
federal university hospitals
estratificación profesional
hibridación
profesión médica
hospitales universitarios federales
estratificação profissional
hibridização
profissão médica
hospitais universitários federais
title_short Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals
title_full Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals
title_fullStr Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals
title_full_unstemmed Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals
title_sort Understanding professional stratification and hybridisation in the medical profession: exploratory evidence from Brazilian federal university hospitals
author Persson, Erik
author_facet Persson, Erik
Ferlie, Ewan
Baeza, Juan
author_role author
author2 Ferlie, Ewan
Baeza, Juan
author2_role author
author
dc.contributor.author.fl_str_mv Persson, Erik
Ferlie, Ewan
Baeza, Juan
dc.subject.por.fl_str_mv professional stratification
hybridisation
medical profession
federal university hospitals
estratificación profesional
hibridación
profesión médica
hospitales universitarios federales
estratificação profissional
hibridização
profissão médica
hospitais universitários federais
topic professional stratification
hybridisation
medical profession
federal university hospitals
estratificación profesional
hibridación
profesión médica
hospitales universitarios federales
estratificação profissional
hibridização
profissão médica
hospitais universitários federais
description This paper explores drivers, implications, and trends of professional stratification and hybridisation in the medical profession employed in Brazilian federal university hospitals (HUFs). Drawing on exploratory findings, we examine some repercussions of the migration of university hospitals to EBSERH, a public company established by the federal government to manage and organise HUFs integrated into the Unified Health System (SUS). Our research shows that transferring hospital administration to EBSERH has led to further internal stratification of the medical workforce. The shift from the logic of medical-academic professionalism to the new logic of business-like healthcare, with the adoption of distinct job contracts and more managerial logics of work and control, may well be changing subjective and formal links established between professionals, universities, and hospitals. We identify and discuss trends towards hybridisation and dehybridisation. These findings are relevant because this shift can have profound implications for the academic nature of HUFs and for the future of professionalism within these health and teaching organisations.
publishDate 2021
dc.date.none.fl_str_mv 2021-10-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.fgv.br/rap/article/view/84854
10.1590/0034-761220200792
url https://periodicos.fgv.br/rap/article/view/84854
identifier_str_mv 10.1590/0034-761220200792
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://periodicos.fgv.br/rap/article/view/84854/80305
https://periodicos.fgv.br/rap/article/view/84854/80306
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Fundação Getulio Vargas (FGV EBAPE)
publisher.none.fl_str_mv Fundação Getulio Vargas (FGV EBAPE)
dc.source.none.fl_str_mv Brazilian Journal of Public Administration; Vol. 55 No. 5 (2021); 1034-1076
Revista de Administração Pública; Vol. 55 Núm. 5 (2021); 1034-1076
Revista de Administração Pública; v. 55 n. 5 (2021); 1034-1076
1982-3134
0034-7612
reponame:Revista de Administração Pública
instname:Fundação Getulio Vargas (FGV)
instacron:FGV
instname_str Fundação Getulio Vargas (FGV)
instacron_str FGV
institution FGV
reponame_str Revista de Administração Pública
collection Revista de Administração Pública
repository.name.fl_str_mv Revista de Administração Pública - Fundação Getulio Vargas (FGV)
repository.mail.fl_str_mv ||rap@fgv.br
_version_ 1827882348180406272

Registros relacionados