The implantation of lhe SUS, approved by the 1988 Federal Constitution, represented a political innovation whose main characteristic is decentralization. This reform of the heallh system gave the municipalities the mission of' being the only manager of heallh system on their levels, in a shift in the rules and practices so far in force. This study discusses lhe repercussions of the health reform in the field of human health politics, focusing on the state of Rio de Janeiro and its municipalities. It tries to explain some of the its insuf'iciencies and to contribute to improve the establishment of new base and models for the policy and management of human resources within the SUS. The research was carrid out on the state of Rio de Janeiro and the municipalities of Niterói and Angra dos Reis, which fit the category of "semiplena" rnanagement, according to the Operational SUS Regulation 01/ 93. Employing qualitative methodology, one has carried out observation, analysis of documents and interviews with administrators, technicians and managers of institutions, who represent the worker's interests, as privileged actors of the policies and process of human resources management. The analysis was based on two categories: subjects of the labor regulation and management philosophy. In the first category the variables were: definitions of job and careers plan, remuneration and work shift; in the second one, participation in the management, negotiation process and training programs.
Human health resources; human resources management; health work regulation