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Cadernos de Saúde Pública

versão impressa ISSN 0102-311Xversão On-line ISSN 1678-4464

Resumo

AZEVEDO, Creuza da Silva; FERNANDES, Maria Inês Assumpção  e  CARRETEIRO, Tereza Cristina. Under the aegis of urgency: management practices by public hospital directors in Rio de Janeiro, Brazil. Cad. Saúde Pública [online]. 2007, vol.23, n.10, pp.2410-2420. ISSN 0102-311X.  https://doi.org/10.1590/S0102-311X2007001000016.

This article discusses management practices in public hospitals (general hospitals with emergency services) in the city of Rio de Janeiro, Brazil, based on a psychosociological approach to organizational analysis. Of the 12 existing hospitals, 8 were included in the current study, conducted from July 2003 to April 2004. The research, drawing on hospital directors' narratives, identified three management models. The first focuses on processes of change, highlighting symbolic and imaginative elements for building a vision of the future for the hospitals. The second concentrates on specific projects, which absorbs all the management efforts. A third pattern (predominant in the study) is marked by the struggle to keep the hospital working, with the image of urgency as the driving force. The imposition of continuous action leaves no room for reflection. The crisis in Rio de Janeiro's public hospitals has led to a "wartime" environment and thus the dissemination of the urgency-based model.

Palavras-chave : Hospital Administration; Hospital Chief Executive Officers; Public Hospitals.

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