Abstract

ACOSTA F, Martín et al. Popular Health Insurance, psychosocial factors at workplace, and violence in employees from a health institution in Mexico: an analysis from the model of the social determinants of health. Rev. Fac. Nac. Salud Pública [online]. 2013, vol.31, suppl.1, pp.181-191. ISSN 0120-386X.

OBJECTIVE: to analyze the impact of the implementation and operation of the Popular Health Insurance underwork psychosocial conditions and violence of a group of workers from a health institution. METHODOLOGY a qualitative study was realized under the framework of the phenomenological sociology. A survey was applied to two hundred six workers for the evaluation of the negative psychosocial conditions in the work environment. Later, it was identified to eighteen individual «cases»for having obtained high negatives scores in the survey and having been exposed or for having taken part in situations and behaviors of violence at workplace. RESULTS AND DISCUSSION:the implementation and operation of the Popular Health Insurance provoked deterioration and precarious psychosocial conditions and work process alterations. Violence at workplace expressed like distress, emotional exhaustion, loss of motivation, disability and depression. CONCLUSIONS : labor and public administration, reforms in a new model of organizational management oriented to efficiency and cost reductions, prioritizes the administrative criteria and rejects the satisfaction and subjective well-being of workers.

Keywords : working conditions; violence; health personnel; occupational health.

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