Abstract

BAZZO-ROMAGNOLLI, Ana Paula; GIMENEZ-CARVALHO, Brígida; DE FATIMA, Elisabete  and  DE ALMEIDA-NUNES, Polo. Management of the Basic Health Unit in Small Municipalities: Instruments, Facilities and Related Difficulties. Rev. Gerenc. Polit. Salud [online]. 2014, vol.13, n.27, pp.168-180. ISSN 1657-7027.  https://doi.org/10.11144/Javeriana.rgyps13-27.gubs.

Objective: To analyze the daily work of managers and the use of management instruments of basic health units (ubs). Method: A comprehensive-type qualitative study; the data for the study were obtained from two focus groups with twelve managers of ubs from small municipalities of Paraná, Brazil, performed in July, 2011. Results: The dialectic nature of the everyday situations that interfere with the management work needs to be highlighted. These situations sometimes make work easier or harder. Instruments mentioned in the organization of work: the epidemiology to subsidize planning; goal negotiation; assessment of actions and management of workers; team meetings; supervision and mediation of conflicts. Conclusion: The manager may be the key element for the implementation of changes aimed at a prominent management of work organization as well as management of workers.

Keywords : management of health services; primary health care; health care center; management; family health; health public policies.

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