Management of work and education in the Unified Health System in times of reconstruction

New and old challenges in health work

Dados Bibliográficos

ID23310794
AutoresCindy Avani Silva Ceissler (0000-0002-4077-9245, Fundação Oswaldo Cruz), Ana Paula Marques (0000-0002-9458-2915, University of Minho), Katia Rejane De Medeiros (0000-0002-7518-4137, Fundação Oswaldo Cruz)
Ano2026
Volume31
Fascículo6
Data de publicação2026-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCiência & Saúde Coletiva (JOURNAL)
Identificadores do periódicoISSN: 1413-8123 • E-ISSN: 1678-4561
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1413-81232026316.05402026en
OpenAlexW7170486030
IdiomaEN
Referências citadas25

This essay explores Workforce and Health Education Management (GTES) within the SUS, focusing on its connection to changes in the labor landscape. It highlights the precarious nature of employment, characterized by unstable contracts, outsourcing, a lack of career planning, and regional disparities. The analysis traces the historical development of GTES policies, noting significant progress since their institutionalization but also setbacks driven by state reforms and austerity measures. While recent initiatives have aimed to enhance worker recognition, they remain inadequate in addressing deep-rooted inequalities and challenging working conditions. Strengthening the SUS requires policies that promote stability, improve working conditions, and foster a federative agreement to address regional disparities, ensuring equitable, high-quality healthcare for all.

Austerity · Health care · Inequality · Institutionalisation · Work (physics) · Workforce · Workforce development · Employment and Welfare Studies · Global Health Workforce Issues · Health, Nursing, Elderly Care