{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,27]],"date-time":"2023-05-27T21:50:35Z","timestamp":1685224235438},"reference-count":16,"publisher":"FapUNIFESP (SciELO)","issue":"108","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sa\u00fade debate"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:p>Os hospitais brasileiros experimentam um marcado processo de racionaliza\u00e7\u00e3o de suas pr\u00e1ticas na busca de maiores efici\u00eancia e efic\u00e1cia organizacional. Considerando a exist\u00eancia de um sistema dual de autoridades composto pelos poderes m\u00e9dico e administrativo, este estudo visa a compreender como os m\u00e9dicos vivenciam e d\u00e3o sentido \u00e0s pol\u00edticas racionalizadoras da gest\u00e3o hospitalar implementadas pela dire\u00e7\u00e3o de um hospital da Secretaria de Sa\u00fade do Estado de S\u00e3o Paulo. Utilizando-se de an\u00e1lise documental e entrevistas, o estudo evidenciou um aparente paradoxo entre os avan\u00e7os dos mecanismos de controle organizacional sobre o trabalho m\u00e9dico e a percep\u00e7\u00e3o de tais avan\u00e7os pelos m\u00e9dicos.<\/jats:p>","DOI":"10.1590\/0103-1104-20161080007","type":"journal-article","created":{"date-parts":[[2016,8,12]],"date-time":"2016-08-12T12:21:17Z","timestamp":1471004477000},"page":"86-94","source":"Crossref","is-referenced-by-count":4,"title":["Os m\u00e9dicos e a racionaliza\u00e7\u00e3o das pr\u00e1ticas hospitalares: novos limites para a liberdade profissional?"],"prefix":"10.1590","volume":"40","author":[{"given":"Carolina Chaccur Abou","family":"Jamra","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brasil"}]},{"given":"Luiz Carlos de Oliveira","family":"Cecilio","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brasil"}]},{"given":"Tiago","family":"Correia","sequence":"additional","affiliation":[{"name":"Instituto Universit\u00e1rio de Lisboa,  Portugal"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Le m\u00e9tier de sociologue","author":"BOURDIEU P","year":"1973"},{"key":"ref2","series-title":"Saberes e poderes no hospital: uma sociologia dos servi\u00e7os hospitalares","author":"CARAPINHEIRO G","year":"1998","edition":"3."},{"key":"ref3","series-title":"Medicina: o agir numa sa\u00fade em mudan\u00e7a","author":"CORREIA T","year":"2012","edition":"1."},{"key":"ref4","first-page":"181","article-title":"Connecting medical professionalism and large bureaucracies in the changing hospital governance","volume":"24, supl. 2","author":"CORREIA T","year":"2014","journal-title":"The European Journal of Public Health"},{"issue":"2","key":"ref5","first-page":"08","article-title":"A gest\u00e3o dos servi\u00e7os p\u00fablicos de sa\u00fade: caracter\u00edsticas e exig\u00eancias","volume":"26","author":"DUSSAULT G","year":"1992","journal-title":"Revista de Administra\u00e7\u00e3o P\u00fablica"},{"key":"ref6","series-title":"Professionalism: the third logic","author":"FREIDSON E","year":"2001"},{"key":"ref7","series-title":"A irresponsabilidade m\u00e9dica","author":"MEYER P","year":"1999"},{"key":"ref8","series-title":"O desafio do conhecimento: Pesquisa Qualitativa em Sa\u00fade","author":"MINAYO M.C.S","year":"2007","edition":"10."},{"issue":"39","key":"ref9","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1177\/0095399707304434","article-title":"From \"pure\" to \"hybrid\" professionalism: Present-day professionalism in ambiguous public domains","author":"NOORDEGRAAF M","year":"2007","journal-title":"Administration Society"},{"issue":"10","key":"ref10","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1177\/0170840611416748","article-title":"Risky Business: how professionals and professional fields (must) deal with organizational issues","volume":"32","author":"NOORDEGRAAF M","year":"2011","journal-title":"Organization Studies"},{"issue":"1","key":"ref11","first-page":"36","article-title":"Administra\u00e7\u00e3o p\u00fablica brasileira entre o gerencialismo e a gest\u00e3o social","volume":"45","author":"PAULA A.P.P","year":"2005","journal-title":"RAE"},{"key":"ref12","series-title":"O m\u00e9dico e seu trabalho: limites da liberdade","author":"SCHRAIBER L.B","year":"1993","edition":"2"},{"key":"ref13","series-title":"O m\u00e9dico e suas intera\u00e7\u00f5es: a crise dos v\u00ednculos de confian\u00e7a","author":"SCHRAIBER L.B","year":"2008","edition":"1."},{"key":"ref14","series-title":"The Hospital in Modern Society","volume-title":"The Hospital and Its Negotiated Order","author":"STRAUSS A.","year":"1963"},{"key":"ref15","series-title":"Administra\u00e7\u00e3o Contempor\u00e2nea: perspectivas estrat\u00e9gicas","volume-title":"Qualidade e objetivos: implica\u00e7\u00f5es te\u00f3ricas e metodol\u00f3gicas para a an\u00e1lise das organiza\u00e7\u00f5es","author":"VIEIRA M. 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