{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T20:46:39Z","timestamp":1759178799245},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"abstract":"<jats:p>Resumo Sob o efeito do Memorando da Troika (2011-2015), as pol\u00edticas de sa\u00fade em Portugal conhecem uma agenda pol\u00edtica, empresarial e organizacional orientada por princ\u00edpios de privatiza\u00e7\u00e3o, desregula\u00e7\u00e3o e subfinanciamento dos servi\u00e7os p\u00fablicos por parte do Estado. Neste artigo, faz-se uma revis\u00e3o da literatura sobre os sistemas de sa\u00fade dos pa\u00edses do Sul, destacando-se a situa\u00e7\u00e3o portuguesa quanto aos processos de reforma e principais desigualdades de sa\u00fade antes e durante a crise econ\u00f4mica. Complementarmente, convocam-se os testemunhos de diferentes profissionais do setor da sa\u00fade (m\u00e9dico, enfermeiro, t\u00e9cnico de terap\u00eautica, sindicatos e dirigentes de unidades de cuidados). Baseado num estudo explorat\u00f3rio, discutem-se as transforma\u00e7\u00f5es pol\u00edtico-organizacionais e suas consequ\u00eancias na desregula\u00e7\u00e3o e precariza\u00e7\u00e3o das rela\u00e7\u00f5es de trabalho no setor da sa\u00fade. Redu\u00e7\u00f5es salariais, congelamento de carreira, instabilidade contratual, desmotiva\u00e7\u00e3o profissional, intensifica\u00e7\u00e3o do ritmo de trabalho e desqualifica\u00e7\u00e3o dos servi\u00e7os s\u00e3o alguns dos sinais mais vis\u00edveis de uma agenda gestion\u00e1ria que conflitua com as miss\u00f5es de um Sistema de Sa\u00fade P\u00fablica (SNS) universal ao servi\u00e7o da sociedade portuguesa.<\/jats:p>","DOI":"10.1590\/1413-81232018237.09282018","type":"journal-article","created":{"date-parts":[[2018,7,27]],"date-time":"2018-07-27T18:37:53Z","timestamp":1532716673000},"page":"2253-2264","source":"Crossref","is-referenced-by-count":5,"title":["Pol\u00edticas de sa\u00fade do Sul da Europa e desregula\u00e7\u00e3o das rela\u00e7\u00f5es de trabalho: um olhar sobre Portugal"],"prefix":"10.1590","volume":"23","author":[{"given":"Ana Paula Pereira","family":"Marques","sequence":"first","affiliation":[{"name":"Universidade do Minho,  Portugal"}]},{"given":"Ana Paula Morais de Carvalho","family":"Macedo","sequence":"additional","affiliation":[{"name":"Universidade do Minho,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2018,7]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1111\/j.1467-923X.1994.tb00441.x","article-title":"The hollowing out of state: the changing natures of public services in Britain","volume":"65","author":"Rhodes RAW","year":"1994","journal-title":"Political Quarterly"},{"key":"ref2","series-title":"Trabalho em Sa\u00fade, Desigualdades e Pol\u00edticas P\u00fablicas: Universidade do Minho","author":"Martins MIC","year":"2014"},{"key":"ref3","series-title":"Le Nouvel Esprit du Capitalisme","author":"Boltanski L","year":"1999"},{"key":"ref4","series-title":"Health professional mobility and health systems. 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