Doctors hired by the State Foundation for Specialized Health Care in Curitiba (Feas) and who work in the Emergency Care Units (UPAs) in the city have been denouncing the lack of working conditions that, in addition to impacting the health of professionals, have brought insecurity in serving the population.
Lack of pediatricians, medicines and supplies for children, moral harassment with the pressure for doctors to carry out more and more consultations in less time; workplace changes without notice; Inadequate workplaces for consultations and interference by managers in the clinical decisions of professionals are some of the problems, among others.
In an assembly held by the Doctors’ Union of Paraná (Simepar), the health professionals hired by Feas defined an agenda of claims and the request that the problems be resolved urgently.
The doctor Alceu Pacheco Fontana Neto, leader of the union and linked to four health units in Curitiba, reports that there are doctors who want to give up in the face of working conditions. “What we have received the most from complaints is harassment from managers and reduced numbers of professionals,” he says.
Pediatricians, medicine and supplies are lacking
Alceu says that due to the work overload, many pediatricians are requesting exoneration. “Pediatricians are almost all with Burnout Syndrome and many asking for exoneration due to overwork and moral harassment. In addition, pediatricians are lacking adequate supplies and medicines for children,” she says.
“It still happens that there is only one pediatrician to attend to all children hospitalized or awaiting transfer. This has generated inhuman stress,” he concludes.
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During the assembly, doctors reiterated that there is also a lack of professionals on the scales, especially in the UPAs, during the nights.
Another situation that is repeated in several workplaces is the constant moral harassment by managers. “In the Pinheirinho UPA, there is a ‘controller’ who is responsible for placing patients in the service boxes and who sets the time for consultation, rest and even for the professionals’ bathroom”, reported one of the doctors, who declined to be identified.
Workplace changes also take place without prior notice, without the availability of transport and communications during the doctors’ rest hours. Another irregularity reported at the meeting was the interference of the coordination of the UPAs in the diagnosis of professionals, remotely, excluding patients from waiting for a vacancy in the bed center, contrary to the diagnosis of the doctor on duty who evaluated him in person.
Feas is an indirect administration body that executes and develops actions of the Unified Health System (SUS). Feas services are provided exclusively by the SUS, through a management contract with the Municipal Health Department of Curitiba (SME). She is responsible for hiring, via CLT, doctors from the UPAs and the Mobile Emergency Care Service (Samu). It also manages the Nutrition, Laboratory and Radiology services of the UPAs.
The agenda of claims defined during the Assembly and sent to SMS and FEAS urgently requests better working conditions from the replacement of professionals, interruption of outsourcing processes, payment of maximum degree of unhealthy work, as determined by court during the pandemic , inspection of complaints about moral harassment, in addition to the adjustment of fees, which has not happened since 2020, and the payment of the base date.
In a note to Brazil de Fact Paranáthe advice of Feas clarifies that “the schedules of pediatricians in the UPAs are in accordance with what was foreseen by the Ministry of Health; the relocations are carried out in case of need, since the professionals are hired to work in the units of the foundation, not in a specific unit; regarding the consultation time, a minimum time is not predetermined when it comes to urgency and emergency and regarding alleged cases of moral harassment, the foundation adopts procedures to investigate and take the appropriate administrative measures.”
The note also says that “the foundation was not informed by the teams about a possible lack of supplies, equipment and the need to standardize new supplies.” And, finally, that it will “evaluate the points observed by doctors in relation to the Pinheirinho UPA.”
Source: BdF Paraná
Editing: Lia Bianchini