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[Subjectivity, ethics and productivity in post-productive health restructuring]
Doris Gomes1, Flávia Regina Souza Ramos2
1Funorte, Florianópolis, SC, Brasil, dorisgomesodonto@gmail.com.
Ciencia & Saude Coletiva
|July 30, 2015
Summary
This study examines ethical issues in healthcare productivity, finding that profit-driven models create problems. It calls for greater solidarity and collective engagement to improve public healthcare quality.
Area of Science:
- Healthcare Ethics
- Medical Sociology
- Public Health Policy
Background:
- Modern healthcare systems face ethical challenges due to restructuring and productivity demands.
- The imperative for productivity and profitability in healthcare can conflict with ethical patient care.
- Healthcare professionals' experiences in public and private sectors highlight systemic ethical issues.
Purpose of the Study:
- To analyze the ethical problems arising from post-transformation productivity in the health sector.
- To explore the impact of capitalization and profit-driven models on healthcare ethics.
- To identify strategies for improving professional commitment and public healthcare quality.
Main Methods:
- Qualitative, descriptive, and exploratory study design.
- Interviews conducted with 30 healthcare professionals (nurses, doctors, dental surgeons) in Southern Brazil.
- Discursive Textual Analysis used for data interpretation.
Main Results:
- Capitalization emerges as a significant ethical problem, driven by profit motives.
- Incorporation of ethics limited to corporate or individual interests undermines patient welfare.
- Low professional commitment to patient and social needs identified as a key ethical concern.
Conclusions:
- A new model of engaged solidarity is needed to enhance public healthcare.
- Healthcare productivity must align with individual and social needs, not just profit.
- Collective engagement, cooperation, and solidarity are essential for ethical healthcare reform.
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