title: Multiple job contracts of physicians in Ceará, Northeastern Brazil.
abstract: OBJECTIVE
  To analyze the multiple job contracts of physicians in the Brazilian National Health System in the State of Ceará.
  
  
  METHODS
  Documental research was performed about the work contracts of the physicians, based on data of health professional contracts in the municipalities of Ceará state, Northeastern Brazil, in 2008. Indices were created for the quantity of contracts of each physician, as well as the municipalities where each physician maintained work contracts. The distances between the municipalities where they worked was calculated in order to estimate the total weekly hours of work.
  
  
  RESULTS
  Of the 7,008 physicians employed by the Ceará state, 3,751 (53.5%) maintain between two and four job contracts and 39 (0.6%) between 11 and 20 contracts. One professional maintained 20 contracts. More than half (51.9%) of the physicians had work contracts that when summed totaled more than 40 weekly working hours and 27.0% (1,894) maintained job contracts with more than one municipality.
  
  
  CONCLUSIONS
  In order to increase their work income, physicians undertake various jobs, practicing their profession in different locations and various municipalities, involving constant travel and contributing to the precarious conditions of their own lives and, therefore, of the public health system.
authors.affiliation: Centro de Ciências Humanas, Universidade de Fortaleza, Fortaleza, CE, Brasil. reginaheloisamaciel@gmail.com
authors.forename: Regina Heloisa
authors.initials: RH
authors.lastname: Maciel
authors.forename: João Bosco Feitosa dos
authors.initials: JB
authors.lastname: Santos
authors.forename: Telma Bessa
authors.initials: TB
authors.lastname: Sales
authors.forename: Marco Aurélio de Andrade
authors.initials: MA
authors.lastname: Alves
authors.forename: Ana Paula
authors.initials: AP
authors.lastname: Luna
authors.forename: Leonardo Bezerra
authors.initials: LB
authors.lastname: Feitosa
mesh_terms: D001938:Brazil; D032982:Contracts / Q000706:statistics & numerical data*; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008503:Medical Staff / Q000706:statistics & numerical data*; D017149:Private Sector; D017150:Public Sector; D016526:Workload / Q000706:statistics & numerical data*; D017132:Workplace