title: Health care units and human resources management trends.
abstract: OBJECTIVE
  To identify factors producing new trends in basic health care unit management and changes in management models.
  
  
  METHODS
  This was a prospective study with ten health care unit managers and ten specialists in the field of Health in São Paulo, Southeastern Brazil, in 2010. The Delphi methodology was adopted. There were four stages of data collection, three quantitative and the fourth qualitative. The first three rounds dealt with changing trends in management models, manager profiles and required competencies, and the Mann-Whitney test was used in the analysis. The fourth round took the form of a panel of those involved, using thematic analysis.
  
  
  RESULTS
  The main factors which are driving change in basic health care units were identified, as were changes in management models. There was consensus that this process is influenced by the difficulties in managing teams and by politics. The managers were found to be up-to-date with trends in the wider context, with the arrival of social health organizations, but they are not yet anticipating these within the institutions.
  
  
  CONCLUSIONS
  Not only the content, but the professional development aspect of training courses in this area should be reviewed. Selection and recruitment, training and assessment of these professionals should be guided by these competencies aligned to the health service mission, vision, values and management models.
authors.affiliation: Núcleo São Paulo da Fundação Getúlio Vargas Management, Instituto de Desenvolvimento Educacional, Fundação Getúlio Vargas, São Paulo, SP, Brasil. majanau@msn.com
authors.forename: Adriana Maria
authors.initials: AM
authors.lastname: André
authors.forename: Maria Helena Trench
authors.initials: MH
authors.lastname: Ciampone
authors.forename: Odete
authors.initials: O
authors.lastname: Santelle
mesh_terms: D000288:Administrative Personnel / Q000458:organization & administration*; D001938:Brazil; D003695:Delivery of Health Care / Q000458:organization & administration / Q000639:trends; D003697:Delphi Technique; D006282:Health Personnel / Q000458:organization & administration / Q000639:trends*; D006295:Health Resources / Q000458:organization & administration / Q000639:trends*; D006280:Health Workforce / Q000458:organization & administration* / Q000639:trends; D006801:Humans; D017146:Models, Organizational; D011320:Primary Health Care / Q000458:organization & administration*; D011361:Professional Competence; D011446:Prospective Studies