title: The flexibilization of employment relationships in the health sector: the reality in a Federal University Hospital in Brazil.
abstract: This was a socio-historical study that aimed to analyze the repercussions of the flexibilization of labor relationships within a University hospital (UH) using the thematic oral history method and triangulation of sources made up of workers' statements, institutional documents and relevant literature. It was observed that flexibilization, driven by state reform in the 1990s, had a structural impact on the trajectory of this institution, that, due to government downsizing policy, adopted outsourcing to maintain staff, leading to high staff turnover, various types of conflicts, and discontinuity and lack of organization of work processes. We conclude that the flexibilization of employment relationships became a handicap for this UH, disrupting services, negatively affecting students and service users, contributing to the deterioration of working conditions and lack of protection of workers.
authors.affiliation: Hospital Universitário Cassiano Antonio Moraes, Universidade Federal do Espírito Santo, Vitória, ES, Brasil, sheilaparreiralima@gmail.com.
authors.forename: Sheila Maria Parreira
authors.initials: SM
authors.lastname: Alves
authors.affiliation: Escola Superior de Ciências da Santa Casa Misericórdia de Vitória, Brasil.
authors.forename: Maria Carlota de Rezende
authors.initials: MC
authors.lastname: Coelho
authors.affiliation: Escola Superior de Ciências da Santa Casa Misericórdia de Vitória, Brasil.
authors.forename: Luiz Henrique
authors.initials: LH
authors.lastname: Borges
authors.affiliation: Escola Superior de Ciências da Santa Casa Misericórdia de Vitória, Brasil.
authors.forename: César Albenes de Mendonça
authors.initials: CA
authors.lastname: Cruz
authors.affiliation: Universidade Federal do Espírito Santo, Brasil.
authors.forename: Leila
authors.initials: L
authors.lastname: Massaroni
authors.affiliation: Universidade Federal do Espírito Santo, Brasil.
authors.forename: Paulete Maria Ambrósio
authors.initials: PM
authors.lastname: Maciel
mesh_terms: D001938:Brazil; D004651:Employment; D006076:Government; D019981:Health Care Sector; D006785:Hospitals, University; D006801:Humans; D014495:Universities