title: [Workforce management in Emergency Care Units: government strategies and profile of healthcare professionals].
abstract: In the late 2000s, the expansion of Emergency Care Units (UPAs) in Brazil's policy for provision of urgent healthcare included hiring a large contingent of health professionals. This article analyzes government strategies for workforce management and the profile of these professionals in the UPAs in the State of Rio de Janeiro, which has the largest number of such units in the country. The methods included document analysis, interviews with managers, and visits to the UPAs and interviews with coordinators, physicians, and nurses. The results showed that the workforce management strategies varied over time and according to administrative sphere (state versus municipal). The so-called Social Organizations became the main hirers of health professionals in the UPAs, since they allowed management flexibility. However, there were problems with selection and stability, with a predominance of young professionals with limited experience and high physician turnover. Instability associated with outsourced hiring reinforced the view of work at the UPA as a temporary job.
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Cristiani Vieira
authors.initials: CV
authors.lastname: Machado
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Luciana Dias
authors.initials: LD
authors.lastname: de Lima
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Gisele
authors.initials: G
authors.lastname: O'Dwyer
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Carla Lourenço Tavares
authors.initials: CL
authors.lastname: de Andrade
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Tatiana Wargas de Faria
authors.initials: TW
authors.lastname: Baptista
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Rachel Guimarães Vieira
authors.initials: RG
authors.lastname: Pitthan
authors.affiliation: Instituto Butantan, São Paulo, Brasil.
authors.forename: Nelson
authors.initials: N
authors.lastname: Ibañez
mesh_terms: D001938:Brazil; D004632:Emergency Medical Services / Q000458:organization & administration*; D006282:Health Personnel / Q000458:organization & administration*; D006291:Health Policy; D006801:Humans; D010559:Personnel Management; D011635:Public Health Administration; D000078329:Workforce