Resumo

LUNA-GARCIA, Jairo Ernesto; URREGO-MENDOZA, Zulma; GUTIERREZ-ROBAYO, Mireya  e  MARTINEZ-DURAN, Alejandro. Violence at work in the public health sector: a view from the working people. Bogotá, Colombia. 2011-2012. rev.fac.med. [online]. 2015, vol.63, n.3, pp.407-417. ISSN 0120-0011.  https://doi.org/10.15446/revfacmed.v63n3.51027.

Background. Violence is a recognized public health problem that affects different spheres of society, including work environment in the field of health care, which requires policies and actions for its control. Objective. To identify situations of direct, structural and cultural violence perceived in the work environments of people working in public hospitals and the District Department of Health of Bogota. Materials and methods. A qualitative study from a social constructionist perspective, through focus groups and narrative analysis of the corresponding transcripts. Results. Structural violence in the public health sector has increased since the health system reform, which has led to an increase in direct violence, getting health workers involved in the denial of the right to health and competition processes and individualization of care; with respect to cultural violence, discrimination appears as the most important element having a negative effect on interpersonal relationships and rights violations. Conclusions. The Colombian health system neoliberal reforms have caused a critical issue around health practices organized in the public sector and the employment conditions of the staff who work there. A change in the orientation of the health system is required, as well as ensuring dignified and decent conditions of employment, with direct action to prevent violence against the people working in public health institutions in Bogotá.

Palavras-chave : Workplace Violence; Health Care Sector; Risk factors.

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