Made available in DSpace on 2014-12-17T15:46:24Z (GMT). No. of bitstreams: 1 MonicaMRN_DISSERT.pdf: 2365239 bytes, checksum: ee4f78ae549113c89a3d87843b87b283 (MD5) Previous issue date: 2011-09-29 / This study aimed to analyze the work of social workers at the Hospital Universit?rio Onofre Lopes (HUOL), with the analytical approach the contracting process with the HUOL with the National Health System (SUS), which is set from 2004. Thus, this study sought in times of state reform, restructuring and tension between enlargement / reduction of social and labor rights, understanding the limits and possibilities of social work in HUOL, analyzing how these determinations bounce in the practice of social workers included in the collective process of health work. From a theoretical and methodological historical and dialectical materialism, we conducted literature search, in which developed book report and readings of texts, articles, books that focus on the central categories of the study, namely: Work, Social Work, Health, Health Reform , Project ethical and professional politician. Operationalized also a documentary research, on the Brazilian Public Health Policy, (SUS) and of the Education, as well as research field in which we conducted interviews with 11 social workers, employees packed the HUOL. We conclude that social workers did not participate in the discussion process of contracting the HUOL with the Municipal Health Secretariat of Natal, RN, manager of health and full resetting of user access, via reference setting - counter-referral services provided by the hospital brought the main demands on Social Work guidance regarding the functionality of SUS, and the social intervention in the struggle to guarantee such access. However, the data show that the expansion of demands that require the intervention of the social worker at HUOL is not associated with quantitative growth of these professionals need. Such conditions inflect the possibilities of materialization of the professional ethical-political project, even though that these professionals worry and seek the intellectual improvement, quality of service and to guarantee the social rights of users in the professional practice everyday / Esta pesquisa buscou analisar o trabalho dos assistentes sociais, no Hospital Universit?rio Onofre Lopes (HUOL), tendo como recorte anal?tico o processo de contratualiza??o do HUOL com o Sistema ?nico de Sa?de (SUS), que se configurou, a partir de 2004. Assim, este estudo procurou apreender os limites e possibilidades do trabalho do assistente social no HUOL, analisando como as determina??es deste tempo de reforma do Estado, reestrutura??o e tens?o entre amplia??o/redu??o dos direitos sociais e trabalhistas, rebatem no exerc?cio profissional dos assistentes sociais inseridos no processo coletivo de trabalho em sa?de. A partir de um referencial te?rico-metodol?gico materialista hist?rico e dial?tico, realizamos pesquisa bibliogr?fica, na qual desenvolvemos leituras e fichamentos de textos, artigos, livros, que enfocassem as categorias centrais do estudo, quais sejam: Trabalho, Servi?o Social, Sa?de, Reforma Sanit?ria, Projeto ?tico-pol?tico profissional. Operacionalizamos, tamb?m, uma pesquisa documental, acerca da Pol?tica de Sa?de P?blica, SUS e de Educa??o, bem como pesquisa de campo, na qual realizamos entrevistas com 11 assistentes sociais, lotadas no quadro de pessoal do HUOL. Conclu?mos que as assistentes sociais n?o participaram do processo de discuss?o da contratualiza??o do HUOL, com a Secretaria Municipal de Sa?de de Natal, RN, gestor pleno de sa?de e que a redefini??o do acesso dos usu?rios, via regula??o de refer?ncia contra refer?ncia aos servi?os disponibilizados pelo hospital trouxe como principais demandas ao Servi?o Social as orienta??es a respeito da funcionalidade do SUS, bem como a interven??o do assistente social na luta pela garantia deste acesso. Por?m, os dados mostram que a amplia??o das demandas que requerem a interven??o do assistente social do HUOL est? comprometida em virtude da redu??o desses profissionais, fato que se agravou nos ?ltimos dezesseis anos. Tais condi??es inflexionam as possibilidades de materializa??o do projeto ?tico-pol?tico profissional, mesmo que estas profissionais se preocupem e busquem o aprimoramento intelectual, a qualidade do servi?o prestado e a garantia dos direitos sociais dos usu?rios