Expressions of precarious working conditions in the rules of the game: Social Organizations in Primary Care in the municipality of Rio

Abstract

The objective was to analyze the labor relations in the scope of Primary Care operated by Social Organizations in the city of Rio de Janeiro in the period from 2009 to 2019. Using the contributions of neoinstitucionalism as a theorical-methodological framework, this is a qualitative research that used documentary analysis as a methodological strategy. The formal rules of labor relations and their relationship with precariousness were analyzed based on documents prepared by the legislative, executive and service providers. Hiring modalities; social security or labor contributions; recruitment and selection modalities; worker representation; job, salary and benefits plan; remuneration; scope of practices and team composition, were considered. The uncertainties in guaranteeing labor rights, insecurity about the professional future, work overload, among others, stood out as expressions of insecurity. The rules of the game contained in the regulations express the flexibility and precariousness of work in primary care in the municipality, calling into question the sustainability of services based on the model of Social Organizations.