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Item Mudanças e culturas organizacionais diante de emergências em saúde : impactos e aprendizados da pandemia de covid-19 sob a percepção de profissionais da Atenção Primária à Saúde(Fundação João Pinheiro, 2024) Magalhães, Nadine Daniele; Batitucci, Eduardo Cerqueira; http://lattes.cnpq.br/9562452176702956; Batitucci, Eduardo CerqueiraThe covid-19 pandemic, which began in 2020, was the driver of countless social, economic, political and cultural changes in the daily lives of populations around the world. With millions of cases accumulated throughout the pandemic period, portraying one of the most challenging health emergencies of the 21st century, in Brazil, the health crisis required quick and efficient actions to avoid the collapse of the Unified Health System (SUS). Public health management, already complex, faced a sudden process of changing work protocols and strategic demands, exacerbating the pressure on health professionals and managers. In this context, the Primary Health Care (APS) network stood out as crucial for preventing injuries and reducing harm, being the main gateway to the health system in municipalities, coordinating comprehensive care and articulating with other levels of care to meet the population's health needs, in addition to helping to avoid unnecessary occupancy of hospital beds. Faced with this scenario of significant changes, the adaptation capacity of organizations is influenced by cultural assumptions shared by their members, determining situations of resistance or resilience to transformations. This panorama also highlights organizational learning processes by demonstrating the occurrence of cycles of reading and interpreting the environment, making decisions and evaluating mistakes and successes, until the incorporation of the latter into the organizational routine, relating to the change and construction of cultural aspects. Thus, the dissertation investigates the impacts of the covid-19 pandemic on public health management in Belo Horizonte, focusing on organizational transformations in the Primary Health Care network. The research focuses on the Belo Horizonte Municipal Health Secretariat (SMSA-BH), seeking to understand how the changes caused by the pandemic were assimilated and incorporated into organizational practices from the perspective of APS professionals, especially those who are part of groups of street-level bureaucrats and mid-level bureaucrats. The objectives of the study include identifying the effects of the pandemic on the routine of the organization's members, changes in organizational practices, the cultural elements that influenced these transformations and the learning consolidated and applied in a new health emergency in the municipality. It also sought to identify cultural similarities and differences between the two groups covered in the research, in order to analyze the possible subcultures present in the organization. The methodology adopted is based on a qualitative and exploratory case study, using data collected through literature review, documentary survey, questionnaires and semistructured interviews, using content analysis to interpret the perceptions of different groups within the institution. Reflections of changes were observed, especially in the level of overload and stress of professionals, in the informatization and management of work processes, in the dynamics of user care in Primary Care and in the forms of communication and integration between teams and levels of activity. Despite a collective cultural identity shared between the research groups focused on the organizational mission of saving lives, there was a distinction in perceptions and interpretations, influenced by cultural elements that relate to the particular characteristics of the levels of bureaucracy in which each group is found. It was also concluded that learning processes occurred in the organization during and after the pandemic, enhanced by greater dialogue, critical reflection and systemic thinking by professionals, resulting in the consolidation of practices that worked. It was possible to verify the application of learning from the pandemic due to the occurrence of a new health emergency during the research, this time concerning arboviruses, with the practices that proved to be efficient in the previous emergency being rescued. Among the limitations of the research, the lack of depth in the perceptions of street-level bureaucrats stands out due to the data collection instrument and the limited time for more detailed interviews. The time that has passed since the beginning and end of the pandemic and the coincidence with the arbovirus epidemic may also have influenced the professionals' perceptions. It is suggested that new studies explore the relationships between change, culture and organizational learning in other contexts, to verify the applicability of the results found and enable comparisons that enrich the understanding of these phenomena in different health organizations.Item Processos de mudança : o caso do TRF de Minas Gerais(Fundação João Pinheiro, 2024) Gieseke, Rodolfo Farah; Cruz, Marcus Vinicius Gonçalves da; http://lattes.cnpq.br/3678172153181366The objective of this dissertation is to present how the organizational change brought about by the creation of the TRF6 is being carried out, and identify which factors facilitate or hinder the organization of this new Court. Methodologically, the research uses a single case study, given the singular nature of the first Court created after the Constitution of the Federative Republic of 1988. This qualitative research used the technique of literature review for convenience, the study of historical findings and the 14 (fourteen) interviews conducted with internal and external agents of the institution (CEF, INSS, MPF and OAB), which allowed the researcher to understand the respondents' view and the categorization of the corpus according the dimensions thought by Pettigrew (context, content and process).The research shows that the need for the creation of the TRF6 dates back to the 2000s. The needs stems from the continental size of the TRF1 (the original court) and all that it entailed. The research also uncovered that, the law which created the TRF6 was passed by congress and sanctioned by the President in 2021, and was implemented on August 19th 2022, without the creation of a detailed implementation plan. The results of this dissertation also point that, in its first year, the TRF6 has already accomplished: speedy judgment of its cases, including at the appellate level; an amplified access for the second instance and its actors; a facilitation of its management in the face of its true regionalization; a reduction of cost-process in the country; and the gradual implementation of a direct organizational culture that is less hierarchical, humanized and channeled towards the efficiency of its shared structures, both in the administrative area and in the single secretariats. Finally, it was found that with autonomy, technological resources and with the continuity in the dedication and appreciation of its employees (especially in the case of women) will be able to fulfill its mission of serving as inspiration, in the future, to other courts of the Judiciary, which may follow a similar path.Item Transição para a Lei Federal nº 14.133/2021 : o arranjo institucional das compras públicas sob a perspectiva das capacidades estatais em uma autarquia de gestão hospitalar(Fundação João Pinheiro, 2025) Sampaio, Ana Luiza Nunes; Carneiro, Ricardo; http://lattes.cnpq.br/6739881018308220; Carneiro, Ricardo; Nascimento, Luis Felipe Zilli do; Fernandes, Ciro Campos ChristoFrom the perspective of sociological institutionalism, this dissertation addresses the process of institutional and organizational changes that occurred in a state public hospital management agency within the context of the transition to the new Public Procurement and Administrative Contracts Law (LLCA 3 Federal Law nº 14.133/2021). The study examines the institutional arrangement through the lens of state capacities, as well as the influence of this arrangement on the implementation of the new procurement rules in the context of the Fundação Hospitalar do Estado de Minas Gerais (Fhemig), the largest state hospital network of Brazil's Unified Health System (SUS). The general objective of the research was to analyze the institutional change process in a large public health organization based on the case study of Fhemig. To achieve this general objective, three specific objectives were pursued: (1) to define the critical components of the organization's institutional capacity (IC) in public procurement; (2) to understand the main transformations imposed by the normative transition within the research context; and (3) to evaluate, through the case study and in light of the critical conjuncture of normative transition, what elements compose the institutional arrangement of public procurement and how they interrelate. This research is designed as a descriptive and qualitative case study, complemented by quantitative analysis. It developed a methodological triangulation combining techniques of nonsystematic literature review, documentary analysis, and semi-structured interviews with six key actors in the organization, whose transcripts were subjected to content analysis. The quantitative database included information from 83 procurement processes conducted in 2023 and 2024 under the modalities of electronic auctions and electronic auctions for price registration, with statistical analysis performed using IBM SPSS and graphical analysis via Power BI. Additionally, the study employed the ChatGPT v4.0 artificial intelligence tool to assist in the literature review and comparative analysis between the repealed and current procurement statute. The study concludes that the changes imposed by the LLCA were not disruptive, despite advances in normative simplification and the institutional structuring of the stages in the public procurement macroprocess. It highlights that understanding the institutional dynamics underlying the procurement field is essential for interpreting the outcomes of innovations in the sector. As a technical byproduct, the dissertation offers an analytical model for evaluating institutional capacity in public procurement within public sector organizations, applied and tested in the case of Fhemig.