Union Attitudes and Institutional Crisis in Public Health Management: a Phenomenological Study in Peru
Actitud sindical y crisis institucional en la gestión sanitaria: un estudio fenomenológico en el sector público peruano
Authors
Gualberto Segovia Meza
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Abstract
Peruvian legislation recognizes freedom of association and the right to collective bargaining; however, in the health sector, a tense relationship persists between union leadership and institutional management. This study aims to understand, from a phenomenological perspective, how officials within health institutions experience and make sense of conflicts with union representatives and the perceived effects of these dynamics on health management.
A qualitative design was adopted, based on in-depth interviews with current and former officials at different levels of health system management, complemented by public observations of union interventions in media and social networks for contextual purposes. The findings describe a phenomenon that, from the participants’ lived experiences, is configured through different interpretative trajectories: situations of negotiation and coexistence of interests between certain union leaders and officials; experiences of resistance by officials who report adherence to regulatory frameworks when facing demands they perceive as irregular; and situations in which participants perceive support from higher authorities for specific union leaderships, with consequences for managerial continuity.
According to the officials’ accounts, these dynamics tend either to recur cyclically or to stabilize through institutional arrangements that actors interpret as processes of institutional capture, affecting governance and the performance of health management. The study highlights the need to strengthen transparency mechanisms, ensure institutional protection for officials who act in accordance with regulatory norms, and promote future research that systematically incorporates the union perspective.
Keywords
References
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