This paper analyzes the possibilities for self-management through an Administration Committee in a public hospital in São Paulo State, examining this experience and identifying the collective arrangements established from the standpoint of self-managed areas. This analysis focuses on the production dynamics of subjective aspects that pass by the Administration Committee of the hospital under examination, using the daily records of the institution and simple observation as the research methods. Charting the Committee processes indicated the establishment of collective activities guided by models based on shared management experiences, where the introduction of processes assigning joint responsibility can promote a management style with room for the dynamics of singularization. This paper also comments on some elements constituting self-management movements that are apparent in the conflict triggered by hetero-management processes.
Healthcare administration; Subjectivity; Self-management; Institutional analysis; Healthcare work process