Entre a norma e a prática: os desafios na implementação do SIASS nas IFES

Abstract

This study analyzed the challenges and progress in implementing the Integrated Subsystem for the Health Care of Federal Public Servants (SIASS) at Federal Higher Education Institutions (IFES), focusing on the Federal University of Technology - Paraná (UTFPR). The relevance of this topic lies in employee health's impact on the continuity and quality of public services. To this end, a narrative literature review was conducted, followed by documentary and quantitative analyses of data extracted from UTFPR management reports and semi-structured interviews with managers involved in the program. The results indicate a predominance of reactive approaches-centered on medical examinations and leave requests-rather than preventive strategies and well-being promotion. Furthermore, the human and financial resources shortage, data fragmentation, and limited integration between sectors hinder more efficient occupational health management. It is concluded that although SIASS represents an institutional advance by proposing systemic healthcare actions, significant gaps remain between the regulatory guidelines and operational practice. These findings highlight the need for more robust policies, with greater investment in preventive measures, data integration, and strengthened technical teams. It is hoped that this study will contribute to enhancing public occupational health policies and consolidating healthier, more productive workplaces within the federal public sector.