A contratualização no âmbito da gestão do Hospital das Clínicas da Universidade Federal de Goiás: análise do período de 2001 a 2013

• Ano de defesa: 2017
• Autor(a) principal: Azevedo, Jane Mary Rosa
• Orientador(a): Oliveira, Ênio Chaves de
• Banca de defesa: Oliveira, Ênio Chaves de, Reis, Ademar Arthur Chioro do, Coelho, Maria Alice, Teixeira, Ricardo Antônio Gonçalves, Oliveira, Ellen Synthia Fernandes de
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Ciências da Saúde (FM)
• Departamento: Faculdade de Medicina - FM (RG)
• País: Brasil
• Palavras-chave em Português: Política de saúde; Gestão em saúde; Hospitais de ensino; Administração hospitalar
• Palavras-chave em Inglês: Health policy; Health management; Teaching hospitals; Hospital administration
• Área do conhecimento CNPq: OUTROS::ADMINISTRACAO HOSPITALAR
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/7363

This thesis reports a descriptive exploratory case study with qualitative and quantitative approach carried out at the Hospital das Clínicas of the Federal University of Goiás. Its objective is to analyze the possible impacts resulting from the contractualisation process implemented in 2004 with the Municipal Secretary of Health of Goiânia. It analyzed the period from 2001 to 2013, focusing on the production of health care, indicators of hospital performance, financial aspects and investments. A document analysis was made available by the institution and a semi-structured interview with seventeen managers who worked in the management before and after the contracting process of the institution, the Municipal Health Department of Goiânia and the Ministries of Education and Health. The quantitative data and the content analysis for the qualitative ones, using WebQDA software. The results showed that there was a financial impact with contracting, with a reduction in hospital care production, unmet physical goals, low institutional performance with reduction of occupancy rates, idleness, turnover, and reduction in the number of beds. In the manager’s perception, contracting is a definitive policy for hospitals that attend the Brazilian Unified Health System and its effectiveness has brought several benefits, although there are still aspects to be reviewed, such as quantity and quality of human, financial and other resources. It is concluded that this process contributes to decisions and executions actions related to this management model, committed to the quality of health services provided to the population. Negotiations and more feasible pacts are suggested, with compliance with the Ordinance and constant participation of federal, municipal and institutional managers, favoring both hospital performance and improved quality.