Avaliação de desempenho de unidades de saúde, sob gestão de Organização Social de Saúde
Ano de defesa: | 2018 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Não Informado pela instituição
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Programa de Pós-Graduação: |
Não Informado pela instituição
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Departamento: |
Não Informado pela instituição
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País: |
Não Informado pela instituição
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Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Link de acesso: | https://hdl.handle.net/10438/24442 |
Resumo: | Over the last 15 years, the administration of public health units by Social Health Organizations (OSS) has been growing and consolidating as an excellent alternative to increase the efficiency of services provided. The model of health services management by OSS is already present in more than 23 states and 220 municipalities in the country (SOUZA, 2017). According to the study prepared by the Health Department of the State of São Paulo, the health services management model by OSS is more cost-effective under several indicators, when compared to the direct management of general hospitals, pointing to higher productivity and lower cost, and concluded that OSS management can be up to 52% more productive and 32% cheaper for the State of São Paulo than the direct administration system (SOUZA, 2017). However, this model still presents variability in the results of the units as portrayed by the Federal Court of Audit (TCU), pointing out not so positive references, highlighting the difficulties in monitoring compliance with clauses and targets established in the management agreement by the contractors (WERNECK, BOTTARI, 2016). Aiming at the possibility of promoting a management model that allows greater competitiveness, the study deepened the factors influencing the performance of health units administered by the OSS, in order to allow future actions in actions to mitigate the variability and leverage equipment performance analyzed. Because it is the analysis of the methodology of performance evaluation created by a certain Social Health Organization (OSS), we chose a case study format. The results obtained through the application of the study demonstrate that one of the most relevant factors to ensure the best performance of health units administered by an OSS is the interaction between the contractors, fulfilling contractual obligations, financial onlending flows and medium partnership for the long term, in order to sediment the culture of continuous improvement. |
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Viol, Paulo Vinícius SouzaEscolas::EAESPEscrivão Junior, ÁlvaroMota, Nancy Val y Val Peres daFerreira Junior, Walter Cintra2018-07-24T16:11:17Z2018-07-24T16:11:17Z2018-06-20https://hdl.handle.net/10438/24442Over the last 15 years, the administration of public health units by Social Health Organizations (OSS) has been growing and consolidating as an excellent alternative to increase the efficiency of services provided. The model of health services management by OSS is already present in more than 23 states and 220 municipalities in the country (SOUZA, 2017). According to the study prepared by the Health Department of the State of São Paulo, the health services management model by OSS is more cost-effective under several indicators, when compared to the direct management of general hospitals, pointing to higher productivity and lower cost, and concluded that OSS management can be up to 52% more productive and 32% cheaper for the State of São Paulo than the direct administration system (SOUZA, 2017). However, this model still presents variability in the results of the units as portrayed by the Federal Court of Audit (TCU), pointing out not so positive references, highlighting the difficulties in monitoring compliance with clauses and targets established in the management agreement by the contractors (WERNECK, BOTTARI, 2016). Aiming at the possibility of promoting a management model that allows greater competitiveness, the study deepened the factors influencing the performance of health units administered by the OSS, in order to allow future actions in actions to mitigate the variability and leverage equipment performance analyzed. Because it is the analysis of the methodology of performance evaluation created by a certain Social Health Organization (OSS), we chose a case study format. The results obtained through the application of the study demonstrate that one of the most relevant factors to ensure the best performance of health units administered by an OSS is the interaction between the contractors, fulfilling contractual obligations, financial onlending flows and medium partnership for the long term, in order to sediment the culture of continuous improvement.Nos últimos 15 anos a administração de unidades de saúde públicas por Organizações Sociais de Saúde (OSS) vêm crescendo e se consolidando como excelente alternativa para o aumento da eficiência dos serviços prestados. O modelo de gestão de serviços de saúde por OSS já está presente em mais de 23 Estados e 220 municípios do país (SOUZA, 2017). De acordo com o estudo elaborado pela Secretaria de Saúde do Estado de São Paulo, o modelo de gestão de serviços de saúde por OSS apresenta melhor custo-benefício sob diversos indicadores, quando comparados à gestão direta de hospitais gerais, apontando maior produtividade e menor custo, concluindo-se que a gestão por OSS consegue ser até 52% mais produtiva e 32% mais barata para o Estado de São Paulo em comparação ao sistema de administração direta (SOUZA, 2017). No entanto, este modelo ainda apresenta variabilidade nos resultados das unidades conforme retratado pelo Tribunal de Contas da União (TCU), apontando referências não tão positivas, destacando as dificuldades na fiscalização quanto ao cumprimento de cláusulas e metas estabelecidas no contrato de gestão por parte dos contratantes (WERNECK, BOTTARI, 2016). Visando a possibilidade de promover um modelo de gestão que permita maior competitividade, o estudo se aprofundou nos fatores influenciadores no desempenho das unidades de saúde administradas pela OSS, de modo a permitir desdobramentos futuros em ações para mitigar as variabilidades evidenciadas e alavancar a performance dos equipamentos analisados. Por se tratar da análise sobre a metodologia de avaliação de desempenho criada por uma determinada Organização Social de Saúde (OSS), optou-se por um formato de estudo de caso. Os resultados encontrados mediante a aplicação do estudo, demonstram que um dos fatores de maior relevância para assegurar o melhor desempenho das unidades de saúde administradas por uma OSS correspondem à interação entre os contratantes, cumprindo as obrigações contratuais, fluxos de repasses financeiros e parceria de médio para longo prazo, de modo a sedimentar a cultura da melhoria contínua.porCompetitivenessPerformance evaluationSocial Health OrganizationCompetitividadeAvaliação de desempenhoOrganização Social de SaúdeAdministração de empresasPolítica de saúdeSaúde pública - AdministraçãoOrganizações não-governamentaisAssociações sem fins lucrativosDesempenhoAvaliação de desempenho de unidades de saúde, sob gestão de Organização Social de Saúdeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional do FGV (FGV Repositório Digital)instname:Fundação Getulio Vargas (FGV)instacron:FGVTEXTDissertação Paulo Viol - Versão Final.pdf.txtDissertação Paulo Viol - Versão Final.pdf.txtExtracted texttext/plain102919https://repositorio.fgv.br/bitstreams/fe8957d8-550e-43a6-a4cb-a459a6566ed9/downloada25e121c945f047a09a1aa2e6bae764cMD55ORIGINALDissertação Paulo Viol - Versão Final.pdfDissertação Paulo Viol - Versão Final.pdfPDFapplication/pdf869270https://repositorio.fgv.br/bitstreams/63f3af11-bc24-4ed8-b1f6-2f18452c77fd/downloadda6b1af81d75d8726abda99dd5a0e398MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-84707https://repositorio.fgv.br/bitstreams/e497c63d-b1fb-46b2-a167-599f08579044/downloaddfb340242cced38a6cca06c627998fa1MD52THUMBNAILDissertação Paulo Viol - Versão Final.pdf.jpgDissertação Paulo Viol - Versão Final.pdf.jpgGenerated Thumbnailimage/jpeg2360https://repositorio.fgv.br/bitstreams/b2008bdb-7f3e-43d0-a6eb-559363786206/download312c54e6b38faa744bbcaa4f509e64b2MD5610438/244422023-11-27 06:12:22.276open.accessoai:repositorio.fgv.br:10438/24442https://repositorio.fgv.brRepositório InstitucionalPRIhttp://bibliotecadigital.fgv.br/dspace-oai/requestopendoar:39742023-11-27T06:12:22Repositório Institucional do FGV (FGV Repositório Digital) - Fundação Getulio Vargas 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 |
dc.title.por.fl_str_mv |
Avaliação de desempenho de unidades de saúde, sob gestão de Organização Social de Saúde |
title |
Avaliação de desempenho de unidades de saúde, sob gestão de Organização Social de Saúde |
spellingShingle |
Avaliação de desempenho de unidades de saúde, sob gestão de Organização Social de Saúde Viol, Paulo Vinícius Souza Competitiveness Performance evaluation Social Health Organization Competitividade Avaliação de desempenho Organização Social de Saúde Administração de empresas Política de saúde Saúde pública - Administração Organizações não-governamentais Associações sem fins lucrativos Desempenho |
title_short |
Avaliação de desempenho de unidades de saúde, sob gestão de Organização Social de Saúde |
title_full |
Avaliação de desempenho de unidades de saúde, sob gestão de Organização Social de Saúde |
title_fullStr |
Avaliação de desempenho de unidades de saúde, sob gestão de Organização Social de Saúde |
title_full_unstemmed |
Avaliação de desempenho de unidades de saúde, sob gestão de Organização Social de Saúde |
title_sort |
Avaliação de desempenho de unidades de saúde, sob gestão de Organização Social de Saúde |
author |
Viol, Paulo Vinícius Souza |
author_facet |
Viol, Paulo Vinícius Souza |
author_role |
author |
dc.contributor.unidadefgv.por.fl_str_mv |
Escolas::EAESP |
dc.contributor.member.none.fl_str_mv |
Escrivão Junior, Álvaro Mota, Nancy Val y Val Peres da |
dc.contributor.author.fl_str_mv |
Viol, Paulo Vinícius Souza |
dc.contributor.advisor1.fl_str_mv |
Ferreira Junior, Walter Cintra |
contributor_str_mv |
Ferreira Junior, Walter Cintra |
dc.subject.eng.fl_str_mv |
Competitiveness Performance evaluation Social Health Organization |
topic |
Competitiveness Performance evaluation Social Health Organization Competitividade Avaliação de desempenho Organização Social de Saúde Administração de empresas Política de saúde Saúde pública - Administração Organizações não-governamentais Associações sem fins lucrativos Desempenho |
dc.subject.por.fl_str_mv |
Competitividade Avaliação de desempenho Organização Social de Saúde |
dc.subject.area.por.fl_str_mv |
Administração de empresas |
dc.subject.bibliodata.por.fl_str_mv |
Política de saúde Saúde pública - Administração Organizações não-governamentais Associações sem fins lucrativos Desempenho |
description |
Over the last 15 years, the administration of public health units by Social Health Organizations (OSS) has been growing and consolidating as an excellent alternative to increase the efficiency of services provided. The model of health services management by OSS is already present in more than 23 states and 220 municipalities in the country (SOUZA, 2017). According to the study prepared by the Health Department of the State of São Paulo, the health services management model by OSS is more cost-effective under several indicators, when compared to the direct management of general hospitals, pointing to higher productivity and lower cost, and concluded that OSS management can be up to 52% more productive and 32% cheaper for the State of São Paulo than the direct administration system (SOUZA, 2017). However, this model still presents variability in the results of the units as portrayed by the Federal Court of Audit (TCU), pointing out not so positive references, highlighting the difficulties in monitoring compliance with clauses and targets established in the management agreement by the contractors (WERNECK, BOTTARI, 2016). Aiming at the possibility of promoting a management model that allows greater competitiveness, the study deepened the factors influencing the performance of health units administered by the OSS, in order to allow future actions in actions to mitigate the variability and leverage equipment performance analyzed. Because it is the analysis of the methodology of performance evaluation created by a certain Social Health Organization (OSS), we chose a case study format. The results obtained through the application of the study demonstrate that one of the most relevant factors to ensure the best performance of health units administered by an OSS is the interaction between the contractors, fulfilling contractual obligations, financial onlending flows and medium partnership for the long term, in order to sediment the culture of continuous improvement. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-07-24T16:11:17Z |
dc.date.available.fl_str_mv |
2018-07-24T16:11:17Z |
dc.date.issued.fl_str_mv |
2018-06-20 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://hdl.handle.net/10438/24442 |
url |
https://hdl.handle.net/10438/24442 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional do FGV (FGV Repositório Digital) instname:Fundação Getulio Vargas (FGV) instacron:FGV |
instname_str |
Fundação Getulio Vargas (FGV) |
instacron_str |
FGV |
institution |
FGV |
reponame_str |
Repositório Institucional do FGV (FGV Repositório Digital) |
collection |
Repositório Institucional do FGV (FGV Repositório Digital) |
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MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional do FGV (FGV Repositório Digital) - Fundação Getulio Vargas (FGV) |
repository.mail.fl_str_mv |
|
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1799582941431463936 |