Transição para a Lei Federal nº 14.133/2021 : o arranjo institucional das compras públicas sob a perspectiva das capacidades estatais em uma autarquia de gestão hospitalar

• Ano de defesa: 2025
• Autor(a) principal: Sampaio, Ana Luiza Nunes
• Orientador(a): Carneiro, Ricardo
• Banca de defesa: Carneiro, Ricardo, Nascimento, Luis Felipe Zilli do, Fernandes, Ciro Campos Christo
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Fundação João Pinheiro
• Programa de Pós-Graduação: Programa de Mestrado em Administração Pública
• Departamento: Escola de Governo Paulo Neves de Carvalho
• País: Brasil
• Palavras-chave em Português: Compra (Serviço público); Brasil; Brasil. [Lei n. 14.133, de 1 de abril de 2021]; Mudança organizacional; Administração hospitalar; Sistema Único de Saúde (SUS); Fundação Hospitalar do Estado de Minas Gerais (Fhemig)
• Área do conhecimento CNPq: CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA
• Link de acesso: https://repositorio.fjp.mg.gov.br/handle/123456789/4704

From the perspective of sociological institutionalism, this dissertation addresses the process of institutional and organizational changes that occurred in a state public hospital management agency within the context of the transition to the new Public Procurement and Administrative Contracts Law (LLCA 3 Federal Law nº 14.133/2021). The study examines the institutional arrangement through the lens of state capacities, as well as the influence of this arrangement on the implementation of the new procurement rules in the context of the Fundação Hospitalar do Estado de Minas Gerais (Fhemig), the largest state hospital network of Brazil's Unified Health System (SUS). The general objective of the research was to analyze the institutional change process in a large public health organization based on the case study of Fhemig. To achieve this general objective, three specific objectives were pursued: (1) to define the critical components of the organization's institutional capacity (IC) in public procurement; (2) to understand the main transformations imposed by the normative transition within the research context; and (3) to evaluate, through the case study and in light of the critical conjuncture of normative transition, what elements compose the institutional arrangement of public procurement and how they interrelate. This research is designed as a descriptive and qualitative case study, complemented by quantitative analysis. It developed a methodological triangulation combining techniques of nonsystematic literature review, documentary analysis, and semi-structured interviews with six key actors in the organization, whose transcripts were subjected to content analysis. The quantitative database included information from 83 procurement processes conducted in 2023 and 2024 under the modalities of electronic auctions and electronic auctions for price registration, with statistical analysis performed using IBM SPSS and graphical analysis via Power BI. Additionally, the study employed the ChatGPT v4.0 artificial intelligence tool to assist in the literature review and comparative analysis between the repealed and current procurement statute. The study concludes that the changes imposed by the LLCA were not disruptive, despite advances in normative simplification and the institutional structuring of the stages in the public procurement macroprocess. It highlights that understanding the institutional dynamics underlying the procurement field is essential for interpreting the outcomes of innovations in the sector. As a technical byproduct, the dissertation offers an analytical model for evaluating institutional capacity in public procurement within public sector organizations, applied and tested in the case of Fhemig.