Utilização de leitos pelos hospitais do Estado de São Paulo contratualizados com Organizações Sociais de Saúde: uma análise dos indicadores para os períodos anterior e posterior à assinatura do contrato de gestão.

Abstract

The Brazilian Public Administration has gone through lots of reforms since its implementation. The seek for a model of Public Administration able to pick the good background and to improve its acts, aiming to deliver true results to the population has been a big challenge. The several administrative reforms that occurred over time have allowed the use of new management models. One of them belongs to the indirect state administration and is known as management through Social Organizations of Health, which bases on the transfer of management state responsibilities to the so-called “social organizations” in health care. The performance of Social Organizations of Health in the management of hospitals is marked by the management contracts, setting goals and responsibilities agreed between the parties. Many of these goals involve the monitoring of healthcare performance measurements, that reflect the quality of the service provided to the patients and allow the comparison of hospitals performance according to the management models adopted. The present study aims to compare the healthcare performance measurements of hospitals in the State of São Paulo under contract with some Social Organizations of Health, considering the previous and subsequent year to the signing of the management contract. This is a quantitative approach, which has worked with secondary data source. Its execution happened in four steps: search on the website of the Transparency Portal of the State of São Paulo for the hospitals under the management of some Social Organizations of Health and the respective date of signing the management contract. Extraction of the data from these hospitals in the Information System of the Brazilian National Health System – DATAUS. Calculation of the healthcare performance measurements, such as bed occupancy and bed turning rates. The last step was the comparative analysis, for the previous and subsequent year of signature of the contracts. Hospitals that had positive variation in all performance measurements exceed 11% in hospitals that did not have positive variation in any of the performance measurements. It was observed that the healthcare performance measurements that had the most positive variation for the period after the signing of the management contract are those related directly to the quality of the care given to the patients.