The Influence of Sistema Ãnico de SaÃde in the High ParaÃba Valley Philanthropic Hospitals Management – A Study of Case / INFLUÃNCIA DO SISTEMA ÃNICO DE SAÃDE NA GESTÃO DE HOSPITAIS FILANTRÃPICOS NO ALTO VALE DO PARAÃBA - UM ESTUDO DE CASO -

AUTOR(ES)
DATA DE PUBLICAÇÃO

2003

RESUMO

The philanthropic hospitals have got financial problems that put in risk the maintenance of their basic activities and, in consequence, their survival. Normally, the pointed fact as responsible for such situation is the “Sistema Ãnico de SaÃde – SUS”, because of its way of payment, its constant cuts in expenses with services and its resistance in not up-dating the price table. The aim of this study is to identify the extension of the influence of SUS in the management of these institutions. To get to the point, it was made a study concerning four “Santas Casas” in the region of High ParaÃba Valley, in SÃo Paulo State, Brazil. It was made an analysis of their structures considering management and installations as well as human resources, flux of patients, main diagnoses and their cost, financial aspects, price tables and indexes of inflation. This analysis aimed to identify the factors that influence the administration of these institutions. The results showed that they have got few services of great complexity but they are efficient comparing with regional and national indexes, and that the prices paid by SUS present remarkable differences. Nevertheless SUS is not only motive for the financial problems of these institutions since they also have got deficiencies in administration. Being so, it is justified the necessity of a further analysis in order to identify mechanisms that enable a more scientific manner to break the existent models derived mainly from their management culture.

ASSUNTO(S)

administracao publica gestÃo hospitalar sistema Ãnico de saÃde (sus) santa casa santa casa hospital management sistema Ãnico de saÃde (sus)

ACESSO AO ARTIGO

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