Banca de DEFESA: JULIANA DOS SANTOS OLIVEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : JULIANA DOS SANTOS OLIVEIRA
DATA : 26/05/2020
HORA: 14:30
LOCAL: Aplicativo Zoom
TÍTULO:

Hospital Management and Health Consortium: The SUS Bahia Case.

PALAVRAS-CHAVES:

Public Health Planning, Health Management, Interstate Health Consortium, Public Hospitals.

PÁGINAS: 59
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

In face of the complexity that is to plan and manage the infirmary attention at SUS, which withholds problems from elevated treatment and technology costs, to an uneven distribution regarding Brazilian regions, of the health unities, the search for alternatives, done by public managers, was directly responsible for the emergence of public-private relations, as a neo-managing perspective coming from the Brazilian Administrative Reform done in 1990. Following the expansion tendency, seen at the Modelos Alternativos de Gestão Indireta - MAGI, SUS Bahia has expanded the use of such models in the implementation of the states public policy for infirmary attention, specially the use of OS and PPP. Furthermore, another alternative that was engaged by Secretaria Estadual de Saúde da Bahia (SESAB), was the public consortium, defined as an interstate administrative model, that favors public policies articulation, negotiation, coordination and implementation as a cooperative movement. Although the extensive number of studies on the subject of consortium, it is evident the existence of a gap in the knowledge over the decision process and experiences done by these public managers that would prioritize such model of infirmary managing at SUS, over other managing models. Thereby, this thesis had the goal of analyzing the decision done by interstate consortium as a model of public management for infirmaries at the SUS Bahia. This paper was developed as a case study with a qualitative approach using as reference the neo-institutionalism. The methodology was constituted by the use of primary data, in the format of an interview, and secondary data, in the format of written documents, from six people, most of these who work at the central level of the state public health management. The experimentational findings suggests that the decision process was defined solemnly by political demand and guided by actors with government bond. In other words, the use of the consortium model was decided primarily without the use of technical knowledge and without prior consulting of the technical responsible in SESAB. On the other hand, the study showed a more positive perspective over discussions on this subject, by the managing instances, over the possibility that this model shows an extensive support to a more decentralized, thus more regional, model of managing the public health. Finally, the study showed a need for further investigations on the subject, with the primary goal of comprehend the best possible model for managing public health, focusing on the well-being of the population.

MEMBROS DA BANCA:
Interno - 1678369 - ANA LUIZA QUEIROZ VILASBOAS
Externo à Instituição - ANA PAULA CHANCHARULO DE MORAIS PEREIRA
Presidente - 3359216 - ISABELA CARDOSO DE MATOS PINTO