Banca de DEFESA: LEONE COELHO BAGAGI

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : LEONE COELHO BAGAGI
DATE: 20/04/2022
TIME: 14:00
LOCAL: Ambiente virtual Zoom
TITLE:

Dynamics of innovation in different hospital management models in Bahia

KEY WORDS:

Dynamics of innovation in health services; Innovation capacity; Direct Public Administration; Social Health Organization; Private Public Partnership.

 

PAGES: 257
BIG AREA: Ciências Sociais Aplicadas
AREA: Administração
SUMMARY:

The pressures characteristic of the health sector challenge hospitals in the face of the complexity, dynamics and rapid technological and epidemiological changes, involving the production and supply of health services. In this scenario, the state of Bahia is leading the adoption of different hospital management models as an alternative to facing such challenges. This thesis aims to analyze how hospitals managed by the management models of the Direct Public Administration (APD), Health Social Organization (OSS) and Public Private Partnership (PPP) from the Bahia State Health Department (SESAB) achieve superior performance in the challenging context of the healthcare sector. The sequential mixed-type multi-method methodological strategy is used, with a quantitative phase to validate the theoretical model to measure innovation capacity through confirmatory factor analysis, multigroup analysis of invariance and structural equation modeling. Subsequently, the qualitative phase is carried out to detail the organizational dynamics between the capacity for innovation and the integration of organizational resources through text mining and open, axial and selective coding techniques. The units of analysis are hospitals with superior performance in the Department's network, representing each management model and sample composed of professionals from the health and administrative areas and their respective managers.  The validation of the adapted theoretical model proved to be suitable for application in this research. With the theoretical model validated, it was possible to deepen the analysis of quantitative data to measure the capacity for innovation. This analysis demonstrated an elevated capacity for innovation and predictive power of this validated model, both in the general sample and individually, per hospital unit surveyed. Based on the evidence of the quantitative analysis confirming the elevated capacity for innovation in the three hospitals, a qualitative analysis was carried out to detail the organizational dynamics between the capacity for innovation and the acquirement of technologies applied in hospital care. The results reveal that the determining factors related to managers and staff/employees act and interact with other resources to obtain the technologies, presenting the main differences between the management models. Among the differences, there are significant differences that stand out in the relationships between the factors of the strategic intention to innovate with transformative leadership and this with the management of people for innovation, evidencing specific internal conditions in the control and disposition of resources occurring in a heterogeneous way between the models of management of the APD, OSS and PPP types, which are evidenced in the subcategories related to these factors, with emphasis on the determining factors related to managers and employees who act and interact with other resources to obtain technologies in a differentiated way between the models of management. The results confirm an elevated capacity for innovation, acting as a dynamic element in the integration of organizational resources to obtain new technologies applied in care, improving hospital performance indicators and, therefore, enabling benefits related to patients, staff/employees, the Department network and the organizational image of the units surveyed.

BANKING MEMBERS:
Externa à Instituição - ANA MARIA MALIK - FGV
Externo à Instituição - ABDINARDO MOREIRA BARRETO DE OLIVEIRA - UTFPR
Externa à Instituição - LORENE LOUISE SILVA PINTO - UFBA
Externo ao Programa - 2663031 - RICARDO COUTINHO MELLO
Presidente - 287735 - VERA LUCIA PEIXOTO SANTOS MENDES