Banca de DEFESA: GABRIELA DO NASCIMENTO SOUZA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : GABRIELA DO NASCIMENTO SOUZA
DATA : 02/03/2021
HORA: 09:00
LOCAL: Videoconfêrencia
TÍTULO:

Quality assessment in hospitals in Salvador managed by Social Organizations.

PALAVRAS-CHAVES:

Quality assessment. Accreditation. Social organizations. National Accreditation Organization.

PÁGINAS: 116
GRANDE ÁREA: Ciências Sociais Aplicadas
ÁREA: Administração
RESUMO:

This dissertation aimed to evaluate how hospitals in Salvador managed by Social Organizations guarantee quality according to the Management Contract. To this end, the hospital network in Bahia under the management of Social Health Organizations (OSS) was characterized, selecting state hospitals in Salvador managed by Social Organizations and identifying how the management contract indicators approach or distance themselves from the National Accreditation Organization (ONA) standards. Exploratory, descriptive research was carried out with a qualitative approach. Manager of the Health Secretariat of the State of Bahia (Sesab) and Hospitals were interviewed, documentary analysis and secondary data were performed, using the data from surveys applied by OSS between 2017 and 2019 as a result indicator on user satisfaction. Results indicate that the management model by Social Organizations is predominant in the State hospital network, with seven Social Organizations participating in this program in the management of 18 hospitals, 33% of which are based in Salvador; the management contract adopted does not establish indicators capable of evaluating the structure or the care process, which weakens the state's regulatory power, as it does not have an evaluation system that allows the results of these services to be evaluated. Although hospital managers recognize advances produced by this type of management in the network's hospitals, they mention limitations in the physical structure and in the provision of hospital medical equipment in those units, in addition to difficulties in maintaining the dimensioning of personnel appropriate to their functioning. From the perspective of the Sesab manager, there are problems in the building’s physical structure, but she considers that there have been advances with regard to the technological park of hospitals in the state public network. She recognizes the planning of contractual goals and the evaluation system as a factor that makes quality assurance in these hospitals difficult. Still from the perspective of state management, the model’s potential is the possibility of contracting a product that meets the needs of offering services to the SUS. In this sense, it is proposed to Sesab to adapt the quality assessment system contained in contracts, adopting indicators that evaluate the results, not only based on the measure of efficiency and user satisfaction, but also considering aspects of patient safety and ONA requirements for level 1 hospital accreditation, with accreditation being recommended.

MEMBROS DA BANCA:
Presidente - 287735 - VERA LUCIA PEIXOTO SANTOS MENDES
Interno(a) - 2663031 - RICARDO COUTINHO MELLO
Externo(a) à Instituição - ALMERINDA ROSALIA LUEDY REIS - UNIFACS