Políticas públicas em hospitais filantrópicos: um estudo sobre os hospitais localizados na 10ª Coordenadoria Regional de Saúde do RS

Abstract

The philanthropic hospitals are important providers of services to the SUS, making available more than 74% of their beds to the users covered by this system. In addition, they have about one third of the existing beds in the country; Have a capillary network throughout the country, with a large number of small low complexity hospitals distributed in municipalities in the interior of the country, including some highly complex hospitals, usually located in metropolitan areas; And half of its park is the only hospital in its municipalities. Due to its importance, the present research seeks to find out what policies are being implemented by the philanthropic hospitals, located in the 10th regional health coordination of the RS, for a better hospital management, oriented to adequacy of accounts and provision of better services to the population. To this end, the theoretical framework is first elaborated with a section that explains the context of Brazilian health, in which a panorama is carried out according to the administration model and explained the creation of the SUS-Unified Health System, Of the philanthropic hospitals and the provision of services to the SUS, demonstrating the representation of the sector and the corresponding legislation, the public policies issue is also addressed, with emphasis on the public policy cycle and hospital management. The research is a descriptive case study with qualitative analysis. Four entities of the 10th Regional Health Coordination of Rio Grande do Sul, belonging to the region of Fronteira Oeste, were analyzed by means of electronic forms sent via email to those responsible for the units and information available in the DATASUS system for analysis of the data. Of content. The main results show that all entities present some form of hospital management, mainly linked to hospital management programs and also that the main policy adopted in hospitals is the contracting with SUS. Finally, it was noted that hospital management is based mainly on what the State proposes through national and regional policies. However, with the shortage of resources, it has been found that hospitals are progressing in slow steps to a situation where they can at least try to be self-sustaining. In addition to stating that hospitals were not prepared for this type of situation, seeing that most are in debt.