Philanthropic hospitals and the operation of provider-owned health plans in Brazil

Detalhes bibliográficos
Autor(a) principal: Lima, Sheyla Maria Lemos
Data de Publicação: 2007
Outros Autores: Portela, Margareth C, Ugá, Maria Alicia Dominguez, Barbosa, Pedro Ribeiro, Gerschman, Silvia, Vasconcellos, Miguel Murat
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32201
Resumo: OBJECTIVE: To describe the management performance of philanthropic hospitals that operate their own health plans, in comparison with philanthropic hospitals as a whole in Brazil. METHODS: The managerial structures of philanthropic hospitals that operated their own health plans were compared with those seen in a representative group from the philanthropic hospital sector, in six dimensions: management and planning, economics and finance, human resources, technical services, logistics services and information technology. Data from a random sample of 69 hospitals within the philanthropic hospital sector and 94 philanthropic hospitals that operate their own health plans were evaluated. In both cases, only the hospitals with less than 599 beds were included. RESULTS: The results identified for the hospitals that operate their own health plans were more positive in all the managerial dimensions compared. In particular, the economics and finance and information technology dimensions were highlighted, for which more than 50% of the hospitals that operated their own health plans presented almost all the conditions considered. CONCLUSIONS: The philanthropic hospital sector is important in providing services to the Brazilian Health System (SUS). The challenges in maintaining and developing these hospitals impose the need to find alternatives. Stimulation of a public-private partnership in this segment, by means of operating provider-owned health plans or providing services to other health plans that work together with SUS, is a field that deserves more in-depth analysis.
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spelling Philanthropic hospitals and the operation of provider-owned health plans in Brazil Hospitais filantrópicos e a operação de planos de saúde próprios no Brasil Hospitais filantrópicosPlanos de pré-pagamento em saúdeSaúde suplementarAdministração em saúdeSUS (BR)HospitalsvoluntaryPrepaid health plansSupplemental healthHealth administrationSUS (BR) OBJECTIVE: To describe the management performance of philanthropic hospitals that operate their own health plans, in comparison with philanthropic hospitals as a whole in Brazil. METHODS: The managerial structures of philanthropic hospitals that operated their own health plans were compared with those seen in a representative group from the philanthropic hospital sector, in six dimensions: management and planning, economics and finance, human resources, technical services, logistics services and information technology. Data from a random sample of 69 hospitals within the philanthropic hospital sector and 94 philanthropic hospitals that operate their own health plans were evaluated. In both cases, only the hospitals with less than 599 beds were included. RESULTS: The results identified for the hospitals that operate their own health plans were more positive in all the managerial dimensions compared. In particular, the economics and finance and information technology dimensions were highlighted, for which more than 50% of the hospitals that operated their own health plans presented almost all the conditions considered. CONCLUSIONS: The philanthropic hospital sector is important in providing services to the Brazilian Health System (SUS). The challenges in maintaining and developing these hospitals impose the need to find alternatives. Stimulation of a public-private partnership in this segment, by means of operating provider-owned health plans or providing services to other health plans that work together with SUS, is a field that deserves more in-depth analysis. OBJETIVO: Descrever o desempenho gerencial de hospitais filantrópicos com operadoras de planos de saúde em comparação com o conjunto de hospitais filantrópicos no Brasil. MÉTODOS: Foram comparadas as estruturas gerenciais presentes nos hospitais filantrópicos com operadoras próprias de planos de saúde com aquelas observadas num conjunto representativo do setor hospitalar filantrópico, em seis dimensões: direção e planejamento, econômico-financeira, recursos humanos, serviços técnicos, serviços logísticos e tecnologia de informações. Consideraram-se os dados de uma amostra aleatória de 69 hospitais, extraída do setor hospitalar filantrópico, e 94 hospitais filantrópicos com operadoras próprias de planos de saúde. Nos dois casos incluíram-se apenas os hospitais com menos de 599 leitos. RESULTADOS: Foram identificados resultados mais positivos para o conjunto de hospitais com operadoras próprias de planos de saúde em todas as dimensões gerenciais comparadas. Em particular, destacaram-se as dimensões econômico-financeira e de tecnologia de informações, nas quais mais de 50% dos hospitais com operadoras apresentaram quase todas as condições consideradas. CONCLUSÕES: O setor hospitalar filantrópico é importante na prestação de serviços ao Sistema Único de Saúde. Os desafios para a sua manutenção e desenvolvimento impõem encontrar alternativas. O fomento de uma parceria público-privado neste segmento, por meio da operação de planos próprios ou prestação de serviços a outros planos de saúde convivendo com o SUS, constitui um campo que merece uma análise mais aprofundada. Universidade de São Paulo. Faculdade de Saúde Pública2007-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3220110.1590/S0034-89102007000100016Revista de Saúde Pública; Vol. 41 No. 1 (2007); 116-123 Revista de Saúde Pública; Vol. 41 Núm. 1 (2007); 116-123 Revista de Saúde Pública; v. 41 n. 1 (2007); 116-123 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32201/34306https://www.revistas.usp.br/rsp/article/view/32201/34307Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessLima, Sheyla Maria LemosPortela, Margareth CUgá, Maria Alicia DominguezBarbosa, Pedro RibeiroGerschman, SilviaVasconcellos, Miguel Murat2012-07-09T00:29:19Zoai:revistas.usp.br:article/32201Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T00:29:19Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Philanthropic hospitals and the operation of provider-owned health plans in Brazil
Hospitais filantrópicos e a operação de planos de saúde próprios no Brasil
title Philanthropic hospitals and the operation of provider-owned health plans in Brazil
spellingShingle Philanthropic hospitals and the operation of provider-owned health plans in Brazil
Lima, Sheyla Maria Lemos
Hospitais filantrópicos
Planos de pré-pagamento em saúde
Saúde suplementar
Administração em saúde
SUS (BR)
Hospitals
voluntary
Prepaid health plans
Supplemental health
Health administration
SUS (BR)
title_short Philanthropic hospitals and the operation of provider-owned health plans in Brazil
title_full Philanthropic hospitals and the operation of provider-owned health plans in Brazil
title_fullStr Philanthropic hospitals and the operation of provider-owned health plans in Brazil
title_full_unstemmed Philanthropic hospitals and the operation of provider-owned health plans in Brazil
title_sort Philanthropic hospitals and the operation of provider-owned health plans in Brazil
author Lima, Sheyla Maria Lemos
author_facet Lima, Sheyla Maria Lemos
Portela, Margareth C
Ugá, Maria Alicia Dominguez
Barbosa, Pedro Ribeiro
Gerschman, Silvia
Vasconcellos, Miguel Murat
author_role author
author2 Portela, Margareth C
Ugá, Maria Alicia Dominguez
Barbosa, Pedro Ribeiro
Gerschman, Silvia
Vasconcellos, Miguel Murat
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Lima, Sheyla Maria Lemos
Portela, Margareth C
Ugá, Maria Alicia Dominguez
Barbosa, Pedro Ribeiro
Gerschman, Silvia
Vasconcellos, Miguel Murat
dc.subject.por.fl_str_mv Hospitais filantrópicos
Planos de pré-pagamento em saúde
Saúde suplementar
Administração em saúde
SUS (BR)
Hospitals
voluntary
Prepaid health plans
Supplemental health
Health administration
SUS (BR)
topic Hospitais filantrópicos
Planos de pré-pagamento em saúde
Saúde suplementar
Administração em saúde
SUS (BR)
Hospitals
voluntary
Prepaid health plans
Supplemental health
Health administration
SUS (BR)
description OBJECTIVE: To describe the management performance of philanthropic hospitals that operate their own health plans, in comparison with philanthropic hospitals as a whole in Brazil. METHODS: The managerial structures of philanthropic hospitals that operated their own health plans were compared with those seen in a representative group from the philanthropic hospital sector, in six dimensions: management and planning, economics and finance, human resources, technical services, logistics services and information technology. Data from a random sample of 69 hospitals within the philanthropic hospital sector and 94 philanthropic hospitals that operate their own health plans were evaluated. In both cases, only the hospitals with less than 599 beds were included. RESULTS: The results identified for the hospitals that operate their own health plans were more positive in all the managerial dimensions compared. In particular, the economics and finance and information technology dimensions were highlighted, for which more than 50% of the hospitals that operated their own health plans presented almost all the conditions considered. CONCLUSIONS: The philanthropic hospital sector is important in providing services to the Brazilian Health System (SUS). The challenges in maintaining and developing these hospitals impose the need to find alternatives. Stimulation of a public-private partnership in this segment, by means of operating provider-owned health plans or providing services to other health plans that work together with SUS, is a field that deserves more in-depth analysis.
publishDate 2007
dc.date.none.fl_str_mv 2007-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32201
10.1590/S0034-89102007000100016
url https://www.revistas.usp.br/rsp/article/view/32201
identifier_str_mv 10.1590/S0034-89102007000100016
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32201/34306
https://www.revistas.usp.br/rsp/article/view/32201/34307
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 41 No. 1 (2007); 116-123
Revista de Saúde Pública; Vol. 41 Núm. 1 (2007); 116-123
Revista de Saúde Pública; v. 41 n. 1 (2007); 116-123
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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