The management of São Paulo state hospitals by social healthcare organizations

• Autor(a) principal: Júnior, Walter Cintra Ferreira
• Data de Publicação: 2003
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Administração Pública
• Texto Completo: https://periodicos.fgv.br/rap/article/view/6486
• topic: social organization; management contract; State reform; managerial administration.; organização social; contrato de gestão; reforma do Estado; administração gerencial.

The model of administration of public hospitals set by the São Paulo state government through the complementary law passed on June, 4th 1998 has settled an important issue: to provide the civil service with the same managerial tools available to private organizations. This model was developed in the context of the 1994 Brazilian State reform, which proposed a managerialreform of the public administration. This model enabled those hospitals conceived by 1985 Metropolitan Health Program to be run by non-profit organizations acknowledged by their work in the public health sector, certified as social healthcare organizations. The most important tool of this model is the management contract, where one establishes the rules of financing, volume and mix of services provided, evaluation criteria of productionand quality assurance. The model was criticized as a way of privatization of the public health services, and for its lack of transparency and social control. The results have been considered satisfactory by the government because of the system’s fast deployment and the high quality of the services provided. Actually, the management contract allowed clear visibility and transparency in the use of public resources, the necessary condition for social control. The adequate use of public services can only be guaranteed under a democratic state and complete citizenship.