The sectorial reform of the Brazilian State in the 90s: efficiency and privatization? A study in a university public hospital

• Autor(a) principal: Cherchiglia, Mariangela Leal
• Data de Publicação: 2003
• Outros Autores: Dallari, Sueli Gandolfi
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Administração Pública
• Texto Completo: https://periodicos.fgv.br/rap/article/view/6489
• topic: efficiency; State reform; hospital; private-public relationship.; eficiência; reforma do Estado; hospital; relação públicoprivado.

Healthcare organizations have been under pressure to improve their efficiency and effectiveness. The first demands for change to take place in hospitals were in the methods for financing and paying healthcare procedures and in the introduction of new regulation agents. On the other hand, the sectorial reform process of the Brazilian State has intensified amidst a fiscal crisis and a paradigm change in the new world order. This article discusses how this reform environment, with budget constraints and new rules, induced adaptations and institutional changes in the public-private mix of a university public hospital. The article presents a case study carried out in the Federal University of Minas Gerais Clinics Hospital (HC/UFMG), analyzing production indicators covering the 1996-2000 period and how workers and management perceived the opening of the hospital for private health insurance plans as an alternative financing source. The study showed the importance of this source of financing for the hospital’s economy, as well as contradiction and resistance, by management and workers, against private financing as a survival means.