Between Innovation and Planningnew Management Models for Hospital Purchases

• Autor(a) principal: Poeta, Alexandre Dinis
• Data de Publicação: 2000
• Outros Autores: Nogueira, Fernanda, Andrade, José Maria
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.7559/gestaoedesenvolvimento.2000.11

It is easy to conclude from an assessment of the proposals currently being made for a more dynamic management of the public sector, that their normative nature provides no clear indication of a way out of the maze preventing it from innovation. Given the quick change of society, technology and the economy being experienced today, public institutions are nevertheless obliged to take the first steps away from the welfarist, paternalistic and bureaucratic management that has developed over the past decades, towards a new model, planned and managed and taking into account both demand and innovation.This article reflects on some of the above concerns and puts forward some of the fundamental principals on the basis of which a Central Purchasing System might be created for the hospitals and sub-regional health facilities that together constitute the area over which the Health Authority of Portugal’s Northern Region has jurisdiction, without undermining the interests of the main recipients and/or clients of the health services involved, being them patients or health teams. More specifically, the authors point out some of the administrative and management implications that the restructuring of the value chain would have, if such a central purchasing system was created.