GESTÃO DOS SERVIÇOS DE SAÚDE DO SUS PARA OS HOSPITAIS FILANTRÓPICOS
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da Universidade Federal Fluminense (RIUFF) |
Texto Completo: | https://app.uff.br/riuff/handle/1/19683 |
Resumo: | In Brazil, in 2004, facing a serious crisis in the teaching hospitals, public, private and philanthropic organizations, the Ministries of Health and Education published a series of Ordinances Interministerial (No. 1000, 1005, 1006 and 1007), changing the form of certification and funding of such establishments and reintroducing the form of global budgeting. The Restructuring Programme for the Teaching Hospitals of the contracting units provided assistance, through the conclusion of a contract in which are included clauses related to goals and indicators of quality and production services as well as a clear definition of its inclusion in the network, setting as a basis for calculating the transfer fixed monthly series of services produced, plus the values of Factor Incentive Development of Teaching and Research in Health (Fideps), new incentives and the impact of future adjustments of the values of compensation outpatient procedures and hospital, among others. The Restructuring Programme and Contracts of Philanthropic Hospitals in the NHS, was established by Decree GM / MS No. 1721 of 21/09/2005, as having proposed the criterion of voluntary compliance, with the potential to qualify and humanize the care and management and decentralization, as well as provide elements that strengthen the monitoring, evaluation, regulation and the resources used. In this context, this paper aims to generally propose a management system applicable under the contract system in charity hospitals. In exploring the theme, the method used was a case study through a qualitative, exploratory type, being developed through literature, documentary and field. The scope of the knowledge generated in this study, one hand may contribute to the effective practice of contracting and the use of management tools, designed to control targets set by the manager of the hospital through the Annual Operating Plan (POA). Thus, the relevance of research and its results will also be associated with the generation of new concepts and methodology in management systems, because, although the term "contract" is relatively recent in the organizational environment and apparently researched academically in managing public The proposal in question is directed to philanthropic management, since it realizes the lack of consistent knowledge management system, by the hospital managers of philanthropic organizations. Thus, it is expected that with the help of management tools, it is possible to achieve the goals stipulated in the contract system, meet stakeholder needs and to exercise social responsibility. |
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GESTÃO DOS SERVIÇOS DE SAÚDE DO SUS PARA OS HOSPITAIS FILANTRÓPICOSMANAGEMENT OF HEALTH SERVICES FOR THE SUS PHILANTHROPIC HOSPITALSContratualizaçãoSistema de GestãoHospital FilantrópicoResponsabilidade SocialContractsManagement SystemHospital PhilanthropySocial ResponsibilityCNPQ::ENGENHARIAS::ENGENHARIA DE PRODUCAOIn Brazil, in 2004, facing a serious crisis in the teaching hospitals, public, private and philanthropic organizations, the Ministries of Health and Education published a series of Ordinances Interministerial (No. 1000, 1005, 1006 and 1007), changing the form of certification and funding of such establishments and reintroducing the form of global budgeting. The Restructuring Programme for the Teaching Hospitals of the contracting units provided assistance, through the conclusion of a contract in which are included clauses related to goals and indicators of quality and production services as well as a clear definition of its inclusion in the network, setting as a basis for calculating the transfer fixed monthly series of services produced, plus the values of Factor Incentive Development of Teaching and Research in Health (Fideps), new incentives and the impact of future adjustments of the values of compensation outpatient procedures and hospital, among others. The Restructuring Programme and Contracts of Philanthropic Hospitals in the NHS, was established by Decree GM / MS No. 1721 of 21/09/2005, as having proposed the criterion of voluntary compliance, with the potential to qualify and humanize the care and management and decentralization, as well as provide elements that strengthen the monitoring, evaluation, regulation and the resources used. In this context, this paper aims to generally propose a management system applicable under the contract system in charity hospitals. In exploring the theme, the method used was a case study through a qualitative, exploratory type, being developed through literature, documentary and field. The scope of the knowledge generated in this study, one hand may contribute to the effective practice of contracting and the use of management tools, designed to control targets set by the manager of the hospital through the Annual Operating Plan (POA). Thus, the relevance of research and its results will also be associated with the generation of new concepts and methodology in management systems, because, although the term "contract" is relatively recent in the organizational environment and apparently researched academically in managing public The proposal in question is directed to philanthropic management, since it realizes the lack of consistent knowledge management system, by the hospital managers of philanthropic organizations. Thus, it is expected that with the help of management tools, it is possible to achieve the goals stipulated in the contract system, meet stakeholder needs and to exercise social responsibility.Universidade Federal FluminenseNo Brasil, em 2004, diante de uma grave crise nos hospitais de ensino públicos, privados e filantrópicos, os Ministérios da Saúde e da Educação publicaram uma série de Portarias Interministeriais (nº 1000, 1005, 1006 e 1007), alterando a forma de certificação e de financiamento de tais estabelecimentos e reintroduzindo a modalidade de orçamentação global. O Programa de Reestruturação dos Hospitais de Ensino previa a contratualização das unidades assistenciais, através da celebração de um contrato em que são incluídas cláusulas relacionadas a metas e indicadores de qualidade e de produção de serviços, bem como a definição clara de sua inserção na rede, definindo como base de cálculo para o repasse fixo mensal a série histórica de serviços produzidos, acrescida dos valores do Fator de Incentivo ao Desenvolvimento de Ensino e Pesquisa em Saúde (FIDEPS), de novos incentivos e do impacto dos reajustes futuros dos valores da remuneração de procedimentos ambulatoriais e hospitalares, entre outros. O Programa de Reestruturação e Contratualização dos Hospitais Filantrópicos no SUS, foi instituído pela Portaria GM/MS n° 1.721 de 21/09/2005, tendo como proposta o critério de adesão voluntária, com o potencial de qualificar e humanizar a assistência, a gestão e a descentralização, além de trazer elementos que fortalecem o monitoramento, a avaliação, a regulação e os recursos empregados. Neste contexto, o presente trabalho tem como objetivo geral, propor melhorias de gestão aplicáveis no âmbito da contratualização nos hospitais filantrópicos. Na investigação do tema proposto, os métodos utilizados foram estudo de caso e pesquisa exploratória, sendo desenvolvidas por meio de pesquisa bibliográfica, documental e de campo. O escopo do conhecimento gerado na presente pesquisa, por um lado poderá contribuir para a efetiva prática da contratualização e para a utilização de ferramentas de gestão, voltadas para o controle das metas estipuladas pelo gestor hospitalar mediante o Plano Operativo Anual (POA). Dessa forma, a relevância da pesquisa e de seus resultados também estará associada à geração de novos conceitos e metodologia em sistemas de gestão, pois, muito embora o termo contratualização seja relativamente recente no meio organizacional e aparentemente pesquisado academicamente no âmbito da gestão publica, a proposta em questão está direcionada à gestão filantrópica, uma vez que se percebe a ausência de conhecimentos consistentes em sistema de gestão, por parte dos gestores das organizações hospitalares filantrópicas. Assim, espera-se que, com o auxilio de ferramentas de gestão, seja possível atingir as metas estipuladas na contratualização, atender as necessidades dos stakeholders e exercer a responsabilidade Social.Programa de Pós-graduação em Sistemas de GestãoSegurança do Trabalho, Meio-ambiente, Gestão pela Qualidade TotalRocha, Marcius Hollanda Pereira daCPF:36297054720http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4723151D8Quelhas, Osvaldo Luiz GonçalvesCPF:20055676522http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4791688P2Fremam, Ricardo Kropf S.CPF:64723548522Zotes, Luis PerezCPF:65524873122Lemos, Vanda Márcia Ferri2021-03-10T20:48:08Z2012-10-172021-03-10T20:48:08Z2011-12-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttps://app.uff.br/riuff/handle/1/19683porCC-BY-SAinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da Universidade Federal Fluminense (RIUFF)instname:Universidade Federal Fluminense (UFF)instacron:UFF2021-03-10T20:48:08Zoai:app.uff.br:1/19683Repositório InstitucionalPUBhttps://app.uff.br/oai/requestriuff@id.uff.bropendoar:21202024-08-19T11:19:01.248711Repositório Institucional da Universidade Federal Fluminense (RIUFF) - Universidade Federal Fluminense (UFF)false |
dc.title.none.fl_str_mv |
GESTÃO DOS SERVIÇOS DE SAÚDE DO SUS PARA OS HOSPITAIS FILANTRÓPICOS MANAGEMENT OF HEALTH SERVICES FOR THE SUS PHILANTHROPIC HOSPITALS |
title |
GESTÃO DOS SERVIÇOS DE SAÚDE DO SUS PARA OS HOSPITAIS FILANTRÓPICOS |
spellingShingle |
GESTÃO DOS SERVIÇOS DE SAÚDE DO SUS PARA OS HOSPITAIS FILANTRÓPICOS Lemos, Vanda Márcia Ferri Contratualização Sistema de Gestão Hospital Filantrópico Responsabilidade Social Contracts Management System Hospital Philanthropy Social Responsibility CNPQ::ENGENHARIAS::ENGENHARIA DE PRODUCAO |
title_short |
GESTÃO DOS SERVIÇOS DE SAÚDE DO SUS PARA OS HOSPITAIS FILANTRÓPICOS |
title_full |
GESTÃO DOS SERVIÇOS DE SAÚDE DO SUS PARA OS HOSPITAIS FILANTRÓPICOS |
title_fullStr |
GESTÃO DOS SERVIÇOS DE SAÚDE DO SUS PARA OS HOSPITAIS FILANTRÓPICOS |
title_full_unstemmed |
GESTÃO DOS SERVIÇOS DE SAÚDE DO SUS PARA OS HOSPITAIS FILANTRÓPICOS |
title_sort |
GESTÃO DOS SERVIÇOS DE SAÚDE DO SUS PARA OS HOSPITAIS FILANTRÓPICOS |
author |
Lemos, Vanda Márcia Ferri |
author_facet |
Lemos, Vanda Márcia Ferri |
author_role |
author |
dc.contributor.none.fl_str_mv |
Rocha, Marcius Hollanda Pereira da CPF:36297054720 http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4723151D8 Quelhas, Osvaldo Luiz Gonçalves CPF:20055676522 http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4791688P2 Fremam, Ricardo Kropf S. CPF:64723548522 Zotes, Luis Perez CPF:65524873122 |
dc.contributor.author.fl_str_mv |
Lemos, Vanda Márcia Ferri |
dc.subject.por.fl_str_mv |
Contratualização Sistema de Gestão Hospital Filantrópico Responsabilidade Social Contracts Management System Hospital Philanthropy Social Responsibility CNPQ::ENGENHARIAS::ENGENHARIA DE PRODUCAO |
topic |
Contratualização Sistema de Gestão Hospital Filantrópico Responsabilidade Social Contracts Management System Hospital Philanthropy Social Responsibility CNPQ::ENGENHARIAS::ENGENHARIA DE PRODUCAO |
description |
In Brazil, in 2004, facing a serious crisis in the teaching hospitals, public, private and philanthropic organizations, the Ministries of Health and Education published a series of Ordinances Interministerial (No. 1000, 1005, 1006 and 1007), changing the form of certification and funding of such establishments and reintroducing the form of global budgeting. The Restructuring Programme for the Teaching Hospitals of the contracting units provided assistance, through the conclusion of a contract in which are included clauses related to goals and indicators of quality and production services as well as a clear definition of its inclusion in the network, setting as a basis for calculating the transfer fixed monthly series of services produced, plus the values of Factor Incentive Development of Teaching and Research in Health (Fideps), new incentives and the impact of future adjustments of the values of compensation outpatient procedures and hospital, among others. The Restructuring Programme and Contracts of Philanthropic Hospitals in the NHS, was established by Decree GM / MS No. 1721 of 21/09/2005, as having proposed the criterion of voluntary compliance, with the potential to qualify and humanize the care and management and decentralization, as well as provide elements that strengthen the monitoring, evaluation, regulation and the resources used. In this context, this paper aims to generally propose a management system applicable under the contract system in charity hospitals. In exploring the theme, the method used was a case study through a qualitative, exploratory type, being developed through literature, documentary and field. The scope of the knowledge generated in this study, one hand may contribute to the effective practice of contracting and the use of management tools, designed to control targets set by the manager of the hospital through the Annual Operating Plan (POA). Thus, the relevance of research and its results will also be associated with the generation of new concepts and methodology in management systems, because, although the term "contract" is relatively recent in the organizational environment and apparently researched academically in managing public The proposal in question is directed to philanthropic management, since it realizes the lack of consistent knowledge management system, by the hospital managers of philanthropic organizations. Thus, it is expected that with the help of management tools, it is possible to achieve the goals stipulated in the contract system, meet stakeholder needs and to exercise social responsibility. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-15 2012-10-17 2021-03-10T20:48:08Z 2021-03-10T20:48:08Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://app.uff.br/riuff/handle/1/19683 |
url |
https://app.uff.br/riuff/handle/1/19683 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
CC-BY-SA info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
CC-BY-SA |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Programa de Pós-graduação em Sistemas de Gestão Segurança do Trabalho, Meio-ambiente, Gestão pela Qualidade Total |
publisher.none.fl_str_mv |
Programa de Pós-graduação em Sistemas de Gestão Segurança do Trabalho, Meio-ambiente, Gestão pela Qualidade Total |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da Universidade Federal Fluminense (RIUFF) instname:Universidade Federal Fluminense (UFF) instacron:UFF |
instname_str |
Universidade Federal Fluminense (UFF) |
instacron_str |
UFF |
institution |
UFF |
reponame_str |
Repositório Institucional da Universidade Federal Fluminense (RIUFF) |
collection |
Repositório Institucional da Universidade Federal Fluminense (RIUFF) |
repository.name.fl_str_mv |
Repositório Institucional da Universidade Federal Fluminense (RIUFF) - Universidade Federal Fluminense (UFF) |
repository.mail.fl_str_mv |
riuff@id.uff.br |
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1811823721169551360 |