Regional surgical hospital component: : comparative analysis between programming, expenses, and care flows

• Autor(a) principal: Ribeiro da Cunha Arruda , Vitória
• Data de Publicação: 2023
• Outros Autores: Beatriz dos Santos Silva, Aline, Flaudiano Bem Leite, Antonio
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Gestão & Saúde (Brasília)
• Texto Completo: https://periodicos.unb.br/index.php/rgs/article/view/47070
• topic: Financiamento da Assistência à Saúde;; Gastos em Saúde;; Regionalização da Saúde;; Atenção à Saúde.; Financiamiento de la Atención de la Salud;; Gastos em Salud;; Regionalización de la Salud;; Cuidado de la salud.; Healthcare Financing;; Delivery of Health Care;; Regional Health Planning;; Health Expenditures.

To describe the programming, expenses and assistance flows of the surgical hospital component of the 12th Health Region of the state of Pernambuco. This is a descriptive comparative study based on secondary data from the Agreed and Integrated Program (PPI) of Health Care in 2006 and hospital production in 2019, referring to referrals and receipts of procedures from the group of surgeries in the 10 municipalities of the 12th Health Region. The results showed that the I Region of Health was the main recipient (agreement and execution), with Recife standing out with 63.27% in programming, and 79.46% in execution, with a significant 2.2 times more procedures and 6.06 times more financial values, in addition to the highest average financial values, and consequently the highest accumulated financial deficit of 90.7%. Eight of the 15 municipalities that agreed on surgical procedures for the 12th Health Region in 2006 did not carry out any production in 2019. When referring to referrals for municipalities in the 12th Health Region, it was observed that three municipalities carried out agreements, but did not register of production in 2019. In the hospitalizations of 2019, it shows that about 47.5% were carried out as agreed. Thus, in this analysis of the referrals, the 12th Health Region had a surplus in 80% of the municipalities in the region. Thus, the PPI proved to be an important loco-regional regulatory framework instrument, however, it does not reflect the expectation of agreement in the execution in the practical context and therefore does not effectively guarantee access to the different levels of assistance in the surgical hospital component for the health region.