0106/2019 - A criação do serviço social autônomo instituto hospital de base como novo modelo de gestão hospitalar do Distrito Federal. Creation of the Autonomous Social Service Instituto Hospital de Base as a new model for public hospital administration in the Federal District.
A rede de saúde pública do Distrito Federal, como de resto todo o Sistema Único de Saúde, padece de ineficiências relacionadas à dificuldade de contratação e gestão de profissionais, bem como de realização de contratos para abastecimento e manutenção. Em Brasília, implantou-se em 2018 um novo modelo de gestão em seu maior hospital. Com a criação do serviço social autônomo Instituto Hospital de Base, unidade de saúde em funcionamento desde 1960, abriu-se a possibilidade de conferir agilidade a essas contratações, além de se instalar uma gestão baseada em metas e indicadores de resultado, com expressivos ganhos de eficiência. Este artigo relata os passos para a implantação desse modelo descentralizado de gestão hospitalar, as alternativas cogitadas, as dificuldades enfrentadas e alguns dos primeiros resultados desse novo modelo. Já se pode verificar e afirmar o sucesso do modelo jurídico-administrativo do Instituto Hospital de Base, que pode servir de paradigma para outras unidades de saúde do Distrito Federal e do Brasil.
Palavras-chave:
Sistema Único de Saúde, saúde pública, gestão em saúde, administração de serviços de saúde, administração hospitalar, descentralização.
Abstract:
The public health network of the Federal District, as in the rest of the Brazilian Unified Health System, suffersinefficiencies related to the difficulty of hiring and managing professionals, as well as the implementation of contracts for supply and maintenance. In Brasilia, a new management model was implemented in 2018 in its largest hospital. With the creation of the autonomous social service Instituto Hospital de Base, a health unit in operation since 1960, the possibility of providing agility to these contracts was opened, in addition to establishing a management based on goals and outcome indicators, with expressive efficiency gains. This article reports the steps for the implantation of this decentralized model of hospital management, the alternatives considered, the difficulties faced and some of the first results of this new model. One can already verify and affirm the success of the legal-administrative model of the Instituto Hospital de Base, which can serve as a paradigm for other health units in the Federal District and Brazil.
Keywords:
Unified Health System, public health, health management, health services administration, hospital administration, decentralization.
Creation of the Autonomous Social Service Instituto Hospital de Base as a new model for public hospital administration in the Federal District.
Resumo (abstract):
The public health network of the Federal District, as in the rest of the Brazilian Unified Health System, suffersinefficiencies related to the difficulty of hiring and managing professionals, as well as the implementation of contracts for supply and maintenance. In Brasilia, a new management model was implemented in 2018 in its largest hospital. With the creation of the autonomous social service Instituto Hospital de Base, a health unit in operation since 1960, the possibility of providing agility to these contracts was opened, in addition to establishing a management based on goals and outcome indicators, with expressive efficiency gains. This article reports the steps for the implantation of this decentralized model of hospital management, the alternatives considered, the difficulties faced and some of the first results of this new model. One can already verify and affirm the success of the legal-administrative model of the Instituto Hospital de Base, which can serve as a paradigm for other health units in the Federal District and Brazil.
Palavras-chave (keywords):
Unified Health System, public health, health management, health services administration, hospital administration, decentralization.
Fonseca, HLP, Junior, LAPC. A criação do serviço social autônomo instituto hospital de base como novo modelo de gestão hospitalar do Distrito Federal.. Cien Saude Colet [periódico na internet] (2019/Abr). [Citado em 04/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/a-criacao-do-servico-social-autonomo-instituto-hospital-de-base-como-novo-modelo-de-gestao-hospitalar-do-distrito-federal/17180?id=17180
