0028/2021 - O impacto da gestão EBSERH na produção dos hospitais universitários do Brasil The impact of EBSERH management on the production of Brazilian university hospitals
Este estudo analisa a evolução de resultados relacionados à produção de hospitais universitários (HUs) do Brasil pertencentes à Empresa Brasileira de Serviços Hospitalares (EBSERH), enfatizando resultados alcançados antes e depois da adesão à EBSERH. Foram analisados dados mensais de 16 HUs, obtidos no Sistema de Informações Hospitalares (SIH/SUS) e no Cadastro Nacional de Estabelecimentos de Saúde (CNES), referentes ao número de internações hospitalares, número de profissionais, número de leitos, tempo médio de permanência, taxa média de mortalidade, valor total aprovado de Autorizações de Internação Hospitalar (AIHs) e valor médio da AIH. O estudo utiliza a análise simples de séries temporais interrompidas (STI) para analisar os efeitos da gestão EBSERH nos HUs, avaliando comparativamente o nível e tendência dos resultados dos HUs antes e após a adesão à gestão da EBSERH. Os hospitais, de modo geral, apresentaram melhores resultados após a adesão à EBSERH, com redução de tempo médio de permanência, aumento do número total de internações, aumento no efetivo de pessoal, e aumento do valor total aprovado pelo SUS. Dentre os HUs analisados, os que apresentaram destaque positivo no aprimoramento de performance foram o HU/UFS, HULW/UFPB, o HUOL/UFRN e o HU/UFMA.
Palavras-chave:
Hospitais Universitários, Administração Hospitalar, Sistema Único de Saúde, Saúde Pública, Gestão em Saúde.
Abstract:
This study analyzes the evolution of results related to the production of university hospitals (HUs) in Brazil belonging to the Brazilian Hospital Services Company (EBSERH), emphasizing results achieved before and after joining EBSERH. Monthly data of 16 HUs, obtainedthe Hospital Information System (SIH/SUS) andthe National Registry of Health Facilities (CNES), were analyzed, referring to the number of hospital admissions, number of professionals, number of beds, average length of stay, average mortality rate, total approved value of Hospitalization Authorizations (AIHs) and average AIH value. The study uses the simple analysis of interrupted time series (ITS) to analyze the effects of EBSERH management on HUs, assessing the level and trend of HU results before and after joining the EBSERH management. Hospitals, in general, had better results after joining the EBSERH, with a reduction in the average length of stay, an increase in the total number of hospitalizations, increase in work force, and an increase in the total amount approved by SUS. Among the analyzed HUs, the ones that showed the greatest performance improvement were HU/UFS, HULW/UFPB, HUOL/UFRN and HU/UFMA.
Keywords:
University Hospitals, Hospital Administration, Unified Health System, Public Health, Health Management.
The impact of EBSERH management on the production of Brazilian university hospitals
Resumo (abstract):
This study analyzes the evolution of results related to the production of university hospitals (HUs) in Brazil belonging to the Brazilian Hospital Services Company (EBSERH), emphasizing results achieved before and after joining EBSERH. Monthly data of 16 HUs, obtainedthe Hospital Information System (SIH/SUS) andthe National Registry of Health Facilities (CNES), were analyzed, referring to the number of hospital admissions, number of professionals, number of beds, average length of stay, average mortality rate, total approved value of Hospitalization Authorizations (AIHs) and average AIH value. The study uses the simple analysis of interrupted time series (ITS) to analyze the effects of EBSERH management on HUs, assessing the level and trend of HU results before and after joining the EBSERH management. Hospitals, in general, had better results after joining the EBSERH, with a reduction in the average length of stay, an increase in the total number of hospitalizations, increase in work force, and an increase in the total amount approved by SUS. Among the analyzed HUs, the ones that showed the greatest performance improvement were HU/UFS, HULW/UFPB, HUOL/UFRN and HU/UFMA.
Palavras-chave (keywords):
University Hospitals, Hospital Administration, Unified Health System, Public Health, Health Management.
Abbade, E. B.. O impacto da gestão EBSERH na produção dos hospitais universitários do Brasil. Cien Saude Colet [periódico na internet] (2021/jan). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/o-impacto-da-gestao-ebserh-na-producao-dos-hospitais-universitarios-do-brasil/17927?id=17927
