Public General Hospitals: Direct Administration and Social Health Organization

Abstract

The difficulty of managing state hospitals under direct administration
of the State with the progressive operational costs, has long provoked
changes in management and fostered innovations that result in greater
efficiency. Objective: Comparison between hospitals of the State’s
Health Department linked to the Coordination of Health Services, which
are of direct administration, with the General Coordination of Health
Services Agreements, managed by the Social Health Organizations, in
the year of 2013 a 2016, on performance indicators, productivity and
quality. Method: Utilization of data from the information systems of both
coordinations. Results: The GCCSS hospitals showed better results as
the length of permanence, occupancy rate, renovation of beds, usage of
operation rooms, cesarean tax, hospital infection and spent in relation to
production. Conclusions: The results are similar to previous comparative
studies demonstrating improved performance, productivity and quality
of the units managed by the Social Health Organizations.