Contratualização de resultados, controle e aprendizagem: a experiência do HOSPSUS-Rede Mãe Paranaense
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2017-07-27
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Pacheco, Regina Silvia Viotto Monteiro
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The research presented here is based on the interest of discussing the contractualisation of health outcomes as a strategy to offer more and better services to the population and to ensure greater efficiency and effectiveness of public services provided to society as a whole. The empirical object of the analysis was the experience of contracting of results in the public health services carried out by the Paraná government, as of 2011. Through exploratory research with a qualitative approach, I examined how the contractual model established by the State Health Department of Paraná works with hospital institutions to encourage organizations to improve technical and administrative activities. In this direction, I sought to verify how the mechanisms established by HOSPSUS could influence organizations to improve their activities, and how institutional actors react and adapt their behavior to contractualized goals. The research started from the idea that the results have been produced through a combination of control (by the mechanisms of the program) and of learning (of the actors). After working in the field, through interviews, discussions, participation in meetings and analysis of its results, I was able to confirm the hypothesis that the contractual model for results implemented by SESA-PR combines two groups of mechanisms: control and learning.