Análise do desempenho dos serviços prestados através das organizações sociais de saúde no estado do Rio de Janeiro

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Gaetani, Francisco
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From 2012, the State Government of Rio de Janeiro through the State Health Department began to adopt the management model based on Health Social Organizations (OSS) in order to improve the services provided by health units under their responsibility, ie, extend the service coverage, improve performance and reduce costs. Since June 2014, 80% of State Health Units were already managed by social organizations. The OSS model was created in order to publicize services of public relevance, previously provided by the state, but which are now considered not unique to it, in order to achieve greater efficiency. In this context, the present study aims to analyze the performance of the services provided through the OSS contracted by the State of Rio de Janeiro (RJ). For such a contextualization about the process of implementation and monitoring of management contracts in the State Department of Health of Rio de Janeiro was carried out and documentary research to the study of quantitative and qualitative indicators agreed and the cost of resources used, resulting in the preparation of technical specifications of all management contracts. The analyzes have focused on the development of quantitative indicators of management contracts in 2012 to the 1st half of 2015 as well as the performance measured by the correlation of productivity results based on quantitative indicators. The results show that 80% of Emergency Hospitals management contracts, 75% of the Specialized Hospitals and 92% of the Emergency Care Units meet or exceed the level of performance expected by SES for compliance of the Hospital Production in the year 2015, with increasing the supply of specialized services based on OS. As for the performance indicator Auxiliary Diagnosis and Therapy Services Production results are 60% for Emergency Hospitals and 25% for Specialized Hospitals. One of the possible conclusions and it is for the SES / RJ, improve its regulatory function with the effective utilization of the historical series of information for the construction of indicators compatible with the profile of their units. As a suggestion for future studies, points to the possibility of performing the measurement of the efficiency of the ERJ management contracts using data envelopment technical data that correlates a larger number of qualitative indicators for verification efficiency.

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