Health management in Brazil: dialogue with public and private managers

Abstract

The aim of this study was to identify the main health management issues in Brazil according to the opinion of managers who were intentionally chosen. Data was collected from July to November 2010, through key-informant interviews: two directors from national reference private hospitals, located in Southeast Brazil; and executive authorities of the Brazilian Unified Health System (SUS), one of each government level - municipal, state, and federal managers. SUS management was considered outdated; the system was defined as lacking stable funding and having flaws in planning and service assessment. Moreover, both sectors lack professionalization in management. In conclusion, SUS is still in consolidation and requires more resources, stable funding and management able to bring its principles and guidelines into reality. Management issues affect both public and private sectors and the public-private partnerships have not been oriented by public responsibility.

Health Management: The Use of Information Systems and Knowledge Sharing for the Decision Making Process

“…Therefore, the construction of new forms of managing the area, based on participation and interdisciplinary practices, where workers and users act as active subjects, remains a challenge. 12 In a study developed at a regional health district in the Federal District, the managers reported the belief that the team and the users want a sensitive manager when a problem emerges, who knows how to listen to those around him. The manager does not act alone: he needs support from the multiprofessional team to achieve the objectives.…”

“…In Brazil, the culture still prevails that any professional knows how to manage and that administration is learned in practice. 12 Nursing is the only health profession whose undergraduate curriculum includes the subject administration, involving practical activities. 12 The largest part of the sample in our study consisted of nurses.…”

“…12 Nursing is the only health profession whose undergraduate curriculum includes the subject administration, involving practical activities. 12 The largest part of the sample in our study consisted of nurses. Therefore, these subjects can be expected to have at least some proximity with the theoretical and practical sphere of administration.…”

Readmissão por infecção do sítio cirúrgico ortopédico: um enfoque fenomenológico

“…E não acontecer o que se esperava aparece também associado às deficiências na oferta de recursos de saúde. Lorenzetti et al (2014), a partir da opinião de gestores de hospitais privados de referência da região sudeste do Brasil, afirmam ser relevante que os serviços de saúde, em ações sustentadas pelas políticas públicas, assumam papel de destaque na agenda das sociedades contemporâneas. A saúde vem sendo considerada um dos principais motivos de insatisfação da população e os autores consideram que, mesmo não sendo fruto de uma avaliação técnica, revela a percepção do usuário e deveria ser indicativo para ações de melhoria.…”

“…A percepção dos cuidados em saúde é influenciada pela expectativa do usuário (Lorenzetti et al, 2014). Os autores desse estudo sobre os contextos gerenciais apontam que os usuários da saúde, mesmo insatisfeitos diante de expectativas e necessidades não atendidas, acabam por tentar contornar as situações.…”