Hospitais de alta complexidade do Estado de São Paulo: comparação entre administração direta e gestão por organizações sociais

Tonelotto, Diego Pugliese; Crozati, Jaime; Moraes, Vinicius Macedo de

doi:10.11606/d.100.2018.tde-12122018-225451

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“…Miscellaneous published studies demonstrated that public state hospitals in São Paulo managed by OSS produced much more and with higher quality than the corresponding units under direct administration with the same budget, thus more efficiently [5][6][7][8][9][10][11] . Only one study 12 showed that hospitals under direct administration displayed lower costs, but it featured several biases in the determination of costs and it did not account for quantitative and qualitative production indicators, which compromised results and conclusions.…”

Section: Introductionmentioning

confidence: 99%

Public financing versus private billing in a public hospital under management of a Social Health Organization

Mansur

Marcos

Mattei

et al. 2021

Rev. Col. Bras. Cir.

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Introduction: to assess the efficiency of management by a Social Health Organization (Organização Social de Saúde - OSS) compared with the private sector; to verify if there are savings for the State Health Secretariat (SES) in management contracts for financing the production of a public hospital versus its production values billed by private methods; and to establish if the amounts billed by the Unified Health System (SUS) table would finance the same procedures. Methods: we compiled and tabulated all procedures performed and the materials and drugs dispensed in the Euryclides Jesus Zerbini Transplant Hospital (HTEJZ), managed by the OSS Associação Paulista Para o Desenvolvimento da Medicina (SPDM), in September, October, and November 2018, according to the Brasíndice® table for drugs, the Simpro® table for materials, the CBHPM® table for medical fees, and tables SIGTAP SUS and SIA SUS. We then compared the average values obtained in the private billing with the costing amount reimbursed by the State Health Secretariat and the billing calculated in the SIA-SUS. Results: the average SUS revenue was R$ 2,774,086.91; the monthly reimbursement by the SES was R$ 13,055,700.00; and the average private revenue was R$ 25,084,440.31. Conclusions: the management by the OSS SPDM in the Euryclides de Jesus Zerbini Transplant Hospital was more efficient in the financing / production ratio than it would be to a private hospital. The economy of public funds was significant. The current SUS table reimbursement values would not meet the need for funding for an overly complex hospital.

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Section: Introductionmentioning

confidence: 99%

Public financing versus private billing in a public hospital under management of a Social Health Organization

Mansur

Marcos

Mattei

et al. 2021

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

Hospitais de alta complexidade do Estado de São Paulo: comparação entre administração direta e gestão por organizações sociais

Abstract: TONELOTTO, Diego Pugliese. Hospitals of high complexity in the State of São Paulo: comparison between direct administration and management by social organizations. 2018. 126p. Dissertation (Master of

Cited by 1 publication

References 5 publications

Public financing versus private billing in a public hospital under management of a Social Health Organization

Public financing versus private billing in a public hospital under management of a Social Health Organization

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