[go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/p/cdp/texdis/td671.html
   My bibliography  Save this paper

Mapeamento e caracterização dos estabelecimentos geridos por organizações sociais de saúde no Brasil: construção da Base de Dados das Organizações Sociais de Saúde (BDOSS)

Author

Listed:
  • Mônica Viegas Andrade

    (Cedeplar/FACE/UFMG)

  • Kenya Noronha

    (Cedeplar/FACE/UFMG)

  • Catarina Barcelos

    (Cedeplar/FACE/UFMG)

  • Henrique Bracarense

    (Cedeplar/FACE/UFMG)

Abstract
Social Health Organizations (OSS – Organizações Sociais de Saúde) are public-private partnerships for the autonomous management of healthcare service providers. Emerging from the administrative reforms and reduction of the state's role in the 1990s, they have shown relative success and have spread throughout Brazil. However, knowledge about OSS and the establishments whose management was transferred remains limited. This study addresses this gap by mapping and characterizing this landscape, with its main contribution being the expansion of Barcelos et al (2002) survey, incorporating methodological refinements. Manual research through websites and telephone centers of municipal/state health departments and information requests via the Access to Information Law (LAI – Lei de Acesso à Informação) was supplemented by information shared by the Federal Court of Accounts (TCU – Tribunal de Contas da União). The resulting database, named BDOSS, encompasses 1,874 establishments managed by 158 different OSS, and is available on an online portal that allows both direct searches in the database and the generation of statistics. All these procedures were monitored and validated through technical discussions with experts from the Brazilian Institute of Social Health Organizations (IBROSS – Instituto Brasileiro de Organizações Sociais de Saúde). The subsequent descriptive analysis of BDOSS shows that, despite the widespread presence, the participation of establishments managed by OSS is still low, with a higher concentration in São Paulo. The main types of services provided are in Primary Care. Regarding hospitals, which are the focus of the second stage of the study, there is a greater presence of OSS in medium/large-sized hospitals, with managed establishments showing a higher average volume of admissions and an occupancy rate with more efficient allocation of beds, surpassing the national average.

Suggested Citation

  • Mônica Viegas Andrade & Kenya Noronha & Catarina Barcelos & Henrique Bracarense, 2024. "Mapeamento e caracterização dos estabelecimentos geridos por organizações sociais de saúde no Brasil: construção da Base de Dados das Organizações Sociais de Saúde (BDOSS)," Textos para Discussão Cedeplar-UFMG 671, Cedeplar, Universidade Federal de Minas Gerais.
    • Handle: RePEc:cdp:texdis:td671
    as

    Download full text from publisher

    File URL: https://www.cedeplar.ufmg.br/pesquisas/td/TD%20671.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Gerard M. La Forgia & Bernard F. Couttolenc, 2008. "Hospital Performance in Brazil : The Search For Excellence," World Bank Publications - Reports 10284, The World Bank Group.
    2. Gerard M. La Forgia & Bernard F. Couttolenc, 2008. "Hospital Performance in Brazil : The Search for Excellence," World Bank Publications - Books, The World Bank Group, number 6516.
    3. Laura Botega & Mônica Viegas Andrade & Gilvan Ramalho Guedes, 2020. "Brazilian hospitals’ performance: an assessment of the unified health system (SUS)," Health Care Management Science, Springer, vol. 23(3), pages 443-452, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lewis, Maureen & Pettersson, Gunilla, 2009. "Governance in health care delivery : raising performance," Policy Research Working Paper Series 5074, The World Bank.
    2. Laura Botega & Mônica Viegas Andrade & Gilvan Ramalho Guedes, 2020. "Brazilian hospitals’ performance: an assessment of the unified health system (SUS)," Health Care Management Science, Springer, vol. 23(3), pages 443-452, September.
    3. Jack, William & Lewis, Maureen, 2009. "Health investments and economic growth : macroeconomic evidence and microeconomic foundations," Policy Research Working Paper Series 4877, The World Bank.
    4. Audibert, Martine & Mathonnat, Jacky & Pelissier, Aurore & Huang, Xiao Xian & Ma, Anning, 2013. "Health insurance reform and efficiency of township hospitals in rural China: An analysis from survey data," China Economic Review, Elsevier, vol. 27(C), pages 326-338.
    5. Jinsong Geng & Hao Yu & Yingyao Chen, 2016. "Preparing for the introduction of hospital autonomy in Laos: an assessment of current situation and suggestions for policy-making," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(2), pages 148-166, April.
    6. Domenico Lisi & Luigi Siciliani & Odd Rune Straume, 2020. "Hospital competition under pay‐for‐performance: Quality, mortality, and readmissions," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 29(2), pages 289-314, April.
    7. Eduardo Banzon & Mathilde Mailfert, 2018. "Overcoming Public Sector Inefficiencies Toward Universal Health Coverage - The Case for National Health Insurance Systems in Asia and the Pacific," Working Papers id:12809, eSocialSciences.
    8. Vinuela,Lorena & Zoratto,Laura De Castro, 2015. "Do performance agreements help improve service delivery ? the experience of Brazilian states," Policy Research Working Paper Series 7375, The World Bank.
    9. Andre Medici & Robert Murray, 2010. "Hospital Performance and Health Quality Improvements in São Paulo (Brazil) and Maryland (USA)," World Bank Publications - Reports 10179, The World Bank Group.
    10. Marcelino Jose Jorge & Maria Ines Fernandes Pimentel & Frederico A. de Carvalho & Patricia Santos Cavalheiro Silva, 2017. "Guiding Principle of Innovation in a Multipurpose Public Health Organization," Athens Journal of Business & Economics, Athens Institute for Education and Research (ATINER), vol. 3(1), pages 51-62, January.
    11. Michele Gragnolati & Magnus Lindelow & Bernard Couttolenc, 2013. "Twenty Years of Health System Reform in Brazil : An Assessment of the Sistema Único de Saúde," World Bank Publications - Books, The World Bank Group, number 15801.
    12. Lobo, Maria Stella de Castro & Estellita Lins, Marcos Pereira & Rodrigues, Henrique de Castro & Soares, Gabriel Martins, 2022. "Planning feasible and efficient operational scenarios for a university hospital through multimethodology," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    13. Eduardo J. Gómez, 2016. "Confronting Health Inequalities in the BRICS: Political Institutions, Foreign Policy Aspirations and State-civil Societal Relationships," Global Policy, London School of Economics and Political Science, vol. 7(4), pages 500-509, November.
    14. Howard, D.B. & Soria, R. & Thé, J. & Schaeffer, R. & Saphores, J.-D., 2020. "The energy-climate-health nexus in energy planning: A case study in Brazil," Renewable and Sustainable Energy Reviews, Elsevier, vol. 132(C).
    15. Wagstaff, Adam & Bales, Sarah, 2012. "The impacts of public hospital autonomization : evidence from a quasi-natural experiment," Policy Research Working Paper Series 6137, The World Bank.
    16. Bianca B P Antunes & Leonardo S L Bastos & Silvio Hamacher & Fernando A Bozza, 2021. "Using data envelopment analysis to perform benchmarking in intensive care units," PLOS ONE, Public Library of Science, vol. 16(11), pages 1-13, November.
    17. Alexandre Marinho & Simone de Souza Cardoso & Vivian Vicente de Almeida, 2009. "Brasil e OCDE: Avaliação da Eficiência em Sistemas de Saúde," Discussion Papers 1370, Instituto de Pesquisa Econômica Aplicada - IPEA.
    18. Grant Miller & Kimberly Singer Babiarz, 2013. "Pay-for-Performance Incentives in Low- and Middle-Income Country Health Programs," NBER Working Papers 18932, National Bureau of Economic Research, Inc.
    19. Diogo Ferraz & Enzo Barberio Mariano & Patricia Regina Manzine & Herick Fernando Moralles & Paulo César Morceiro & Bruno Guimarães Torres & Mariana Rodrigues Almeida & João Carlos Soares de Mello & Da, 2021. "COVID Health Structure Index: The Vulnerability of Brazilian Microregions," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 158(1), pages 197-215, November.
    20. Cuoghi, Kaio Guilherme & Leoneti, Alexandre Bevilacqua & Passador, João Luiz, 2022. "On the choice of public or private management models in the Brazilian Unified Health System (SUS)," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).

    More about this item

    Keywords

    Organizações Sociais de Saúde; public-private partnerships; healthcare services; BDOSS;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • H54 - Public Economics - - National Government Expenditures and Related Policies - - - Infrastructures
    • L33 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Comparison of Public and Private Enterprise and Nonprofit Institutions; Privatization; Contracting Out
    • D04 - Microeconomics - - General - - - Microeconomic Policy: Formulation; Implementation; Evaluation

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:cdp:texdis:td671. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Gustavo Britto (email available below). General contact details of provider: https://edirc.repec.org/data/pufmgbr.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.