O planejamento estratégico de um hospital universitário federal e sua atuação regional nas políticas públicas de saúde

Abstract

The management of public health still faces great challenges to be tackled in order to provide quality service to those users of the Sole Health System. In this system, the federal university hospital play an outstanding role in the region in which they are located. As of 2010, the government has boosted its efforts to improve these organizations and has created the National Program for the Restructuring of Federal University Hospitals and the Brazilian Hospital Services Company. The matter investigated by this research was the relationship between the strategic planning of a Federal University Hospital, Hospital de Clínicas da Universidade Federal do Paraná, and the regional guidelines set forth by the public health public policies. The general aim was to analyze the relationship between Hospital de Clínicas da Universidade Federal do Paraná’s strategic planning and its regional performance as to public health policies. The research is characterized as applied, as to its nature, and descriptive as to its objective. It has a qualitative-quantitative approach and was carried out through assorted techniques: bibliographic research, document research, mapping techniques, descriptive statistics, case studies (document analyses and interviews) and an analysis by using the Atlas TI 7 software, with Bardin (2011) model. It was verified, through health indicators, that this hospital’s service plays an important role in the region. As to the supplies for the public hospital services in Curitiba, the Hospital de Clínicas da Universidade Federal do Paraná has 24.75% of the equipment, 22.95% of the professionals and 14.04% of the hospital beds. Concerning the production of the municipal hospitals, the service has an 18.87% participation in medical appointments and 11.74% in hospital admissions. 85.35% of the patients helped by the institution are from the metropolitan area of Curitiba. This highlights the importance that the hospital has for the region, and the inclusion of regional services and the network of health services, Sole Health System’s organization guidelines and strategy, in performing the strategic management. It has been verified, through the last three strategic plannings (2007 to 2017), an improvement as to the presence of components, as per Kaplan and Norton (2008), as well as the regional activities and the health services network. The main factors for such evolution have been the ongoing training of managers and the new methodology suggested by the public company.