Accountability nas organizações sociais do setor de saúde (OSS)

Abstract

The objective of this dissertation was to develop technical training as Social Management Technology - TGS, aiming to propose structure, organizational processes and indicators that contribute to the implementation of accountability in Social Health Organizations (OSS). For this, a literature review was carried out on: Public health in Brazil; Social Organizations (OS): concept and evolution, legal classification, legal particularities, contracting process, term of reference and notice for contracting the service, public call, technical proposal and price proposal, models of contracts signed for the provision of services ; Accountability: conceptual aspects, evolution in Brazil, accountability in Social Organizations (SO), assistance goals, administrative and financial organizational processes, control and monitoring implemented by the contractor and inspections by external control bodies. As a research method we chose the Analytical Diagnosis in a qualitative approach, through the techniques of semi-structured interview collection, participant observation and document review at the Institute of Management and Humanization (IGH), Social Organization (OS) based in the city of Salvador and with acting in eight municipalities in the states of Bahia, Goiás and Minas Gerais. The conclusions were: that the operational continuity of the Social Health Organizations (OSS) and the protection of their legal representatives regarding judicial implications depend on the level of adherence to the aspects of accountability in the contracts executed; that managers and other collaborators located at the administrative headquarters of the Social Health Organization (OSS) surveyed, in general, know the correlation between the execution of accountability and the operational continuity of the Institute, however, they are unaware or superficially aware of the correlation between the execution accountability and legal protection of those responsible, therefore identifying a demand for training in this regard; and that external control bodies and contractors of Social Health Organizations (OSS) need to re-establish the environment of legal security and other structural aspects in relation to the segment, under the risk of making a model that has provided relevant services to the population unfeasible.