Contratos de gestão nos hospitais sob gestão indireta na Bahia: uma proposta de indicadores de saúde sob a perspectiva da gestão do trabalho.

Abstract

The Brazilian administrative restructuring throughout the Reform of the Brazilian State apparatus resulted in new ways of management, mainly in the health field. It contributed and legitimized the Social Organizations to manage basic services, previously executed by State. The management of the health services by Third Sector is justified by important elements such as efficiency, efficacy, low cost and a better administrative and financial dynamic of the resources for the public managers. As a result, the role of the State would be regulator and supervisory of the health services provided. It is necessary to establish a management contract that is a public administrative commitment instrument between the State and the social organization. This paper aimed to analyze sevenmanagement contracts of hospitals managed by social organizations in Bahia in order to contribute with news health indicators by management work perspective. The results revealed that , in the contract, most of the health indicators were quantitative, clinical procedures, numbers of clinical appointments. The health management and health workers were not approached. It is important to strengthen the monitoring and evaluation as management tools, because social organizations have been an international and national trend.