Análise da eficácia dos sistemas de medição de desempenho dos contratos de parceria público-privada de serviços hospitalares do estado da Bahia.

Abstract

The purpose of this study is to evaluate the effectiveness of performance measurement systems of public-private partnerships for emergency and urgent care hospital services in the State of Bahia, whose contractual instruments are based on results: the Hospital do Subúrbio, regulated by Administrative Concession Contract No. 030/201O and the Hospital Metropolitano, through Public Bidding Notice 08/2021. The documentary analysis proposed by the study aimed to identify, based on the documents related to contract formalization and execution, the affinity of the partnership relationships with the assumptions of the principal-agent current on Agency Theory - Existence of information systems, Uncertainty of results, Risk aversion of the agent, Risk aversion of the principal, Conflict of interest between principal and agent, Programmability of tasks and Measurability of results - using as reference the verification elements of the analysis matrix. Based on documentary analysis and literature review, the work proposes a reflection on the risks inherent to public-private partnership relationships in a context of informational asymmetry characteristic of results-based contracts, exacerbated by the inadequate design of performance indicators. From a theoretical perspective, despite the intrinsic and extrinsic limitations of the research, the study considers that public-private partnership relationships are permeated by elements that characterize the assumptions of the principal-agent current, which makes the process of managing PPP contracts more complex, requiring the improvement of project planning and structuring techniques, referenced by a performance measurement system capable of effectively assessing the performance of the private partner in relation to management practices.