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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
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    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)

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    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

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