Proposição de um modelo econômico, médico-assistencial para avaliar o desempenho de uma instituição hospitalar privada.

Abstract

This paper is a case study that proposed a model to evaluate the performance of a large private hospital in southern Brazil, considering the relationship between economic variables and welfare. From the national and international literature review of the concept used for hospital performance, and the variables that make up the dimensions and economic welfare of this organization model, structured qualitative research was applied to a group of experts from five major hospitals in the region with representation southern Brazil, characterized by the same service profile, size and complexity. Initially, it was established a consensus on the definition of hospital performance, second validated the relationship of variables mentioned in the literature to evaluate the performance of these dimensions, third, set up a weight for each variable according to average established by the sum of the interviews held with the hospitals, represented by their experts. From these definitions, we elaborated a model that enables creation of understanding the relationship between these variables in the composition of their performances. Finally, we applied the intensive care unit of a organizations. The use of the model included the 12-month period, which allowed this work to identify which economic variables and assists greater impact on performance generated during this period, as well as a systemic view of the results to assist management and decision making.