scholarly journals Public financing versus private billing in a public hospital under management of a Social Health Organization

2021 ◽  
Vol 48 ◽  
Author(s):  
NACIME SALOMÃO MANSUR ◽  
PATRICIA TOSIRO MARCOS ◽  
DEYVID FERNANDO MATTEI ◽  
GASPAR JESUS LOPES FILHO
Keyword(s):  
Public Hospital ◽  
The State ◽  
Social Health ◽  
State Health ◽  
Unified Health System ◽  
Production Ratio ◽  
Production Values ◽  
Medical Fees ◽  
Health Organization ◽  
Management Contracts

ABSTRACT Introduction: to assess the efficiency of management by a Social Health Organization (Organização Social de Saúde - OSS) compared with the private sector; to verify if there are savings for the State Health Secretariat (SES) in management contracts for financing the production of a public hospital versus its production values billed by private methods; and to establish if the amounts billed by the Unified Health System (SUS) table would finance the same procedures. Methods: we compiled and tabulated all procedures performed and the materials and drugs dispensed in the Euryclides Jesus Zerbini Transplant Hospital (HTEJZ), managed by the OSS Associação Paulista Para o Desenvolvimento da Medicina (SPDM), in September, October, and November 2018, according to the Brasíndice® table for drugs, the Simpro® table for materials, the CBHPM® table for medical fees, and tables SIGTAP SUS and SIA SUS. We then compared the average values obtained in the private billing with the costing amount reimbursed by the State Health Secretariat and the billing calculated in the SIA-SUS. Results: the average SUS revenue was R$ 2,774,086.91; the monthly reimbursement by the SES was R$ 13,055,700.00; and the average private revenue was R$ 25,084,440.31. Conclusions: the management by the OSS SPDM in the Euryclides de Jesus Zerbini Transplant Hospital was more efficient in the financing / production ratio than it would be to a private hospital. The economy of public funds was significant. The current SUS table reimbursement values would not meet the need for funding for an overly complex hospital.

scholarly journals Analysis of patients with prostate cancer care at a reference hospital in the state of Tocantins, suitable for brachytherapy

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
André De Souza Bezerra ◽  
Carlos Alberto Zeituni ◽  
Maria Elisa Chuery Martins Rostelato
Keyword(s):  
Prostate Cancer ◽  
General Public ◽  
Public Hospital ◽  
Descriptive Analysis ◽  
The State ◽  
Unified Health System ◽  
Disease Staging ◽  
Reference Hospital ◽  
High Degree ◽  
Selection Of

Observation and identification of predictive factors for results and morbidity are essential in the ideal selection of patients who can use brachytherapy as a treatment modality for prostate cancer. Thus, the objective of this research is to analyze the population of patients with prostate cancer treated at the General Public Hospital of Palmas in 2015, in the state of Tocantins. The method used was quantitative, with the characteristics of a retrospective, transversal and descriptive analysis. Held in the largest state health unit, the General Public Hospital of Palmas that, despite its large dimensions, lives with the main problems of the Unified Health System, such as overcrowding and shortages. It was found that most of the patients seen corresponded to the age of 70 to 79 years, making 45%, followed by patients aged between 60 and 69 years, with 33%. Most of the individuals attended were from the state of Tocantins, but some lived in an adjacent city in the state of Pará. Data related to the Gleason score showed that there was a predominance of levels 6 and 7 indicating intermediate grade tumors, considering that the most of the observed population was older. It was concluded that the analyzed patients had a predominant staging of CaP II and III, thus most of the individuals, 23 of the 35 analyzed, were not able to undergo brachytherapy due to the high degree of disease staging.

scholarly journals Satisfaction level of phisicians working in a social health organization of Unified Health System In Brazil

2017 ◽  
Vol 27 (3) ◽  
pp. 322
Author(s):  
Fabio Pegorari ◽  
Flavio Morgado ◽  
Beatriz Da Costa Aguiar Alves ◽  
Ligia Ajaime Azzalis ◽  
Virginia Berlanga Campos Junqueira ◽  
...  
Keyword(s):  
Work Environment ◽  
Medical Professional ◽  
Social Health ◽  
Management Policy ◽  
Cross Sectional ◽  
Unified Health System ◽  
Unit Manager ◽  
Level Of Satisfaction ◽  
And Performance ◽  
Health Organization

Introduction: The evaluation of a work system is based on the ability to adapt work to the man and the man to the work. One of the aspects that interfere in the capacity of adaptation is the satisfaction in the work as the integration, the autonomy, the motivation, the involvement and the utilization of the physical and mental capacities.Objective: To analyze the level of satisfaction of medical professionals regar ding their work environment in a Social Health Organization of Brazilian Unified Health System.Methods: It is a cross-sectional, exploratory and descriptive study. For data collection, we used a questionnaire mailed  through the Google Docs platform, containing 36 questions about indicators: material, personnel, quality and social.Results: A total of 51 physicians participated in the study. The findings showed significant associations between their satisfaction of work environment and relationship with their work team, unit manager and performance recognition.Conclusion: The satisfaction in the work environment of the medical professional in the Social Health Organization is associated with internal factors, as well as the need for their performance recognition by the management policy. The external factors studied, such as multiple job sites.

HUBUNGAN PENDIDIKAN DAN STATUS EKONOMI DENGAN STATUS GIZI IBU HAMIL TRIMESTER III DI PUSKESMAS SOSIAL PALEMBANG TAHUN 2012

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Tirta Anggraini Tirta Anggraini
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Health Center ◽  
Economic Status ◽  
Social Health ◽  
World Health ◽  
Third Trimester ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Organization

ABSTRACT According to the World Health Organization (WHO), maternal nutritional status at the time of growth and during pregnancy can affect fetal growth and development. Based on (IDHS) survey of 2007 AKI Indonesia at 228 per 100,000 live births, although this figure is still the highest in Asia. Social health center in Palembang in 2011 the number of pregnant women with good nutritional status of 67 men (97.1%). factors that influence the nutritional status of pregnant women is the temperature of the environment, economic status, habits and views of women to food, age, education, and health status. The purpose of this study is a known relationship education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. This study uses analytic survey with cross sectional approach. The population in this study were all third trimester pregnant women who visit the health center Social Palembang in May 2012, with a sample of 30 respondents. Sampling in this study with non-random methods with techniques Accidental Sampling. Data analysis carried out univariate and bivariate statistics with Chi-Square test with significance level α = 0.05. The results showed than 30 respondents there (73.3%) of respondents that good nutritional status, higher education (76.7%), and high economic status (70.0%). The results of this study showed no significant association education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. From the results of this study, researchers hope to improve the health care workers, especially health services in Antenatal Care services pay more attention to maternal risk of poor nutritional status.   ABSTRAK Menurut World Health Organization (WHO), status gizi ibu hamil pada waktu pertumbuhan dan selama hamil dapat mempengaruhi pertumbuhan dan perkembangan janin. Berdasarkan (SDKI) survei terakhir tahun 2007 AKI Indonesia sebesar 228 per 100.000 Kelahiran Hidup, meskipun demikian angka tersebut masih tertinggi di Asia.  Di Puskesmas Sosial Palembang tahun 2011 jumlah ibu hamil yang berstatus gizi baik sebesar 67 orang (97,1%). faktor-faktor yang mempengaruhi status gizi ibu hamil adalah suhu lingkungan, status ekonomi, kebiasaan dan pandangan wanita terhadap makanan, usia, pendidikan, dan status kesehatan. Tujuan penelitian ini adalah diketahuinya hubungan pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua ibu hamil trimester III yang berkunjung di Puskesmas Sosial Palembang pada bulan Mei tahun 2012, dengan jumlah sampel 30 responden. Pengambilan sampel pada penelitian ini dengan metode non random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 30 responden terdapat (73,3%) responden yang berstatus gizi baik, pendidikan tinggi (76,7%), dan status ekonomi tinggi (70,0%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan terutama dalam pelayanan Antenatal Care lebih memperhatikan kehamilan ibu yang berisiko status gizi buruk.

The State Action Doctrine and The Local Government Antitrust Act: The Restructured Public Hospital Model

1988 ◽  
Vol 14 (2-3) ◽  
pp. 171-219
Author(s):  
Theodore N. McDowel ◽  
J. Marbury Rainer
Keyword(s):  
Local Government ◽  
Public Hospital ◽  
The State ◽  
State Action ◽  
Hospital Facility ◽  
Practical Matter ◽  
Antitrust Analysis ◽  
The Impact ◽  
State Action Doctrine ◽  
Public Entity

This Article analyzes the development and complexities of the antitrust state action doctrine and the Local Government Antitrust Act as these doctrines apply to both “municipalities” and private entities. The restructuring of a public hospital is used as a model to facilitate the antitrust analysis. The restructuring model, which typically involves the leasing of a hospital facility by a public entity to a private nonprofit corporation, offers the unique opportunity to compare the different standards employed under the state action doctrine and the Local Government Antitrust Act. As a practical matter, the Article provides a framework for a public hospital to evaluate the impact of corporate restructuring on its antitrust liability exposure and to develop strategies to minimize antitrust risks.

scholarly journals Access to treatment for phenylketonuria by judicial means in Rio Grande do Sul, Brazil

2015 ◽  
Vol 20 (5) ◽  
pp. 1607-1616 ◽  
Author(s):  
Luciano Mangueira Trevisan ◽  
Tatiele Nalin ◽  
Tassia Tonon ◽  
Lauren Monteiro Veiga ◽  
Paula Vargas ◽  
...  
Keyword(s):  
Genetic Diseases ◽  
Rio Grande ◽  
Right To Health ◽  
The State ◽  
Rio Grande Do Sul ◽  
Access To Treatment ◽  
Unified Health System ◽  
Department Of Health ◽  
Legal Remedy ◽  
The Right

Treatment of phenylketonuria (PKU) includes the use of a metabolic formula which should be provided free of charge by the Unified Health System (SUS). This retrospective, observational study sought to characterize judicial channels to obtain PKU treatment in Rio Grande do Sul (RS), Brazil. Lawsuits filed between 2001- 2010 and having as beneficiaries PKU patients requesting treatment for the disease were included. Of 20 lawsuits filed, corresponding to 16.8% of RS patients with PKU, 19 were retrieved for analysis. Of these, only two sought to obtain therapies other than metabolic formula. In all the other 17 cases, prior treatment requests had been granted by the State Department of Health. Defendants included the State (n = 19), the Union (n = 1), and municipalities (n = 4). In 18/19 cases, the courts ruled in favor of the plaintiffs. Violation of the right to health and discontinuation of State-provided treatment were the main reasons for judicial recourse. Unlike other genetic diseases, patients with PKU seek legal remedy to obtain a product already covered by the national pharmaceutical assistance policy, suggesting that management failures are a driving factor for judicialization in Brazil.

Public Health and the State: Changing Views in Massachusetts, 1842-1936, by Barbara Gutmann Rosenkrantz. Cambridge, Massachusetts: Harvard University Press, 1972, 259 pp., $9.00

PEDIATRICS ◽  
1973 ◽  
Vol 51 (2) ◽  
pp. 323-324
Author(s):  
William M. Schmidt
Keyword(s):  
Public Health ◽  
Health Authority ◽  
100Th Anniversary ◽  
Harvard University ◽  
The State ◽  
Health It ◽  
State Health ◽  
History Of ◽  
Structure And Functions ◽  
State Board

This book was written in commemoration of the 100th anniversary of the founding of the Massachusetts State Board of Health. It is a record of events in mid-l9th century Massachusetts which led to the establishment of the Board of Health and of the changes in structure and functions of the State health authority from 1869 to 1936. It is, however, much more than this. As the subtitle indicates, this is a history of views and opinions about public health, particularly conflicting views as to the nature and extent of the Commonwealth's public health responsibilities.

On teaching surgery to seconded doctors

1934 ◽  
Vol 30 (1) ◽  
pp. 26-32
Author(s):  
V. L. Bogolyubov
Keyword(s):  
Health Care ◽  
Soviet Union ◽  
Health Care System ◽  
The State ◽  
October Revolution ◽  
General State ◽  
State Health ◽  
National Scale ◽  
Systematic Improvement ◽  
Care System

The question of the systematic improvement of doctors on a national scale arose only after the October Revolution and the transfer of the health care system into the hands of the state. The October Revolution, which brought with it the system of state health care, raised the acute and very real question of creating a cadre of doctors to carry out the tasks of Soviet health care. Thus, the training of doctors in our Soviet Union in general and their training in particular is directly dependent on the tasks of Soviet health care, which are inseparably linked in their turn to the realization of various general state tasks at a given point in time.

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