Identificação de ineficiências na cadeia de valor da saúde, a partir da análise da gestão de compras de quatro hospitais privados do município de São Paulo

Resumo

Studies and researches on the reasons of the increase in healthcare costs tends to focus on a set of factors, such as the increase of materials and medicines prices, the new technologies, the aging of the population, among others. However, there are few studies that analyses the interactions between the healthcare system participants which may result in inefficiencies, or reveal the logic behind the exchange of values between healthcare market players and its rationality, in order to identify some issues which may contribute to the raising costs in the healthcare system, not followed by an increase of benefits to the end users. It is known that great part of healthcare expenses occurs within the hospital settings. Therefore this research analyzes some aspects of the hospital purchasing, in order to describe major aspects in the relationship between some parts involved in its dynamics, identify specificities of hospital purchasing, and verify some inefficiencies in the health care value chain. Four private hospitals of the city of São Paulo have been chosen and from each of these hospitals, an executive of the high administration, the purchasing/supply manager and a physician were interviewed. From the perception of the interviewees some inefficiencies were identified, as the dependence of some hospitals on the materials and medicine commercialization margins, which reveals the existence of a cost in the system not directly related to the real value added by the hospitals; the difficulty in standardizing the surgical materials that represent one the major purchase expenses in these institutions; the existence of supplier’s marketing practices that try to annul the rationality of the purchase; the difficulty to align the objectives between hospitals, health plans, physicians and suppliers, among others.

Ficha do documento

Tipo

Dissertação

Ano

2006

Instituição

Fundação Getulio Vargas

Fonte

Repositório da FGV

Idioma

Português

Acesso

Não informado

Identificador

oai:repositorio.fgv.br:10438/2335

Temas

TransportesSaúdeGestão Municipal

Palavras-chave

Hospital purchasing managementHospital supply managementSupply chain managementValue chain ManagementHealthcare value chainGestão de compras em hospitaisGestão de suprimentos em hospitaisGestão da cadeia de suprimentosGestão da cadeia de valorCadeia de valor da saúdeAdministração de empresasHospitais - AdministraçãoHospitais - CustosHospitais - ComprasHospitais - Administração de materialLogística empresarial