Mobilização de recursos e de capacidades como estratégia para a realização de pesquisa científica por hospitais privados de excelência no Brasil

Resumo

The value of biomedical research is acknowledged by society, especially after a pandemic unprecedented in history. Private hospitals, unlike public hospitals that act as "academic medical center", do not have the obligation to carry out scientific research activities, but their engagement on this field adds value to their care activities, contributing to the improvement of healthcare performance. The literature gap that this work sought to address is how private hospitals use their resources and capabilities for this activity as part of their strategy. The biomedical research enterprise, despite its importance, shares the existing structure in these hospitals, including competition for different types of resources. Thus, to create competitive advantage, this activity needs special resources and capabilities. Considering the relevance of the private healthcare business in Brazil and its growing contribution to the scientific scenario, the question that this work set out to answer is what are the capabilities and resources that create a competitive advantage for conducting research in private hospitals? This study employed qualitative methods that included a bibliographic review of the themes "biomedical research value" and "resource-based view applied to healthcare", documental analyses and field research through ten semi-structured interviews carried out with Chief Scientific Officers and Chief Executive Officers from a sample of outstanding private hospitals. The results indicate that these activities took shape in these institutions from the year 2000 and are still undergoing transformation, focusing primarily on clinical trials, whether sponsored by industries or institutional research (researcher's initiative). Some organizations with greater scientific maturity have organizational capabilities and specific resources to conduct experimental and pre-clinical research. Among the main resources and capabilities found for carrying out scientific activities in these organizations, we highlight, among the tangible resources, the establishing of support offices for researchers, appropriate physical areas, and specialized personnel as one of the key resources with VRIN characteristics. Despite the need for financial resources to carry out research projects, especially those of an institutional nature, the premise was unanimous that research cannot be seen as operational expenses, but as an investment. Among the intangible resources, the culture and the support of higher governance stand out to make the research activity a perpetual activity, and one that can bring the expected impact on the care provided by the hospital. The organizational capabilities already present in these organizations were undoubtedly strengthened by this permanent culture of dissatisfaction with status quo. The evaluation of indicators and research results in the strategic map was not unanimous among the institutions studied. However, all of them have management indicators as part of monitoring the research impact. We suggest, for future studies, advancing in the understanding of how the theme of research assessment can describe not only the reality of Brazilian research, but also the reality of research carried out within the hospital environment. In addition, the in-depth study of the impact of research in healthcare institutions may be correlated to economic and funding issues.

Ficha do documento

Tipo

Dissertação

Ano

2022

Instituição

Fundação Getulio Vargas

Fonte

Repositório da FGV

Idioma

Português

Acesso

Acesso aberto

Identificador

oai:repositorio.fgv.br:10438/32706

Temas

DadosGovernançaSaúde

Palavras-chave

EstratégiaGestão da pesquisaVisão baseada em recursosValor da pesquisa em saúdeCentros de pesquisa em hospitais privadosStrategyResearch managementResource-based viewBiomedical research valueResearch centers in private hospitalsAdministração de empresasPesquisa médicaSaúde - PesquisaHospitais - AdministraçãoPlanejamento estratégicoVantagem competitiva