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A redução de custos no setor da saúde representa um dos maiores desafios para a sua gestão pois, sendo esta fulcral para a sustentabilidade do setor, o seu processo de operacionalização não deve nunca pôr em causa a qualidade do serviço prestado. Apesar da pertinência, esta temática tem merecido pouca atenção por parte dos investigadores, pese embora este ser um problema transversal a vários países, independentemente dos seus modelos de financiamento em saúde. Com a realização deste estudo pretende-se uma análise comparativa dos principais constrangimentos relatados por colaboradores de um hospital público português e de um hospital público inglês, com o objetivo de identificar dificuldades percecionadas e que estratégias têm vindo a ser adotadas para a redução de custos. Este é um estudo qualitativo, descritivo e exploratório, recorrendo ao estudo de caso para estabelecer uma abordagem comparativa. Dos resultados obtidos, destaca-se o papel central dos profissionais de saúde, a reestruturação da prestação de cuidados, a correta utilização dos serviços por parte dos utentes, o desperdício e o benchmarking como áreas de atuação centrais para a redução de custos sem prejuízo da qualidade, apontando-se como focos de intervenção para o desenvolvimento de estudos futuros.
Reducing costs in the healthcare sector represents one of the biggest challenges for its management because as this is central to the sustainability of the sector its operationalization process must never jeopardize the quality of the service provided. Despite its relevance, this issue has received little attention from researchers even though this being a problem that affects several countries regardless of their health financing models. The purpose of this study is a comparative analysis of the main constraints reported by members of a Portuguese public hospital and an English public hospital, in order to identify perceived difficulties and what strategies have been adopted to reduce costs. This is a qualitative, descriptive and exploratory study using the case study to establish a comparative approach. From its results we highlight the central role of healthcare professionals, the restructuring of care provision, the correct use of services by users, waste and benchmarking as central areas of action for cost reduction without compromising quality, pointing out as relevant intervention focuses for future studies.
Reducing costs in the healthcare sector represents one of the biggest challenges for its management because as this is central to the sustainability of the sector its operationalization process must never jeopardize the quality of the service provided. Despite its relevance, this issue has received little attention from researchers even though this being a problem that affects several countries regardless of their health financing models. The purpose of this study is a comparative analysis of the main constraints reported by members of a Portuguese public hospital and an English public hospital, in order to identify perceived difficulties and what strategies have been adopted to reduce costs. This is a qualitative, descriptive and exploratory study using the case study to establish a comparative approach. From its results we highlight the central role of healthcare professionals, the restructuring of care provision, the correct use of services by users, waste and benchmarking as central areas of action for cost reduction without compromising quality, pointing out as relevant intervention focuses for future studies.
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Palavras-chave
Desperdício Eficiência Gestão em saúde Gestão de custos Costs management Efficiency Healthcare management Waste