An exploratory view on federal university hospitals selected according to the management models in effect from 2012 to 2017

Abstract

Starting from 2013, the federal University Hospitals (HUs) were induced to join the Brazilian Company of Hospital Services (EBSERH). At the end of 2017, only four Federal Higher Education Institutions (IFES) had not joined this company. The article intends to identify and discuss some changes in the Hus, whether having a contract with the EBSERH or not, in order to understand and compare the role of management models related to investments and use of resources, such as beds, people, equipment and production (hospitalizations) and occupancy rates in the period from 2012 to 2017 when most contracts were established. This is an exploratory, descriptive, analytical and retrospective ecological study that uses secondary data from the official public databases of the SUS. It was found that the average variation of the set of hospitals, in both management models, was positive for complementary beds, number of workers and residents and negative for hospital beds. The growth in hospitalizations and the occupancy rate in both management models was noteworthy, with no statistical significance in the means of variation of the two models in all the variables studied. There was only a negative and significant correlation between the variation in the occupancy rate and hospital beds in all hospitals with a contract with EBSERH, showing that the growth in hospital admissions from these hospitals were explained by a greater use of a smaller number of beds and not because of an increase in the number of workers or beds.