Terceirização do apoio logístico: a gestão dos serviços médicos terceirizados no Hospital Naval Marcílio Dias

Abstract

Outsourcing of medical services in order to provide medical and hospital assistance in health organizations that do not belong to the Navy has become an important SSM strategic tool since the accreditation system has enabled the medical care even for those users who live within the national territory in rural locations in such a unbureaucratic way, perfectly legal and economically viable. Naval health care administration has always coexisted with the difficulty of attracting and restraining voluntary avoidance of doctors, both civilian and military, mainly due to the low wages compared to medical fees paid by the private sector and, particularly to the military, the extensive availability required for life in barracks. After 2011, when the authorization to conduct a public procurement and to provide public offices in scope of federal public administration was suspended indefinitely, condemning the federal civilian doctor´s career to extinction, the absence of doctors in HNMD became chaotic, revealing the need to complement the medical staff through corporate accreditation for the supply of skilled labors. The purpose of this project is to conduct a review regarding the outsourcing of HNMD medical services, under the aspects of legality and Federal Government politics about public health, proposing actions to improve its strategic management.