O Emprego da parceria público-privada no Setor de Radiodiagnóstico do Hospital Naval Marcílio Dias: Uma Realidade Viável?

Abstract

In the Radiological Diagnosis service of the Naval Hospital Marcílio Dias, due to the difficulties of obtaining human resources for the issuance of images reports and redistribution of resources for hiring outsourced companies that fully meet this shortage, PublicPrivate Partnership appears as a possible solution. Such model, that has already been applied in the world to provide for the growing need of services coupled with the scarcity of resources, may present itself as an alternative that could fill this gap, as well as offer new trends for application in the Navy Health System. This work consists of a qualitative exploratory research of the type narrative review, followed by a case study analysis which sought to identify the feasibility of the use of Public-Private Partnership in the Radiodiagnosis Sector of the Naval Hospital Marcílio Dias, as well as the benefits and risks of its use, noting that, to date, no similar studies have been performed in the Brazilian Navy. Public-Private Partnership showed to be a viable alternative in many countries to achieve the implementation of public social policies. The benefits of Public-Private Partnership relate to increased infrastructure investments and the belief that private sector services will be more efficient than the public. The risks translate into high project transaction costs and limited innovation process. Public and private agents should consider, via tools such as the Value for Money and the risk matrix, the feasibility and effectiveness of the projects, to mitigate the main risks of a Public-Private Partnership. Supported by the results observed in the models developed in many countries, emphasizing United Kingdom and Portugal, and the experiments implemented in Brazil, it is inferred that there are enough theoretical assumptions that support the use of Public-Private Partnership in the Diagnostic Radiology Sector of Naval Hospital Marcílio Dias, making this project viable. However, there is a continuing need for further empirical research to explore the evidence gaps