A estratégia de veriticalização dos serviços no Sistema de Saúde da Marinha e sua adequabilidade no cenário atual do setor no Brasil

Abstract

The current practice of Medicine has become progressively more technological and minimally invasive. This line of practice requires constant investment of financial, material and workforce resources, aside from depending on the delivery of certain quantitative results to justify the maintenance of some healthcare services, which limits smaller hospitals´ activities. This study was conducted with the objective of evaluating whether the line administration of the Brazilian Navy´s Healthcare System, based on the verticalization of the Naval Hospital´s services, remains adequate to the current practice of Medicine. In that sense, the Data Envelopment Analysis (DEA) method was used so to measure the input used and the services offered thereafter, in order to evaluate the efficiency of seven of the Brazilian Naval Hospitals in the delivery of high added value healthcare services. In adherence to the developed studies concerning this subject, both nationally and internationally, this study´s results prove that the smaller hospitals present lower efficiency rates. The present study has also tried to identify possible strategies for the increase in efficiency of Brazilian Naval Hospitals, such as widening the range of hospitalization of the patients and conduction of extensive surgical procedures