Gerenciamento de custos hospitalares em um Hospital Militar Secundário : aplicação no Sistema de Saúde da Marinha do Brasil Um estudo de caso: Hospital Naval de Natal

Abstract

This text is concerned with the importance of cost management in the hospitals. The discoveries in the science and technological areas have strongly changed the medical practice. Modern equipments and the demand for well prepared workers, although very important, are putting in way to increase, more and more, the hospital costs. These rising expenses, in the restricted budget present scenery, become mandatory an endless seeking for some alternatives that enable a more strict control of outlays, without jeopardizing the service quality offered. Also, it presents the widely used expenditure verification systems, emphasizing that employed by Military Organizations of Health Service. It shows, in a short way, how is processed the cost verification in these organizations. This text still describes the establishment of the cost verification system in the Naval Hospital of Natal, highlighting its different aspects in comparison with other district hospitals. It discusses the difficulties faced during and after system implantation. Finally, it introduces some suggestions to improve the cost verification system used in Brazilian Navy hospitals