Proposal of good practice in management that contribute to financial sustainability of philanthropic hospitals related to health insurance sector

• Grant number: 15/50354-9
• Support Opportunities: Research Grants - Research Partnership for Technological Innovation - PITE
• Start date: November 01, 2016
• End date: March 31, 2019
• Field of knowledge: Applied Social Sciences - Administration - Administration of Specific Sectors
• Agreement: Instituto de Estudos de Saúde Suplementar (IESS)
• Principal Investigator: Alexandre Pereira Salgado Junior
• Grantee: Alexandre Pereira Salgado Junior
• Host Institution: Faculdade de Economia, Administração e Contabilidade de Ribeirão Preto (FEARP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil
• Company: Instituto de Estudos de Saúde Suplementar (IESS)
• City: Ribeirão Preto

Abstract

Aware of the importance of charity hospitals for the public health system and the health insurance industry, there are concerns about its maintenance in the health system, especially because of the lack of infrastructure and basic management tools. Given the importance of these institutions to society, it is suggested to develop studies that contribute to the continuity these organizations, especially when it appears that the private market health is constantly growing, as opposed to the number of providers had a reduction of 46% from 1999 to 2013. Besides the fact mentioned earlier is noticed the increase in the number of beneficiaries of complaints. In this sense, this research aims to propose good management practices that contribute to the financial sustainability of philanthropic hospitals. For this, the hospitals were analyzed from two perspectives: one related to the satisfaction of the beneficiary in the emergency room and the other on financial management. It is understood that the concept of financial sustainability is achieved when the institution can be effective in both approaches. 80 were identified through data envelopment analysis technique (DEA), the most efficient hospitals in the allocation of assets and costs to generate revenue (financial approach) and in the allocation of the amount paid by the beneficiary to have a better satisfaction and pay prices lower (service approach) in a group of 40 nonprofit hospitals. For the advancement of research, the multiple case study in eight hospitals, selected by trial and convenience is required. Methodologically, the research is classified as applied, qualitative and quantitative. As a result, it may be possible to propose models of management and financial services that can contribute to the financial sustainability of health plans of philanthropic hospitals, assisting in the development of this type of supplemental health sector. (AU)