Banca de DEFESA: BRUNO ROCHA CAMPOS

QUALITY MANAGEMENT IN A PUBLIC HOSPITAL: Challenges and propositions

Accreditation; Quality; health system; Public Administration; hospital.

The present study has the general objective of carrying out a situational diagnosis of the HRBJA to identify possible bottlenecks in the implementation of Quality Management. As specific objectives, the research intends to raise and analyze the evolution of the structures, services and financing of the SUS; diagnose the scenario and procedures of Quality Management in Health; perform a situational diagnosis of the HRBJA; in addition to preparing an intervention proposal that helps HRBJA in the process of implementing Quality Management. For this, qualitative research was carried out, of an applied, exploratory, bibliographic and documentary nature, classified as a case study, based on an empirical investigation. The context of the study started from the scenario of the evolution of the SUS in Brazil and passed to the hospital studied in its general panorama and, specifically, to the audits carried out with the purpose of diagnosing Quality Management in the HRBJA. The results point to the fragility of the existing process, due to the various structural restrictions. It was evident that the HRBJA started, in an embryonic way, the Quality Management process since 2014. However, the internal audits carried out by the hospital point to the need for greater attention to the process of dissemination and use of management tools by the teams. The notes indicate that the management instruments are used insufficiently, in addition to a low dissemination of the Quality Management process. As proposed measures to support the instrumentalization of the management process in the HRBJA, there is a need to structure the scope of Quality, the construction of the hospital's macro process, the training of servers and the development of Quality tools.