Hospital Performance in Brazil : The Search For Excellence
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World Bank, Washington, DC
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Hospitals are at the center of the
health care universe in Brazil. When ill, many Brazilians go
straight to the hospital for want of a family doctor or
primary care network. Hospitals are a critical part of the
government's budget, absorbing nearly 70 percent of
public spending on health. Hospitals influence the ebb and
flow of politician's careers when hospital mishaps hit
the headlines or the limelight falls on high-performing
hospitals. Hospitals are at the forefront of policy
discussions in Brazil. The discussions reflect their promise
as centers of technological innovation and medical advances
as well as widespread concern about their cost and quality.
Brazilian hospitals are important to many people for many
different reasons. What makes hospitals important is easy to
understand. What makes hospitals deliver quality care
efficiently or not is much harder to grasp. Can Brazil
improve the performance of its hospitals? The evidence
presented in this volume suggests that the answer is yes.
However, it will take strong leadership, coordinated efforts
of federal, state, and municipal governments, direct
engagement with the private health sector, and systematic
but continuous vision, policies, and actions. Such enabling
factors have been generally weak or absent in the Brazilian
health system. Promising initiatives have often been gutted
or scrapped after changes of government.
Palabras clave
BASIC, CLINICAL GUIDELINES, COLLABORATION, COMMUNITIES, DECISION MAKING, DECISION-MAKING, DELIVERY SYSTEM, EQUIPMENT, FINANCIAL SUPPORT, GLOBAL BUDGETS, HEALTH CARE, HEALTH CARE DELIVERY, HEALTH CARE ORGANIZATIONS, HEALTH PLANS, HEALTH POLICY, HEALTH SECTOR, HEALTH SPECIALIST, HEALTH SYSTEM, HOSPITAL BEDS, HOSPITAL CARE, HOSPITAL MANAGEMENT, HOSPITAL SERVICES, HOSPITALIZATION, HOSPITALS, HUMAN DEVELOPMENT, HUMAN RESOURCE, HUMAN RESOURCE MANAGEMENT, IMPLEMENTATION PLAN, INFORMATION TECHNOLOGIES, INNOVATIONS, INSTITUTIONAL CAPACITY, INSURANCE, LEARNING, MEDICAL CARE, MEDICAL TECHNOLOGIES, NETWORKS, NONPROFIT HOSPITALS, PATIENT, PATIENT SATISFACTION, PAYMENT SYSTEM, PAYMENT SYSTEMS, PRIMARY CARE, PRIVATE PARTNERSHIPS, PRIVATE SECTORS, PROGRAMMING, PROGRAMS, PUBLIC ADMINISTRATION, PUBLIC HOSPITALS, REGIONAL NETWORKS, REGULATORY FRAMEWORK, REGULATORY REFORM, RELIABILITY, SEARCH, SERVICE CONTRACTS, TARGETS, TECHNOLOGICAL INNOVATION, TECHNOLOGY ASSESSMENT, UNIVERSAL ACCESS, WASTE