Abbade Eduardo Botti
Departamento de Ciências Administrativas, Universidade Federal de Santa Maria. Av. Roraima 1.000, Prédio 74C, Camobi. 97105-900 Santa Maria RS Brasil.
Cien Saude Colet. 2022 Mar;27(3):999-1013. doi: 10.1590/1413-81232022273.44562020. Epub 2021 Jan 28.
This study analyzes the evolution of results related to the production of university hospitals (HUs) in Brazil belonging to the Brazilian Hospital Services Company (EBSERH), emphasizing results achieved before and after joining EBSERH. Monthly data of 16 HUs, obtained from the Hospital Information System (SIH/SUS) and from the National Registry of Health Facilities (CNES), were analyzed, referring to the number of hospital admissions, number of professionals, number of beds, average length of stay, average mortality rate, total approved value of Hospitalization Authorizations (AIHs) and average AIH value. The study uses the simple analysis of interrupted time series (ITS) to analyze the effects of EBSERH management on HUs, assessing the level and trend of HU results before and after joining the EBSERH management. Hospitals, in general, had better results after joining the EBSERH, with a reduction in the average length of stay, an increase in the total number of hospitalizations, increase in work force, and an increase in the total amount approved by SUS. Among the analyzed HUs, the ones that showed the greatest performance improvement were HU/UFS, HULW/UFPB, HUOL/UFRN and HU/UFMA.
本研究分析了巴西医院服务公司（EBSERH）旗下巴西大学医院（HUs）的生产相关结果的演变，重点关注加入EBSERH之前和之后取得的结果。分析了从医院信息系统（SIH/SUS）和国家卫生设施登记处（CNES）获取的16家大学医院的月度数据，涉及住院人数、专业人员数量、病床数量、平均住院时间、平均死亡率、住院授权（AIHs）的总批准值以及平均AIH值。该研究使用中断时间序列（ITS）的简单分析来分析EBSERH管理对大学医院的影响，评估加入EBSERH管理之前和之后大学医院结果的水平和趋势。总体而言，医院加入EBSERH后取得了更好的结果，平均住院时间缩短，住院总数增加，劳动力增加，SUS批准的总额增加。在分析的大学医院中，表现改善最大的是HU/UFS、HULW/UFPB、HUOL/UFRN和HU/UFMA。
