Abstract
The objective of this study is to present the state of the art about hospital care, from the period before the SUS until the formulation of the National Policy of Hospital Attention. This is a national and international systematic review with the adoption of Prism Protocol and survey of the scientific literature indexed in Lilacs, Scielo and Web of Science. The 157 articles included, organized in three periods, showed increase in scientific production of 2003. The findings, among other aspects, point to incipient capacity for systemic management before the creation of SUS. It is worth noting the little investment for the adjustment of the hospital care model between the 1988 Constitution and Hospital Attention Reform Plan 2003. During the period of this governmental plan and the National Policy of Hospital Attention of 2013, a set of problems led to strategies of systemic management and hospital services, such regionalization, instances of governance and adoption of indirect management models. The scientific production analyzed allowed identification of important dimensions of hospital management in SUS, from the perspective of Health Policy, Planning and Management, pointing out gaps and possibilities for the research agenda.
Highlights
Resumo O objetivo deste estudo é apresentar o estado da arte sobre gestão hospitalar, do período que antecede o SUS até a publicação da Política Nacional de Atenção Hospitalar
The objective of this study is to present the state of the art about hospital care, from the period before the SUS until the formulation of the National Policy of Hospital Attention
Artigo apresentado em 16/08/2017 Aprovado em 20/12/2018 Versão final apresentada em 22/12/2018
Summary
A2 (71), seguidos por B1 (48), B2 (32), e A1 (06) (Tabela 1), apontando elevado nível de qualidade das publicações. E foi notório o crescimento da produção científica a partir de 2003, principalmente para Gestão em Saúde (Tabela 2). Conforme evidenciado na Quadro 1, os artigos até 1988 que foram incluídos na análise tiveram correlação com as categorias planejamento em saúde e gestão em saúde. E quanto à gestão, os problemas centrais se relacionaram com a prestação da assistência hospitalar (devido ao déficit de recursos laboratoriais e humanos e insuficiente ou má distribuição de médicos)[18] e a baixa fidedignidade dos registros de Autorização de Internação Hospitalar[19] que era o instrumento remuneratório. Distribuição quantitativa da produção científica pré-selecionada e analisada em revisão sobre gestão hospitalar no SUS, por bases Lilacs e Scielo e Qualis-Capes entre 1971 e 2015
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
