O processo de contratualização do hospital de Angra dos Reis no contexto do federalismo e das relações intergovernamentais.

Abstract

This is a descriptive study of qualitative approach, type case study whose objective is to analyze the contractual model of a public hospital. In the context of the evolution of intergovernmental health relations, there is the degree of correspondence between hospital activities and services offered in the city and implementation of these requirements in the proposed municipal planning, guided by the Municipal Health Plan. In search of theoretical framework, were depth topics such as the contractual process of the Unified Health System, hospital care model in Brazil, care networks and health management mechanisms / interfederative relations. Municipal and regional scenarios contextualizing the implementation of the hospital are described. We performed a study of public management information systems, such as: national register of health / CNES, hospital information systems, mortality information system and the municipal and state health plan. At the end, we present the challenges of management in the new contract model deployment due to the difficulty of financing. We believe that rethinking the model of contracting services means ensuring correspondence between health services and health care outcomes of the user population.