Physical and financial participation of teaching hospitals in private care in São Paulo - Brasil

Bittar, Olímpio José Nogueira Viana; Zanatta, Carolina; Ferraz, Renato Ribeiro Nogueira

doi:10.1590/1806-9282.66.6.806

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Revista da Associação Médica Brasileira

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ORIGINAL ARTICLE • Rev. Assoc. Med. Bras. 66 (6) • June 2020 • https://doi.org/10.1590/1806-9282.66.6.806 copy

Physical and financial participation of teaching hospitals in private care in São Paulo - Brasil

Authorship SCIMAGO INSTITUTIONS RANKINGS

SUMMARY

OBJECTIVE

To evaluate the physical and financial participation of private health insurance beneficiaries in the TH located in the State of Sao Paulo, regarding the care of Brazilian Unique Health System patients, in the year 2017.

METHODS

The research data were obtained from the System of Evaluation of the Teaching Hospitals (SAHE), of the State Department of Health of São Paulo (SES/SP).

RESULTS

It was observed that, on average, the TH analyzed provide 17% of their operational vacancies for the Supplementary Health System, and that the financial return is better in the philanthropic ones.

CONCLUSIONS

The health care services provided by TH deserve to be deepened, evaluating the real advantages obtained in the provision of services, given that supplementary health care requires differentiated infrastructure, and mainly the knowledge of operational costs in order to stipulate the procedures’ price.

Health management; Public health; Supplementary health; Hospitals, teaching; Financial management

SES (and ME) Classification	Legal Classification	Specializations	Number	SS Contracts
University Hospital	Indirect administration and Foundation*	General	8	6
Specialized			14	7
(School Hospitals and Auxiliary Teaching Hospitals)	Social Organization	Oncology	5	3
	Direct Administration (AD)	Maternity	4	1
	Philanthropic	Cardiology	2	2
	Autonomous (A)	Infectious Diseases	1	0
		Renal transplantation	1	1
		Rehabilitation Hospital	1	0
Bound to/Under Contract with Faculties			30	15
(School Hospitals and Auxiliary Teaching Hospitals)	Social Organization	General	5	0
	Pub. L. Foundation/(A)/AD**	General	8	1
	Santa Casa	General	7	6
	Other philanthropic organizations	General	10	8
Total			52	28

University	SS Beds	Total Beds	% SS/ SUS Beds	SS Discharges	SUS Discharges	Total Discharges SS + SUS	% Discharge SS/SUS	SS Revenue/ SS Discharges	SUS Income/ SUS Discharges	$ SS/SUS
C	295	910	32.4	18,166	41,013	59,179	30.7	9,520.65	8,397.00	1.1
E	50	575	8.7	1,223	19,902	21,125	5.8	12,376.12	10,182.86	1.2
M	69	1,223	5.6	5,398	50,709	56,107	9.6	(20,875.71)	30,040.46	(0.7)
H	38	759	5.0	889	38,128	39,017	2.3	55,025.27	19,665.66	2.8
G	10	524	1.9	1,309	25,249	26,558	4.9	(8,223.49)	13,364.51	(0.6)
S	6	224	2.7	163	8,011	8,174	2.0	17,838.46	12,302.11	1.5
Subtotal/perc/ratio	464	4,215	11.0	27,148	183,012	210,160	12.9	20,643.28	15,658.77	1.3

Specialized	SS Beds	Total Beds	% SS/ SUS Beds	SS Discharges	SUS Discharges	Total Discharges SS + SUS	% Discharge SS/SUS	SS Revenue/ SS Discharges	SUS Income/ SUS Discharges	$ SS/SUS
K	80	380	21.1	3,682	12,460	16,142	22.8	23,607.91	9,026.86	2.6
AT	23	77	29.9	971	2,575	3,546	27.4	17,700.90	10,526.18	1.7
B	16	379	4.2	158	9,323	9,481	1.7	46,249.90	24,779.27	1.9
A	73	400	18.3	2,557	11,914	14,471	17.7	51,251.80	31,505.11	1.6
AC	20	151	13.2	1,213	7,355	8,568	14.2	40,113.40	12,054.42	3.3
Subtotal/perc/ratio	212	1,387	15.3	8,581	43,627	52,208	16.4	33,927.02	17,578.37	1.9

Under- Contract	SS Beds	Total Beds	% SS/SUS Beds	SS Discharges	SUS Discharges	Total Discharges SS + SUS	% Discharge SS/SUS	SS Revenue/ SS Discharges	SUS Income/ SUS Discharges	$ SS/SUS
BI	30	290	10.3	749	19,001	19,750	3.8	18,671.38	5,767.45	3,2
Y	43	227	18.9	2,921	10,978	13,899	21.0	13,901.00	5,967.44	2,3
BF	32	116	27.6	1,298	5,048	6,346	20.5	6,546.95	4,903.34	1,3
AF	327	664	49.2	11,752	11,116	22,868	51.4	33,367.73	4,826.97	6,9
AI	91	254	35.8	4,332	12,214	16,546	26.2	18,226.73	3,206.23	5,7
BE	42	197	21.3	2,154	8,968	11,122	19.4	12,601.77	5,157.04	2,4
AD	141	726	19.4	7,042	26,410	33,452	21.1	34,332.95	8,486.62	4,0
AB	123	319	38.6	10,253	14,199	24,452	41.9	(8,326.20)	12,295.67	(0,7)
P	76	226	33.6	3,369	9,680	13,049	25.8	11,855.29	6,613.55	1,8
AJ	68	160	42.5	4,464	7,663	12,127	36.8	(4,242.66)	4,456.08	(0,9)
L	67	198	33.8	3,892	8,721	12,613	30.9	(6,955.34)	7,601.46	(0,9)
AG	6	238	2.5	146	16,115	16,261	0.9	16,043.77	3,767.27	4,3
Subtotal/perc/ratio	1,046	3,615	28.9	52,372	150.113	202,485	25.9	15,422.65	6,087.43	2,5
Total/ percentage/ratio	1,722	9,141	18.7	88,101	376,752	464,853	19.0	23,331.00	13,108.19	1,8

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[1] CORRESPONDING AUTHOR: Olímpio José Nogueira Viana Bittar Avenida Doutor Enéas de Carvalho Aguiar, 188, São Paulo, SP, Brasil - 05403-000 Tel: +55 11 3066 8660. E-mail: olimpiobittar@gmail.com