Daniela de Souza Ferreira

Atenção integral e eficiência no Laboratório de Pesquisa Clínica em Doenças de Chagas do Instituto de Pesquisa Clínica Evandro Chagas, 2009-2011

Objective: to characterize the level of procedure diversiication required by the Integral Health Care Model for Chagas’ disease treatment and assess it with respect to eficient use of resources. Methods: a microcosts survey, as well as Activity-Based Costing (ABC) and Data Envelopment Analysis (DEA) models, were used to calculate annual expenditure and actual unit costs of procedures for a case study assessing the performance of the Chagas’ Disease Clinic Research Laboratory/Evandro Chagas Clinical Research Institute/Fiocruz health care model. Results: diversiication and pro-eficiency motivation were conirmed by the identiication of 291 procedures types in 2009 and 19% eficiency gain in the period 2009-2011. Conclusion: eficiency Analysis reveals explanatory power over decision-making in multipurpose public health organizations and demonstrated the eficiency of the model in Chagas’ disease treatment and its potential contribution to effective care actions in the Brazilian Uniied Health System.

Gestão Orientada para Resultados no Instituto de Pesquisa Clínica Evandro Chagas da Fundação Oswaldo Cruz: A Contribuição do Modelo PAA-IGs

Desde 2006 o monitoramento de despesas e custos no In tituto de Pesquisa Clínica Evandro Chagas da Fundação Oswaldo Cruz (IPEC/FIOCRUZ) reco rr às estimativas geradas pelo Projeto de Avaliação e Acompanhamento – Indicadores Gerenciais (PAA-IGs). O objetivo do artigo é evidenciar a contribuição do modelo PAA-IG s para aperfeiçoar a gestão orientada para resultados adotada na FIOCRUZ e no IPEC a part ir dos anos 90. O método de pesquisa é um estudo de caso comparativo que trata da tomada d e decisão a respeito da atividade de assistência tal como é obtida com apoio na sinaliza ção resultante de três classes de evidência, quais sejam, os valores: do orçamento executado do IPEC; a previsão orçamentária do Plano Anual do IPEC e as estimativas de despesas e custos geradas pelo Projeto PAA-IGs. O resultado é que a despesa apurada pelo modelo PAA-I Gs contribui para a aferição do resultado do cálculo dos direcionadores dos custos do IPEC. A conclusão do artigo é que, como contribuição ao conhecimento, o artigo aponta exigências para a gestão orientada para resultados em termos da apuração das despesas em um a organização pública multipropósito de saúde e, como contribuição gerencial, confirma a utilidade do modelo PAA-IGs para aperfeiçoar a estimativa da despesa de assistência do IPEC.

Organización y desempeño: evaluación de la centralización de la patología del INCA-Brasil

Literature widely assigns positive effects on entrepreneurial orientation and firm performance to decentralization of organizational structure; at the same time, there is evidence of positive effects of centralization of complex procedures in large hospitals on the results of cancer treatment. This study intends to evaluate the effects of centralization of pathology laboratories at the National Cancer Institute (INCA) of Brazil in 2002 on the performance of diagnostic activity and cancer control. A non-parametric efficiency frontier for the pathology labs is calculated for the period 1997-2007 by means of Data Envelopment Analysis (DEA). Findings show that centralization reversed the decline of technical efficiency in the laboratories along the period 1997-2001. The main conclusion is that the DEA model brings a contribution to knowledge about change in organizational structure in public health organizations, as well as a managerial contribution on the effectiveness of centralization to improve the support of pathology labs to INCA hospitals.

Organização e desempenho: avaliação da centralização da patologia do INCA-Brasil

Literature widely assigns positive effects on entrepreneurial orientation and firm performance to decentralization of organizational structure; at the same time, there is evidence of positive effects of centralization of complex procedures in large hospitals on the results of cancer treatment. This study intends to evaluate the effects of centralization of pathology laboratories at the National Cancer Institute (INCA) of Brazil in 2002 on the performance of diagnostic activity and cancer control. A non-parametric efficiency frontier for the pathology labs is calculated for the period 1997-2007 by means of Data Envelopment Analysis (DEA). Findings show that centralization reversed the decline of technical efficiency in the laboratories along the period 1997-2001. The main conclusion is that the DEA model brings a contribution to knowledge about change in organizational structure in public health organizations, as well as a managerial contribution on the effectiveness of centralization to improve the support of pathology labs to INCA hospitals.

Organization and performance: assessing centralization of pathology at INCA-Brazil

Literature widely assigns positive effects on entrepreneurial orientation and firm performance to decentralization of organizational structure; at the same time, there is evidence of positive effects of centralization of complex procedures in large hospitals on the results of cancer treatment. This study intends to evaluate the effects of centralization of pathology laboratories at the National Cancer Institute (INCA) of Brazil in 2002 on the performance of diagnostic activity and cancer control. A non-parametric efficiency frontier for the pathology labs is calculated for the period 1997-2007 by means of Data Envelopment Analysis (DEA). Findings show that centralization reversed the decline of technical efficiency in the laboratories along the period 1997-2001. The main conclusion is that the DEA model brings a contribution to knowledge about change in organizational structure in public health organizations, as well as a managerial contribution on the effectiveness of centralization to improve the support of pathology labs to INCA hospitals.