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Abstract(s)
O Hospital das Forças Armadas constitui-se no centro nevrálgico do Sistema de Saúde Militar. Porém, recentes estudos de avaliação e auditorias externas, recomendam a reformulação do modelo de governação, com fundamento na identificação de ineficiências que condicionam a gestão e o desempenho assistencial. Consequentemente, esta investigação teve por objetivo estudar e propor linhas de orientação passíveis de mitigar os principais constrangimentos identificados, almejando contribuir para otimizar a governação hospitalar.
Nesse sentido, com base num modelo de raciocínio indutivo, suportado numa estratégia de investigação qualitativa e num desenho de estudo de caso, procedeu-se à revisão de literatura, complementada com a realização de entrevistas a entidades detentoras de conhecimento neste âmbito. Concomitantemente, foram analisados modelos de governação de hospitais congéneres, do Serviço Nacional Saúde e de Forças Armadas de países europeus, visando identificar práticas passíveis de configurar oportunidades de melhoria para a governação hospitalar.
Em resultado da investigação, concluiu-se que a governação do Hospital das Forças Armadas pode ser otimizada, sem prejuízo da sua natureza e das especificidades de um hospital militar, implementando, com as necessárias adaptações, práticas já testadas e consolidadas em hospitais públicos nacionais e/ou hospitais militares de países europeus.
The Armed Forces Hospital is the heart of the Military Health System. However, recent evaluation studies and external audits recommend the reformulation of the governance model, due to the identification of inefficiencies that affect its management and care performance. Consequently, this research aimed to study and propose guidelines that could mitigate the main constraints identified, aiming to contribute to optimizing hospital governance. In this sense, based on an inductive reasoning model, supported by a qualitative research strategy and a case study design, a literature review was carried out, complemented by interviews with entities that have knowledge in this area. At the same time, governance models of similar hospitals, of the National Health Service and of the Armed Forces of European countries were analyzed, in order to identify practices that may represent opportunities for improvement in hospital governance. As a result of the research, it was concluded that the governance of the Armed Forces Hospital can be optimized, without prejudice to its nature and the specificities of a military hospital, by implementing, with the necessary adaptations, practices already tested and consolidated in national public hospitals and/or military hospitals of European countries. Keywords: Military
The Armed Forces Hospital is the heart of the Military Health System. However, recent evaluation studies and external audits recommend the reformulation of the governance model, due to the identification of inefficiencies that affect its management and care performance. Consequently, this research aimed to study and propose guidelines that could mitigate the main constraints identified, aiming to contribute to optimizing hospital governance. In this sense, based on an inductive reasoning model, supported by a qualitative research strategy and a case study design, a literature review was carried out, complemented by interviews with entities that have knowledge in this area. At the same time, governance models of similar hospitals, of the National Health Service and of the Armed Forces of European countries were analyzed, in order to identify practices that may represent opportunities for improvement in hospital governance. As a result of the research, it was concluded that the governance of the Armed Forces Hospital can be optimized, without prejudice to its nature and the specificities of a military hospital, by implementing, with the necessary adaptations, practices already tested and consolidated in national public hospitals and/or military hospitals of European countries. Keywords: Military
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Keywords
Sistema de Saúde Militar Hospital das Forças Armadas Modelo de Governação Military Health System Armed Forces Hospital Governance Model