Flexibilidades gerenciais de uma OS na gestão de um hospital público no Amazonas: solução ou má gestão no uso dos recursos públicos?

Abstract

Considering that the management of Hospital Delphina Aziz has been carried out by a social organization (OS) since its inauguration, research was carried out on partnerships between the Government of Amazonas and OSs in the health area, in order to analyze the advantages and limitations arising from the managerial flexibilities of an OS in the management of a public hospital. To this end, it was necessary to highlight the possible advantages of an OS in hospital management, identify possible problems due to its flexibility and verify the control mechanisms in the partnership. A qualitative descriptive research was then carried out, through a case study on the management of the Delphina Aziz Hospital by the OS National Institute of Social and Human Development - INDSH. It was found that the OS model can have significant effects on the management of a public establishment, but the improper use of the management flexibilities of an OS, combined with the lack of adequate control mechanisms, can result in irregularities in management, demanding greater attention and responsibility by the parties involved in the partnership.