Análise de custo benefício do hospital público de trauamatologia e ortopedia do Estado do Maranhão

Abstract

Introduction: The Federal Constitution guarantees full, universal and free access to health through SUS, however, there are few studies that address the cost-benefit ratio of public health hospitals. Objective: To identify the expenditures spent in the end activity of the Hospital of Traumatology and Orthopedics and the achievement of the proposed goals and to verify the expenditures with greater representativeness in relation to the total expenditures. Method: This is an exploratory and descriptive cross-sectional study, with a quantitative and qualitative approach. Data collection was carried out from the access to information available on the world wide web, freely accessible, in addition to documents provided by the hospital. Results: The results revealed that medical services are the main expenses of the hospital. In addition, a positive evolution between expenses and productivity of surgeries was revealed, with an increase of 0.69% in expenses in relation to the annual average, whereas in relation to hospitalizations, there was a divergent result since the average variation of expenses was -2%. Conclusion: It is concluded that the Hospital that is the focus of the present study presents positive results for the services for which it is proposed in relation to surgeries, hospitalizations, the reach and, especially, to overcome the established goals, which reinforces the positive evaluation of users about the hospital. It is considered that the study contributes to the advancement of knowledge in the area, especially with regard to the cost-benefit ratio of hospital services.