Well-received patients and protocols mark the best public hospitals in the country

Well-received patients and protocols mark the best public hospitals in the country

Managers of public hospitals that serve 100% through the SUS, listed as the best in a national ranking released in early November, point out as preponderant factors for a good performance the search for a more humanized service and the maintenance of accreditation seals, which attest to the management of the units.

For Maurício Perroud, superintendent of the State Hospital of Sumaré, in the interior of São Paulo, the leader of the ranking, which was elaborated by Ibross (Brazilian Institute of Social Health Organizations), the first impression has a significant weight for the patient, and that is worked within the unit.

“Usually there is a lot of bad talk about public health, but when the patient arrives at the public hospital and is welcomed by someone smiling, the place is clean, maintained, with adequate equipment, this has a positive impact”, he says.

Sumaré Hospital is managed by Unicamp and has around 1,300 employees. The care is referenced urgency, the patient is seen in another less complex unit and referred there.

In the outpatient clinic, where elective surgical cases enter, there are an average of 5,000 consultations per month, 700 of which are new patients. There are, on average, one thousand hospitalizations per month and 180 deliveries.

“Approximately 45% of our physicians have been with the company for more than 14 years. This brings stability to the process, people who know how the hospital works remain,” says Perroud.

The superintendent also highlights the fact that the unit functions as a teaching hospital, receiving physicians trained by Unicamp, as a positive point. “We manage to train those who are arriving, train them over time. This maintains the hospital’s culture.”

In second place in the ranking, Hospital Geral Dr. Waldemar Alcântara, from Fortaleza, and the General Hospital of Itapecerica da Serra, from Greater São Paulo. Both are administered by OSSs (Social Health Organization).

“The accreditations help us a lot in the sense of improving the care process and even basic things in patient admission. The hospital’s DNA has always had the concern of treating the patient well, with quality and safety”, says Denys Briand, general director from the Ceará hospital.

Fortaleza Hospital is managed by ISGH (Institute of Health and Hospital Management). It has 1,200 employees and has capacity for 323 hospitalizations, 53 of which in the ICU. According to Briand, the pandemic was a great lesson for the unit.

“In our hospital, the issue of working with a protocol was reinforced. Attendance, intubation, the use of antibiotics, transfer to the ICU. We had support doctors alongside the doctors who were working”, says Briand.

“It was a dramatic moment, but this matured our sense of humanization. It perfected tools that we were still in their infancy, such as digital media, contact between patients and family members over the internet. These were things that we advanced a lot”, completes the director.

The ranking was created by Ibross in partnership with PAHO (Pan-American Health Organization), Instituto Ética Saúde and ONA (National Accreditation Organization). 136 public hospitals were evaluated and 40 of them were highlighted for the ranking, 16 of which in the state of São Paulo.

In addition to the user evaluation, which was done through scores on the Google Business platform, the organization also took into account the institution’s certification time and an efficiency calculation, this one done in partnership with UFMG (Federal University of Minas Gerais ).

According to Renilson Rehem, general secretary of Ibross, a new ranking will be carried out every two years. He understands that the initiative makes it possible to show another image of the public health service.

“We are not talking about luxurious, five-star hospitals. We are talking about hospitals that work well, that have quality, that guarantee patient safety”, he says.

Gonzalo Vecina Neto, sanitary doctor and professor at the Faculty of Public Health at USP, understands that an evaluation ranking brings an important element in the discussion about public health services.

“We are discussing this issue of privatization a lot. If you take a state hospital and give it to the private sector to manage, it will remain state-owned, but it will be managed by a private company. Society has to be able to assess whether this is positive or negative” , says Vecina.

“If the institution managing these hospitals is a good institution, committed and transparent, it will manage to provide a service that will deliver what society expects it to deliver. On the other hand, if it is an institution that is there to make money, it it’s going to make a mess and eventually it will be able to divert public money from health.”

The 40 hospitals in the ranking

1 State Hospital Sumare Dr. Leandro Franceschini Sumare (SP)
two General Hospital of Itapecerica da Serra Itapecerica da Serra (SP)
General Hospital Dr. Waldemar Alcantara Strength
3 Diadema State Hospital Diadem (SP)
4 Clinical Hospital of Porto Alegre Porto Alegre
Cancer Institute Sao Paulo
5 Suburb Hospital savior
6 Vila Alpina State Hospital Sao Paulo
Transplant Hospital Dr. Euryclides by Jesus Zerbini Sao Paulo
Children’s Hospital Dr. Jeser Amarante Faria Joinville (SC)
7 Mario Covas State Hospital Santo André (SP)
8 Pirajussara General Hospital Taboão da Serra (SP)
9 Regional Hospital of Jundiaí Jundiaí (SP)
Regional Hospital of Sao Jose dos Campos Sao Jose dos Campos (SP)
Sertão Central Regional Hospital Quixeramobim (CE)
North Regional Hospital Sobral (CE)
10 Caxias do Sul General Hospital Caxias do Sul (RS)
11 Children’s Hospital of Brasilia José Alencar Brasilia
Municipal Hospital Dr. Moses Deutsch Sao Paulo
Cotia Regional Hospital Cotia (SP)
Regional Hospital of the Lower Amazon of Pará Santarém (PA)
12 Hospital Municipal Universitario Sao Bernardo Sao Bernardo do Campo (SP)
13 Gilson de Cassia Marques de Carvalho Municipal Hospital Sao Paulo
14 Reab State Center. and Readap. doctor Henrique Santillo Goiania
Infant Jesus Municipal Hospital Sao Paulo
Caribbean Regional Hospital Juazeiro do Norte (CE)
Santa Casa de Misericórdia do Pará Bethlehem
15 Regional Hospital of Sorocaba Dr. Adib Domingos Jatene Sorocaba (SP)
16 State Hospital Dr. Jayme Santos Neves Saw (ES)
17 Octávio Lobo Children’s Oncological Hospital Bethlehem
18 General Hospital of Itapevi Itapevi (SP)
19 Hospital de Clínicas Municipal de São Bernardo do Campo Sao Bernardo do Campo (SP)
20 Tiradentes Municipal Hospital Sao Paulo
21 Hospital das Clínicas Luiza de Pinho Melo Mogi das Cruzes (SP)
22 Sapopemba State Hospital Sao Paulo
Grajaú General Hospital Sao Paulo
Municipal Hospital of Araguaina Araguaina (TO)
23 Urg State Hospital. Gov. Otavio Lage de Siqueira Goiania
24 Hospital Alberto Rassi Goiania
25 Hospital and Maternity Dr. Odelmo Leão Carneiro Uberlândia (MG)

Source: Ibross ( Brazilian Institute of Social Health Organizations )

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