A Contratualização interna de gestão no Hospital Universitário da Universidade Federal da Grande Dourados

Abstract

In the mid-1990s, the adoption of the New Public Management as a management model began the gradual replacement of the prioritization of compliance with norms and procedures as mechanisms for the prior coordination of Public Administration by contracts. In the contemporary scenario, contractualisation combines flexibility of management and increased responsibility, aiming to make State’s actions not only effective but also efficient. However, this instrument still externalizes problems. The intrinsic analysis of this instrument evidences the fragility in the negotiation, coordination and supervision levels of the contracts, the sensitivity to ruptures and / or instabilities in the Public Administration, the lack of qualification of the actors involved in the contractualisation process, besides the insufficiency and inefficacy of the mechanisms monitoring and evaluation. Following this trend, the University Hospital of the Federal University of Grande Dourados has contracted with the municipal health manager since 2010. It is against this dichotomy of potentialities and limits that this research aimed to answer the following question: what strategic measure could the HU-UFGD implement to improve the process of contracting in order to achieve improvement in its performance?. In order to answer the proposed questioning, a descriptive, documental, qualitative research was applied. The applied methodology allowed a holistic view of the contracting process of the aforementioned institution, proposing, as a practical form of improvement of the contracting processes, a model of internal contractual management, being demonstrated in the development of this research the potential that this tool has to improve the management of HU-UFGD, allowing the institution to deliver more expressive values to society.