Hospital Performance and Health Quality Improvements in São Paulo (Brazil) and Maryland (USA)
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چکیده
1 Management can profoundly affect the quality of healthcare delivery. Certain public management processes in healthcare institutions lacking flexibility, budgetary autonomy and performance based incentives, have become associated with poor health outcomes, and inefficiency. However, new management models that emphasize autonomy in contracting, human resources, and budgeting can improve efficiency, outcomes, and customer satisfaction. This note discusses two models for hospital management innovations: the state of São Paulo’s state social organization (OSS) model and the state of Maryland’s diagnostic related groups (DRG) classification system. Both were presented in a Seminar organized by the São Paulo State Secretary of Health (SES) and the World Bank in November 2009.
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