EVALUATION OF GOVERNANCE PRACTICES IN A HOSPITAL UNIT

Abstract

The literature points out that in the face of the dynamics and complexity of the global scenario, aggravated by the pandemic period, health governance is a necessary prerogative to provide organizations with transformative management models. This research aims to evaluate the results of health governance actions at the Santa Casa de Misericórdia do Pará Foundation (FSCMPA), by measuring good governance practices. The methodological procedure adopted is a case study of an applied, exploratory and descriptive nature, with a qualitative and quantitative approach. For data collection, a questionnaire (google forms) was administered to 68 civil servants from October to November 2021, in order to assess the Leadership, Strategy and Control mechanisms; the Governance and Management Guide, prepared by the Federal Court of Auditors (TCU), applicable to health secretariats and councils, was used as a methodological reference, which was adapted to be applied to hospital units. Descriptive statistical analysis was used to process the data, and the numerical limits of the capacity stages were used to categorize the responses, an adaptation of the TCU's Secretariat for External Control of State Administration (Secex Administração). The results indicate improved governance maturity levels for the Leadership and Strategy mechanisms, which reached 71.46% and 82.26%, respectively; and an intermediate maturity level for Control, at 67.90%, with weaknesses in good governance practices. The conclusion is that although the FSCMPA has achieved an improved overall institutional maturity index of 73.87%, it needs to increase the adherence of its actions to good governance practices. The research produced a governance model for hospital organizations, accompanied by an assessment tool capable of guiding and promoting the continuous improvement of governance practices, as well as recommendations to encourage management changes in public administration.