Acreditação hospitalar: uma ferramenta de gestão estratégica na melhoria da assistência à saúde dos hospitais das Forças Armadas

Abstract

This monograph addresses hospital accreditation as one of the management tools needed to give quality and efficiency to the hospital medical care process to the military and its dependents of the military. The objective of this study is, based on the research of the situation of hospital accreditation in Brazil, raising the obstacles and advantages of implementing the program to improve the quality of medical care, provide subsidies that serve as the basis for the implementation of a project capable of meet the needs of the military hospitals of the three forces (Navy, Army and Aeronautics). The methodology adopted included a bibliographical and documentary research, aiming to seek theoretical references, besides the author 's experience as a medical doctor. It also focuses on the paths of the Health System of the three forces, with the implementation of the hospital accreditation program, to improve the quality of health care. The field of study was limited to seek the advantages of implementing the program, discusses some instruments that legitimize the quality of medical care (National Health Plan, Norms and Directives of the Ministry of Health through ANS and ANVISA, Federal Constitution, System Brazilian Hospital Accreditation), in order to show it from the point of view of its legal guidelines. Finally, it shows the current situation, highlighting the obstacles and the advantages and suggesting some Policies and Strategies. The main topics are: management of health resources of the three forces (FuSMa, FuSEx and FunSA), administrative infrastructure, educational policies for training, methods of care, specialization and permanent training of health professionals, compliance with laws and standards, in addition to adequate and humanized hospital infrastructure. The conclusion indicates positive actions to be developed and the implementation of which could contribute to the formulation of a proposal for a hospital accreditation implantation project capable of meeting the needs of the users of the military health system, also pointing out the need for the commitment of all actors involved in the project to improve the quality of hospital medical care and humanization of care for our users.