Acreditação Hospitalar: Proposição de roteiro para implantação

Abstract

The Brazilian Hospital System is characterized by ineffectiveness in procedures and services, which leads to poor quality services for patients. This can be explained by problems in the hospital management system. In this setting, the Accreditation system, coordinated by NAO (National Accreditation Organization), became an important initiative. Despite efforts towards structuring a Brazilian Accreditation, hospitals still have some difficulty in implementing Accreditation requirements. This paper contributes in this direction, proposing an framework for adequacy of hospital management to the Accreditation requirements, for helping hospital managers to implement them. A preliminary framework was developed based on an exploratory research conducted in three accredited hospitals and also based on literature review. The preliminary framework was tested and improved by means of an action research in a small-sized hospital. The implementation of the framework proposed helped the hospital managers to better understanding the Accreditation process and achieve the Accreditation requirements.