Avaliação do Processo de Integração e Colaboração na Cadeia de Suprimentos Hospitalares: Um Estudo e Caso Sobre Hospitais de Médio Porte da Grande São Paulo

Resumo (EN)

The great concern of the management organisations of health systems, with regards to care of the population, is centred in the issues related to the capacity of the hospitals. The difficulty of the survival of companies in a competitive world is reaching the health sector and it is already possible to observe large organisations being absorbed by larger and more competitive groups. Various hospitals and health plan administrators are creating a market, which only in the private enterprise, intended to supplement health, manage to move more than R$ 81.4 billion and 64.4 million beneficiaries and a profit of R$ 14.3 billion just in 2011. Despite the motivating figures, the health system’s main concern is the final purpose, in other words, the care of the patient. The purpose of this thesis is to evaluate the type of relationship which exists between the companies that provider of the health service, that is, the mid-sized hospitals (51 to 150 beds) in Greater Sao Paulo, and their suppliers. Following a structured method issues related to integration and collaboration of the supply chain pertaining to the hospitals were evaluated, the purpose of the research being those aspects such as the use of information technology and communication in the process of purchases, strategic alignment, performance monitoring of the suppliers, alliance and partnership decisions, inter-functional integration between companies, as well as the relationship management. The study carried out compares the performance of hospitals which are considered a benchmark in the health market, always ensuring to exhibit a trinomial: what is expected to achieve, what is practiced by the benchmark hospitals and that which really is being carried out among the hospitals of the sample. It was possible to identify a great opportunity for refinement of integration and collaboration along with the supply chain, minimising costs and improving the performance of the organisations with their supply chains, and mainly, being able to translate as an improvement in the quality, level of service and loyalty of the clients.