Custos cirúrgicos versus repasse do SUS: conhecendo a realidade do Hospital de Clínicas da Universidade Federal de Uberlândia

Abstract

This study was developed in a university hospital of Minas Gerais, taking the relation as an objective main opinion between the real costs of surgeries of middle and high complexity carried out in surgical center and the value of refund gone over again by the SUS referring to these surgeries. THE HC-UFU, place of development of this study has great importance for the regional population, and also for professionals and students, which caused the development of this work. The collected data correspond to the years from 2008 to 2018, of surgeries of middle and high complexity, when surgical center was carried out exclusively in the sector, and demonstrate the straight expenses of the surgeries (materials, medicines, labor), spent demonstrated in the doorway of the transparency and still, reimbursemend of the SUS for the studied surgical proceedings. The inquiry method is ex-post-facto, with analysis of the surgery, with collection of data in documents and secondary data. After analysis of the data can end that there was a fall in the total of the number of services to the population of 2009 for 2016, however, with increase of the expenses, mainly made a list to expenses with people and social responsibilities. The sector of surgical center carried out the biggest number of surgeries in 2010 and the less in 2015. Most of the fulfilled surgeries were of middle complexity. There were analysed eight specialties that stood out in regard to quantity of fulfilled surgeries and the spent values, of this all they presented some deficit, in other words, the spent value was bigger than the recovered for the SUS. This deficit is bigger in the surgeries of middle complexity, coming presenting a difference of 77,4 %. From the realization of this work it was possible to know informations as to the surgical costs and the refund of the SUS, which can embasar the taking decision administrative looking for an exit for the financial crisis that devastates the university hospital.