Estratégias e práticas de gestão de risco na alocação orçamentária de hospitais públicos em Manabí, Equador
Palavras-chave:
Estratégias, Gestão de Riscos, Hospitais Públicos, Alocação OrçamentáriaResumo
Introdução: Esta pesquisa teve como objetivo analisar as estratégias e práticas de gestão de risco mais efetivas na alocação orçamentária para hospitais públicos em Manabí, Equador, durante o período de 2019-2024. Além disso, buscou-se avaliar como essas estratégias impactaram a eficiência e a qualidade dos serviços de saúde para extrair lições aplicáveis a contextos semelhantes. Materiais e métodos: Uma revisão sistemática foi realizada seguindo as diretrizes PRISMA, utilizando bases de dados acadêmicas como Scopus, Web of Science, PubMed, LILACS e SciELO. Os critérios de inclusão foram aplicados para selecionar estudos publicados entre 2019 e 2024, focados na gestão de risco financeiro em hospitais públicos. A qualidade dos estudos foi avaliada utilizando a ferramenta AMSTAR 2, e uma síntese narrativa dos achados foi realizada. Dos 1.254 artigos inicialmente identificados, 87 atenderam aos critérios de inclusão. Resultados: Os achados indicam que o planejamento e a avaliação orçamentária rigorosos, combinados com o controle rigoroso de receitas e despesas, são essenciais para evitar a subutilização de recursos e manter a sustentabilidade financeira. Discussão: Além disso, a preparação para desastres e a implementação de estratégias de economia e eficiência surgem como componentes-chave para melhorar a resiliência dos hospitais públicos. As estratégias identificadas nesta revisão têm implicações importantes para as políticas públicas no Equador e em outros contextos semelhantes. Conclusões: A adoção de sistemas avançados de gestão financeira e o investimento na capacitação de pessoal são essenciais para garantir a eficiência e a qualidade dos serviços de saúde.
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