SciELO - Scientific Electronic Library Online

vol.12 issue4The relationship between hospitals and health plans organizations in the scope of ANS Health Insurance Qualification ProgramQuality in the public health services emergency and some considerations about recent events at Rio de Janeiro city author indexsubject indexarticles search
Home Page  

Services on Demand




Related links


Ciência & Saúde Coletiva

On-line version ISSN 1678-4561Print version ISSN 1413-8123


UGA, Maria Alicia Domínguez  and  LOPEZ, Elaine Machado. Small hospitals and their insertion in Brazil's National Health System (SUS). Ciênc. saúde coletiva [online]. 2007, vol.12, n.4, pp.915-928. ISSN 1678-4561.

This paper analyses small hospitals (less than fifty beds) in Brazil, in terms of their geographical distribution, legal status, types of wards and units, structures and service production. Under a directive published in April 2004, the Ministry of Health contracts and encourages these hospitals to adapt their profiles to the new roles assigned to them in the health system; consequently, data from December 2005 is compared to data from April 2004. Results: Small hospitals represent 62% of Brazil's hospital network, with 18% of current beds. Located mainly in upstate municipalities with less than 300,000 inhabitants, they offer limited complexity and technological density, with a low occupancy rate (32.8%). There are no changes in their production profiles between 2004 and 2006, due to the brief period since the implementation of Brazil's small hospitals policy in 2004, which has not been supported by the corresponding investment plans and human resources policies. This is a strategic hospital segment for providing all-round care in the Brazil's National Health System, due to its nationwide capillarity, endowed with ample potential for providing primary care while ensuring seamless links with other levels of complexity.

Keywords : Small hospitals.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )