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Abstract(s)
As alterações vividas ao longo das últimas décadas causadas por múltiplos fatores, entre as quais, diversas reformas administrativas, políticas, acompanhadas de recomendações internacionais, associadas às questões acerca do conceito de governance e da aplicação de diferentes modelos de governance, têm servido para o desenvolvimento de estudos sobre o tema nos diversos setores.
No setor da saúde também têm sido desenvolvidos estudos sobre a governance, sendo que em 2010, depois da publicação do relatório da UNESCO Report of the International Bioethics Committee of UNESCO on Social Responsibility and Health, conjeturou-se que um modelo de governance hospitalar que incluísse o conceito de responsabilidade social poderia colmatar algumas lacunas identificadas no referido setor.
O presente trabalho de investigação tem como objetivo estudar as relações entre os conceitos teóricos e as variáveis observáveis relacionadas com a responsabilidade social e a governance hospitalar com o propósito de responder à seguinte questão de investigação:
A responsabilidade social influencia a governance hospitalar dos hospitais portugueses?
A revisão da bibliografia realizada permitiu elaborar e validar o modelo conceptual implícito a este trabalho de investigação. Os dados necessários para a realização do estudo foram conseguidos através de um inquérito por questionário de onde foram obtidas 765 observações consideradas válidas.
O modelo de equações estruturais concebido para o desenvolvimento deste estudo permitiu quantificar relações causais entre as diversas dimensões envolvidas. A validação do modelo teórico proposto permitiu verificar que 65% das hipóteses testadas apresentaram validade amostral. A análise de clusters realizada determinou a existência de dois grupos de colaboradores designados e caracterizados por “cluster dos colaboradores acima da média das dimensões” constituído por 488 colaboradores, e “cluster dos colaboradores abaixo da média das dimensões”, constituído por 277 colaboradores.
Os resultados permitiram identificar o conjunto de dimensões consideradas prioritárias para melhorar a perceção dos colaboradores dos hospitais relativamente à governance hospitalar.
In the last decades the changes experienced caused by multiple factors such as several administrative and political reforms accompanied by international recommendations associated with questions about the concept of governance and the application of different governance models have been used for the development of several studies about the theme in the different sectors. Studies about governance in the health sector have been developed and in 2010 after the publication of the UNESCO Report of the International Bioethics Committee of UNESCO on Social Responsibility and Health it was conjectured that a model of hospital governance including the concept of social responsibility could fill some gaps that have been identified in the health sector. This research aims to study the relationship between theoretical concepts and observable variables related to social responsibility and hospital governance in order to answer the following question: The social responsibility influences the hospital governance in Portuguese hospitals? The literature review allowed to elaborate and validate the conceptual model implicit in this research work. The data needed to carry out this study were obtained through a survey that obtained 765 valid observations. The structural equation model designed for the development of this study allowed to quantify causal relationships between the various dimensions involved. The validation of the proposed theoretical model allowed to verify that 65% of the tested hypothesis were valid. The clusters analusis determined the existence of two groups of employees designated and characterized by "a cluster of employees above the average of dimensions" with 488 employees and "a cluster of employees below the average of dimensions" that fulfill 277 employees. The results allow to identify the set of dimensions considered priority to improve the perception of hospital employees in relation to hospital governance.
In the last decades the changes experienced caused by multiple factors such as several administrative and political reforms accompanied by international recommendations associated with questions about the concept of governance and the application of different governance models have been used for the development of several studies about the theme in the different sectors. Studies about governance in the health sector have been developed and in 2010 after the publication of the UNESCO Report of the International Bioethics Committee of UNESCO on Social Responsibility and Health it was conjectured that a model of hospital governance including the concept of social responsibility could fill some gaps that have been identified in the health sector. This research aims to study the relationship between theoretical concepts and observable variables related to social responsibility and hospital governance in order to answer the following question: The social responsibility influences the hospital governance in Portuguese hospitals? The literature review allowed to elaborate and validate the conceptual model implicit in this research work. The data needed to carry out this study were obtained through a survey that obtained 765 valid observations. The structural equation model designed for the development of this study allowed to quantify causal relationships between the various dimensions involved. The validation of the proposed theoretical model allowed to verify that 65% of the tested hypothesis were valid. The clusters analusis determined the existence of two groups of employees designated and characterized by "a cluster of employees above the average of dimensions" with 488 employees and "a cluster of employees below the average of dimensions" that fulfill 277 employees. The results allow to identify the set of dimensions considered priority to improve the perception of hospital employees in relation to hospital governance.
Description
Tese de Doutoramento em Administração Pública, especialização em Administração da Saúde
Keywords
Governance hospitalar Responsabilidade Social Administração Pública Administração da Saúde Influência Hospital governance Social Responsibility Public Administration Health Administration Influence
Pedagogical Context
Citation
Publisher
Instituto Superior de Ciências Sociais e Políticas