When the public and private sectors come together, the health of Brazilians wins - 10/10/2021 - Sidney Klajner

Between March 2020 and January 2021, Einstein treated 18% of all SUS patients hospitalized with Covid-19 in the public health system in the city of São Paulo. There were 10,000 SUS patients, almost triple the number of hospitalized patients in the organization by the private system.

Where was this Einstein who attends SUS? He was in the two municipal hospitals he managed (Hospital M’Boi Mirim – Dr. Moysés Deutsch and Hospital Vila Santa Catarina – Dr. Gilson de Cássia Marques de Carvalho), at the Hospital de Campanha do Pacaembu and in emergency care units with a regimen of hospitalization.

The M’Boi Mirim, incidentally, has become a reference in the care of patients with severe infection, with more than 200 ICU beds created in record time.

The Einstein that serves the SUS was also in other units of the city and through telemedicine we reached, for example, Alto Rio Negro, in the district of Iauretê, an indigenous reserve, and we supported public health in Paraupebas, Pará.

The pandemic drew attention to the importance of a private institution’s contribution to the public sector, but this partnership model is not new. On the contrary. Einstein signed its first contract with the Health Department of the City of Paulo to care for SUS patients 20 years ago.

Today, in addition to the units mentioned above —a general and a high-complexity hospital—, it is responsible for the management of over 25 municipal units, such as UBSs (Basic Health Units), UPAs (Emergency Care Units), Outpatient Medical Assistance for Pediatric Specialties (AMA-E) and AMAs (Ambulatory Medical Assistance), among others.

There are also specific initiatives, such as the “Owls of Health” of the City Hall, taking advantage of the idleness of our structure for joint efforts for exams.

We recently established a new partnership, this time with the Municipal Department of Education, for the management of a Child Education Center in the Capão Redondo neighborhood, serving more than 200 children between zero and four years old.

Why move towards managing such a unit? Because a person’s health depends on care from an early age and because Einstein has solid experience with the day care center that serves the children of its employees since 1982, a unit considered to be a model and which today has more than 450 children under your care.

Another type of partnership with the public sector is through the Proadi-SUS (SUS Institutional Development Support Program), with projects such as the one that used big data and artificial intelligence to carry out an X-ray of health in cities in Minas Gerais and Bahia, helping to direct the planning and application of public resources; and researches such as those involving between 7,000 and 9,000 patients and are related to hypertension and diabetes, stroke and myocardial infarction.

Assistance, management, research, technologies and health digitalization, training of professionals… In the most diverse dimensions, we have collaborated with the public sector, bringing our knowledge, standards and practices of excellence and giving these initiatives the same safety attributes, quality, efficiency, agility and cost-effectiveness that guide our activities in the private sphere.

That the public sector benefits seems evident. But many ask: what does Einstein gain from this? The answer is: we advance in the mission that has inspired our organization since its origins, which is to bring health to the population. Government partnerships give us scalability, reaching an increasing number of citizens.

The Brazilian health system is only one, formed by two sectors: the public and the supplementary health. Challenges abound — and many will be better solved with partnership projects. When these two sides come together, the health of Brazilians wins.

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