Hospital Performance and Health Quality Improvements in São Paulo (Brazil) and Maryland (USA)
Hospitals are the most essential and most costly component of health systems. They account for up to two-thirds of health spending. As a result, they greatly influence the overall quality of health care. As governments search for the best ways to monitor and evaluate hospital performance, policy-makers must identify the best ways to maximize hospital outcomes, patient satisfaction, and operational efficiency. Recent increases in healthcare costs have generated a number of proposals for the organization of publicly financed hospitals. These include new management models, new payment systems and clinical guidelines and disease treatment protocols inspired by evidence-based guidelines.