Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012
RESUMO |sto ..t|gc v|s. Jost.c.. ccnc . tocrc |cg|. J. |r|c.n..c pcJo no||c... c p.ccossc Jo tcn.J. Jo Joc|s.c r.s c.g.r|..cos ..t. so Jo un ostuJc Jo c.sc scb.o c |/||| S/||| ouo .bc.J. . |rto..o|..c ort.o s|ston.s Jo |r |c.n..c go.orc|.| o . .g|||J.Jo r. t..rs|c.n. .c Jo J.Jcs on ccr|oc|nortc .|on Jo |..o. un. .r.||so p.|n..|. scb.o c no.c.Jc Jo s.uJo sup|onort.. rc b..s|| PALAVRAS-CHAVE cn.J. Jo Joc|s.c, tocrc|cg|. J. |r |c.n..c, ccr|oc|nortc, p|.rcs Jo s.uJo 1. INTRODUO |osJo .s p.|no|..s ||r|.s osc.|t.s sc b.o ost..tog|., Jo Sur .u (/ /.to J. Cuo..., |. 2500 .rcs), p.ss.rJc pc. V.ou|.vo| (socu|cs `\`\|) .to |..so.|t. (socu|c `|`), o p.torto . p.occup..c Jo, on |.co Jo Joto.n|r.Jc ccr toxtc Jo ccr||tc, ccr|oco.ncs J. |c.n. n.|s ox.t. pcss|vo| cs rcsscs pcrtcs |c.tos o |..ccs, bon ccnc cs Jcs rcsscs .Jvo.s..|cs (rc c.sc onp.os..|.|, ccrcc..ortos), o, on pc.norc., .s v..|.s ospoc||c|J.Jos Jc to..orc on ouo rcs ncvoncs (pc. .r.|cg|., c no.c.Jc o su. orvc| vorto) |ost. |c.n., su.gon . on|rorto rocos s|J.Jo Jo so c.|.. noc.r|sncs ouo v|s|unb.on rc.to.. c tcn.Jc. Jo Joc|s.c A utilizao da tecnologia da informao na gesto de planos de sade: um estudo de caso sobre processo de tomada de deciso do Iapep Sade Pedro Alexandre Cabral de Oliveira 1 Aluno do 9 Perodo do Curso Bacharelado em Direito do Centro de Ensino Unicado de Teresina - CEUT 111 |... So.cos (2006,p6) .rtos Jc .Jvor tc J. .utcn.t|...c o |r|c.n.t|...c Jc p.c coss.nortc, . |r|c.n..c o.. t..t.J. Jo |c.n. .vu|s. o r.c ost.utu..J., Josto ncJc, c p.ccos sc Jo tcn.J. Jo Joc|s.c t|r|.n un o|ov.Jc ccnpcrorto Jo |rtu|.c |. ccrurtu.. .tu.| Jo onp.os.s |c c.J.s on |r|c.n.cos, .s c.g.r|..cos ccn no||c.os |r|c.n.cos J|spco Jo un. v.r t.gon ccnpot|t|v. |c no.c.Jc Jo p|.rcs Jo s.uJo, crJo, v|. Jo .og.., orccrt..so un o|ov.Jc ncrt.rto Jo Jospos.s o v|t.| . ox|s torc|. Jo un occss|ston. |r|c.n.c|cr.| crJo c gostc. tor|. ccrJ|cos Jo v|su.||... |rJ|c. Jc.os rocoss..|cs p... n|r|n|... cs .|sccs o .oJu.|. .s |rco.to..s 2. BREVE ANLISE SADE SUPLEMENTAR NO BRASIL |c b..s||, sogurJc . /gorc|. |.c|cr.| Jo S.uJo Sup|onort.. /|S, on 2010 |c..n ccnput.Jcs 45,6 n|||cos Jo boro|c|..|cs Jo p|.rcs Jo .ss|storc|. noJ|c., sog.og.Jcs on 1420 cpo..Jc..s Jo p|.rcs Jo s.uJo |st.s cpo..Jc..s, pc. su. vo., go....n, rc nosnc .rc, un. .oco|t. Jo ccrt..p.ost. cos Jo | 74,3 b|||cos |nbc.. osto runo.c, |sc|.J.norto, .p.osortoso |rto.oss.rto rc ccrtoxtc no.c.Jc|cg|cc, .c .r.||s.. Jo |c.n. n.|s .cu..J. . .o|..c ort.o c tct.| Jo Jos pos.s (.ss|storc|.| o .Jn|r|st..t|v.) o c v.|c. 112 Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012 tct.| ...oc.J.Jc po.coboncs un. s|tu..c Jos|.vc..vo|, scb.otuJc p... .s cpo..Jc..s Jo poouor. pc.to (.to v|rto n|| boro|c|..|c), ccr |c.no ov|Jorc|. t.bo|. .b.|xc |.co . ost. ccrurtu.., c runo.c Jo c.rco|.nortcs Jo cpo..Jc..s urtc . /|S, rc nosnc po.|cJc, |c| 118 n.|c. ouo . ou.rt| J.Jo Jo .Joscos |ort.c Josto ccrtoxtc, c p.osorto os tuJc su.go J. c..orc|. Jo oxp|c... o Jo||ro.. ccnc . ut|||...c Jc tocrc|cg|. J. |r|c.n..c pcJo p.cvo. un. gost.c o|c|orto p... p|.rcs Jo s.uJos, s.borJcso ouo ox|sto . on|rorto rocoss|J.Jo Jo so c.|.. noc.r|sncs |.c|||t.Jc .os J. gost.c, p.|rc|p.|norto r.s cpo..Jc..s Jo poouorc o noJ|c pc.to, cu.s Jospos.s on noJ|. s.c supo.|c.os .s .oco|t.s ccr|c.no ov| Jorc|.J. r. t.bo|. 1 |. po.spoct|v. Jo |.ur Jcr (2007) nu|tcs .Jn|r|st..Jc.os t..b.||.n .s cog.s, son rurc. ccrt.. ccn . |r|c.n..c co.t. r. |c.. co.t. p... tcn.. un. Joc|s.c .b.||..J. .nbon |. .ouo|os ouo so .pc|.n on p.ov|scos, p.|p|tos cu r. sc.to O .osu|t. Jc o . p.cJu.c |rsu|c|orto cu oxcoss|v. Jo bors o so.v|cs, . n. .|cc..c Jo .ocu.scs o . |.|t. Jo t|n|rg |ss.s Jo|c|orc|.s o|ov.n cs Porte da operadora Receita (R$) Total de Despesas (R$) Despesa assistencial (R$) Despesa administrativa (R$) % Despesas sob Receita Total 74.392.223.538 71.512.812.083 59.756.528.539 11.756.283.544 96% Operadoras mdico-hospi- talares 72.737.732.174 70.222.555.769 58.996.709.013 11.225.846.756 97% Pequeno porte (at 20.000 benecirios) 6.055.061.721 7.028.928.605 4.749.140.111 2.279.788.494 116% Mdio porte (20.000 a 100.000 benecirios) 16.195.656.705 16.469.119.800 13.306.644.678 3.162.475.122 102% Grande porte (Acima de 100.000 benecirios) 50.487.013.748 46.724.507.364 40.940.924.224 5.783.583.140 93% Operadoras exclusivamente odontolgicas 1.654.491.364 1.290.256.314 759.819.526 530.436.788 78% Pequeno porte (at 20.000 benecirios) 247.995.421 242.968.362 121.811.162 121.157.200 98% Mdio porte (20.000 a 100.000 benecirios) 314.620.677 273.092.370 166.343.081 106.749.289 87% Grande porte (Acima de 100.000 benecirios) 1.091.875.266 774.195.582 471.665.283 302.530.299 71% Tabela 1 Receita de contraprestaes e despesas das operadoras de planos privados de sade, segundo porte da operadora (Brasil - 2010) |crto /|S, 2011 /J.pt.Jc po|c .utc. 113 custcs o go..n po.J. Jo c||ortos |cs u|t|ncs Jo. .rcs, .s tocrc|cg|.s o cs s|ston.s Jo |r|c. n..c ton po.n|t|Jc ouo, .c tcn.. un. Jo c|s.c, cs .Jn|r|st..Jc.os |..n usc Jo J.Jcs on tonpc .o.|, c.|urJcs Jc p.cp.|c no.c.Jc |.orto . ost.s ccrt|rgorc|.s c.g.r|.. c|cr.|s, |.oouortonorto orccrt..J.s rc sotc. Jo s.uJo sup|onort.., cs gostc.os s.c |rJu.| Jcs . ccr|oco. .s su.s ru.rcos o J|.oc|cr.. cs os|c.cs p... c p.cv|nortc J. |r|c.n..c on tonpc .o.| SorJc .ss|n, osto ostuJc ust||c. so po|. pu.rto rocoss|J.Jo Jo Josorvc|vo. |rJ|c.Jc.os Jo gost.c o noc.r|sncs ouo pcs s.n J|.oc|cr.. c r|vo| ost..tog|cc p... un. tcn.J. Jo Joc|s.c n.|s .sso.t|v., ut|||..rJc ccnc .t|vc . tocrc|cg|. J. |r|c.n..c 3. O USO DE SISTEMAS DE INFORMAO NA CONSTRUO DO PROCESSO DE TOMADA DE DECISO cn cs p.|no|.cs ccnput.Jc.os (cs orc.nos o co|ob.os mainframes, r. Joc.J. Jo 1960), |r|c|...nso .s p.|no|..s t..o|.s . r|vo| Jo .utcn.t|...c o ..n..or.nortc crtuJc, p... .|on J.s r.tu..|s vo|cc|J.Jos b.|x.s Jo p.ccoss.nortc, |.v|. p.cb|on.s rctc.|cs . r|vo| J. |.|t. Jo |r|..ost.utu..s Jo ccrox.c p... t.cc. Jo J.Jcs cu J. |r ccnp.t|b|||J.Jo ort.o s|ston.s S|np|os .o |.tc.|cs b.so.Jcs rossos J.Jcs pcJo.|.n Jonc... son.r.s cu nosnc nosos . so. o|.bc..Jcs (S|O|S 2006, p8) u.b.r (2005, p43) .|.n. ouo .s p.| no|..s .p||c.cos onp.os..|.|s Jcs ccnput. Jc.os (on no.Jcs J. Joc.J. Jo 1950) .o.|| ..v.n t..o|.s .opot|t|v.s, Jo .|tc vc|uno o Jo ccnput.Jc.os Jo t..rs.cos Os ccnput.Jc .os Jovc..v.n runo.cs, .osun|rJc o c.g.r| ..rJc t..rs.cos o J.Jcs r.s ..o.s Jo ccrt. b|||J.Jo, |r.r.s o .ocu.scs |un.rcs cn . ovc|u.c J. gost.c onp.os..|.| o . J|r.n|c|J.Jo Jo p.ccosscs, |co o rctc.|c ouo .s onp.os.s so tc.r...n n.|s |c.|.cr t.|s, norcs ||o...ou|..J.s, .s torJorc|.s Jo downsizing o c cc..ospcrJorto empowerment (p.ossupcon . J|sson|r..c J. |r|c.n..c c.|t|c. urtc Jo n.|s cc|.bc..Jc.os/Joc|sc.os (S|O|S 2006, p8) |ct|o. (2010, p200) .Jvcg. ouo r. sc c|oJ.Jo .tu.| |cc.J. on |r|c.n.cos, .s c.g. r|..cos ccn no||c.os |r|c.n.cos J|spco Jo un. v.rt.gon ccnpot|t|v. / c.g.r|...c pcJo oscc||o. no||c. sous no.c.Jcs, Josor vc|vo. c|o.t.s supo.|c.os o oxocut.. un. p|. ro.nortc n.|s o|c.. So.cos (2006,p9) cc..cbc.. ccn |ct|o. ou.rJc .||.n. ouo .s ccrt|rgorc|.s c.g.r|..c|cr.|s cb.|g.n c gostc. . p.os t.. un. .tor.c .oJcb..J. .c p.ccossc Jo ccrt.c|o |rto.rc, Jo gost.c J. performance (Jo p.o|o.orc|., on tonpc .o.|) o .cs s|sto n.s Jo |r|c.n..c p... supc.to . Joc|s.c, on s|rtoso, tc.r.so |urJ.nort.| .p.|nc... . ||g..c J. ost..tog|. . oxocu.c, |.c|||t.r Jc .ss|n c c|c|c Jo gost.c (p|.ro.. J|.|g|. ncr|tc.|... .v.||.. .opc.t..), .t..vos Jc .||r|.nortc J. c.g.r|...c r. p.cssocu.c Jcs sous cbot|vcs o Jo un. n.|c. t..rsp. .orc|. Jcs sous p.ccosscs Jo rogcc|c u.b.r (2005, p430) o c.togc.|cc ou.r Jc .rurc|. ouo ccr|oc|nortc o pcJo. osso 114 Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012 |.tc von sorJc .occr|oc|Jc |. go..cos Os u|t|ncs Josorvc|v|nortcs on s|ston.s ccn put.Jc.|..Jcs ost.c nuJ.rJc . ost.utu.. Jo pcJo. J.s c.g.r|..cos |n. vo. ouo c .cossc . |r|c.n..c tc.r.so Joc|s|vc p... ccrst.u.c Jc p.ccossc Jo tcn.J. Jo Joc|s.c |co o v|s|vo| ouo c usc tocrc|cg|. J. |r|c.n..c t.cuxo nu|t.s nuJ.r.s, r.c sc r.s c.g.r|..cos, n.s r. scc|oJ.Jo on go..| cJcs cs sotc.os ost.c |rt|n.norto ||g.Jcs . un. |c.n. Jo tocrc|cg|. o o |npcss|vo| J|ssc c|.. J. su. .p||c.b|||J.Jo ||.rto Jost. po.spoct|v., u.b.r (2005, p43) ..vc..so J. |urJ.nort..c ouo cs s|s ton.s Jo |r|c.n..c s.c ccrst.u|Jcs p... .|c.r.. v..|cs cbot|vcs |n Jcs p.|rc|p.|s cbot|vcs o p.ccoss.., Jo |c.n. occrcn|c., J.Jcs p... |r|c.n..c o ccr|oc|nortc |osto ncJc, |r|o.oso ouo c s|ston. Jo |r|c.n..c o |o...nort. b.s.| p... ccrst.u.c J. |rto||gor c|. onp.os..|.| r. .tu.||J.Jo 4. INTELIGNCIA EMPRESARIAL |... |.urJcr (2007, p150) u.rJc por s.ncs rc ccrco|tc Jo |rto||gorc|. .p||c.Jc .c so.os |un.rcs, rc.n.|norto p.osun|ncs . c. p.c|J.Jo |un.r. Jo ccnb|r.. c ccr|oc|nor tc .Jou|.|Jc ccn rcv.s |r|c.n.cos o nuJ.. ccnpc.t.nortcs, . |n Jo oxocut.. Joto.n|r. J. t..o|. ccn sucossc cu .J.pt..so . un. rcv. s|tu..c |o n.ro|.. .r.|cg., . |rto||gorc|. on p.os..|.| ccr|o.o .s onp.os.s . c.p.c|J.Jo Jo .cunu|.. |r|c.n.cos, .Jou|.|. ccr|oc|nortc scb.o c||ortos, ccrcc..ortos o cpo..cos |rto.r.s, o nuJ.. c ccnpc.t.nortc Jo tcn.J. Jo Joc| s.c . |n Jo .|c.r.. n.|c. |uc..t|v|J.Jo o cut..s not.s cc.pc..t|v.s / |rto||gorc|. onp.os..|.| o un. c. togc.|. .np|. Jo .p||c.cos o tocr|c.s p... cc|ot.., ..n..or.., .r.||s.. o c|o.oco. .cossc .cs J.Jcs p... .uJ.. cs usu..|cs J. onp.o s. . |..o.on no||c.os rogcc|cs o tcn..on no||c.os Joc|scos ost..tog|c.s (||b/| .puJ OC|, 2005, p86) |ct|o. (2010, p204) .|.n. ouo |rto||gor c|. ccnpot|t|v. r.c o un. |rvor.c Jc socu|c `` / |rto||gorc|. onp.os..|.| ox|sto JosJo ouo |c| |o|tc c p.|no|.c rogcc|c O |r.rc|st. |rg|os Jc socu|c `|`, |.t|.r |ct|sc|||J Jcn|rcu c no.c. Jc Jo t|tu|cs pub||ccs Jc gcvo.rc b.|t.r|cc us.r Jc pcnbcscc..o|cs p... so. c p.|no|.c . .oco bo. c .v|sc J. Jo..ct. Jo |.pc|o.c on \.to.|cc /|rJ. sogu|rJc . .bc.J.gon Jo |ct|o. (2010, p204), |rto||gorc|. onp.os..|.| o un |rst.u nortc p... .|o.t.. . go.orc|. o |c.roco. .no..s o cpc.tur|J.Jos, un ncJc p... ouo .s onp.o s.s no||c.on su. ||r|. Jo b.so \o. .|on Jo s| nosnc, .s c.g.r|..cos ouo cbton sucossc r. .p||c..c J. |rto||gorc|. ccnpot|t|v. Josorvc| von . c.p.c|J.Jo Jo vo. .|on Jo s| nosn.s o|xo|.. (2009) Jo|orJo ouo |rto||gorc|. |np.os..|.| (cu |rto||gorc|. Jo |ogcc|cs) pcJo so. Jo|r|J. ccnc . c.p.c|J.Jo Jo un. onp.o s. p... c.ptu..., so|oc|cr.., .r.||s.. o go.orc|.. .s |r|c.n.cos .o|ov.rtos p... . gost.c Jc rogcc|c ccn c cbot|vc Jo |rcv.. o c.|.. ccr|oc|nortc |oJu.|. .|sccs r. tcn.J. Jo Joc|s.c 115 o ov|t.. su.p.os.s ||.oc|cr.., .sso.t|v.norto, cs p|. rcs Jo rogcc|cs o . |np|onort..c Jo .cos .|.. cpc.tur|J.Jos Jo rogcc|cs /pc|.. c Josorvc|v|nortc Jo p.c Jutcs/so.v|cs ccn un. b.so Jo |r|c.n..c ccr|.vo|, o|c|orto o .g|| Vcr|tc..., .r.||s.. o p.ovo., o|c|or tonorto, .s ouostcos .o|.c|cr.J.s ao core business. Co... v.|c. .cs rogcc|cs |. v|s.c Jo o|xo|.. (2009) c no.c.Jc b..s||o|.c ost. on p.ccossc Jo ovc|u.c on |r to||gorc|. |np.os..|.| |osso sort|Jc, o r.tu..| |.vo. ost.g|cs Jo ovc|u.c o g..us Jo n.tu.|J. Jo J||o.ortos ort.o .s onp.os.s |c b..s||, .s n.|s ovc|u|J.s . ccrt.n ccn oou|pos p.cp.|.s p... |Jort||c.. o .to nosnc c.|.. cpc.tur|J.Jos Jo rogcc|cs, ut|||..rJc tocr|c.s ccnc cor..|cs .r. ||t|ccs o p.cspoct|vcs 5. TOMADA DE DECISO |o .cc.Jc ccn |crgc (2009, p 81) tc n.. Joc|s.c o .rtos Jo tuJc, .|gc Jos.g..J.vo| p... c so. |un.rc S|gr||c. Jo|x.. Jo |.Jc un c.n|r|c on Jot.|nortc Jo cut.c |o|x.. Jo |. .o. .|gun. cc|s. p... pcJo. |..o. cut.. /b.|. n.c Jo .|gc p... g.r|.. .|gun. cc|s. J||o.or to n.|s t..Jo Son Juv|J., Joc|J|. r.c o t..o|. s|np|os / c|orc|. . ncst.cu ouo, on ncnor tcs Jo .|tc ost.osso, un Joto.n|r.Jc g.upc Jo rou.cr|c c|.n.Jc amygdala, . n.|s p.c|urJ. ost.utu.. co.ob..| .ospcrs.vo| po|c noJc o .g.oss|v|J.Jo oxo.co g..rJo |r|uorc|. scb.o c cc.tox p.o|.crt.|, c|og.rJc s|np|osnorto . Jos||g.. oss. ..o. co.ob..| .ospcrs.vo| pc. .. c|cc|r|c, nonc.|. o Joc|scos Ou so. sonp.o ouo .|guon v|vo un p.ccossc Jo ost.osso, to. noJc cu ort.. on p.r|cc, ouon ccn.rJ. c co.ob.c o t.| .nygJ.|. |n.g|ro ort.c cs oou| vcccs o .s ccrsoouorc|.s Jo Joc|scos tcn.J.s scb . |r|uorc|. Jo s|tu.cos ost.oss.rtos (|O| CO 2009, p82) S|ston.s Jo gost.c Jo ccr|oc|nortc no||c..n . ou.||J.Jo o . ut|||...c Jc ccr|o c|nortc us.Jc rc p.ccossc Jo tcn.J. Jo Jo c|s.c / gost.c Jc ccr|oc|nortc .o|o.oso .c ccrurtc Jo p.ccosscs Josorvc|v|Jcs on un. c.g.r|...c p... c.|.., ..n..or.., t..rs|o.|. o .p||c.. ccr|oc|nortc /unort.. . c.p.c|J.Jo J. c.g.r|...c Jo .p.orJo. ccn sou .nb|orto o |rcc.pc... ccr|oc|nortc . sous p.ccosscs Jo rogcc|cs o su. tcn.J. Jo Joc|s.c (|/|||O| 2007, p322) |ort.c Josto ccrtoxtc, u.b.r (2005, p103) .|.n. ouo . gost.c Jc ccr|oc|nortc o n.|s un. notcJc|cg|. .p||c.J. . p..t|c.s Jo rogcc|cs Jc ouo un. tocrc|cg|. cu p.cJutc /pos.. J|ssc, . tocrc|cg|. J. |r|c.n..c o c.u c|.| p... c sucossc Jo c.J. s|ston. Jo gost.c Jc ccr|oc|nortc |. po.cop.c Jo u.b.r (2005, p359) | J|||c|| tcn.. bc.s Joc|scos son |r|c.n.cos v.||J.s o .o|ov.rtos /s |r|c.n.cos s.c rocos s..|.s on c.J. |.so o .t|v|J.Jo rc p.ccossc Jo tcn.J. Jo Joc|scos /pos.. J. .np|. J|spcr| b|||J.Jo Jo |r|c.n.cos, tcn.. Joc|s.c ost. so 116 Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012 tc.r.rJc c.J. vo. n.|s J|||c|| |n no|c . ost.s pu.rtos J||cu|J.Jos, ccroctu..so ouo ccn c.|..c Jo un occss|s ton. |r|c.n.c|cr.| crJo c gostc. tor|. ccr J|cos Jo v|su.||... cs |rJ|c.Jc.os rocoss..|cs p... n|r|n|... cs .|sccs o .oJu.|. .s |rco.to..s, cs p.ccossc Jo tcn.J. Jo Joc|s.c |.. |u|. Jo n.ro|.. n.|s .sso.t|v. u.b.r (2005, p372) su go.o un cockpit, un. s.|. Jo go.orc|.nortc ost..tog|cc ouo po.n|to .cs go.ortos p||ct.. sous rogcc|cs O cbot|vc o c.|.. un .nb|orto ouo |.vc.o. .our|cos Jo go.orc|. n.|s o|c..os o .unorto c Josonpor|c J. oou|po pc. no|c Jo ccnur|c..c o|c|orto |... .uJ.. . .|c.r.. osso cbot|vc, cs p.|rc|p.|s |rJ|c.Jc.os Jo Josonpor|c o .s |r|c.n.cos .o|.t|v.s .cs |.tc.os c.|t|ccs p... c sucossc s.c ox|b|Jcs g..|c.norto r.s to|.s Jcs sous rctobccks cu r. |rto.|.co g..|c.s Jcs sous sn..t|cros p..oJos J. s.|. Jo .our|.c O ....rc Jcs p.|ro|s o Jcs v|sc.os rc ost||c Jcs cockpits .uJ. cs go.ortos . ortorJo.on ccnc tcJcs cs J||o.ortos |.tc.os J. onp.os. so |rto. .o|.c|cr.n 6. O USO DE SISTEMAS DE INFORMAO NA CONSTRUO DO PROCESSO DE TOMADA DE DECISO EM PLANO DE SADE 6.1 IAPEP SADE O |/||| S/||| (|S) o c p|.rc .nbu|. tc.|.| Jc |rst|tutc Jo /ss|storc|. o |.ov|Jorc|. Jc |st.Jc Jc ||.u| .|.Jc on .ro|.c Jo 1966, ccn . n|ss.c Jo p.ost.. so.v|cs ouo v|son . p.cto.c . s.uJo o c bon ost.. Jcs so.v|Jc.os do Estado do Piau. ||.rto Jost. p.on|ss., c |/||| S.uJo, |co, o .ospcrs.vo| on g...rt|. ou.||J.Jo o pcr tu.||J.Jo . so.v|cs .ss|storc|.s Jo s.uJo . un. c..to|.. Jo .p.cx|n.J.norto 178 n|| boro|c|. .|cs, p... t.rtc s.c J|spcr|b|||..Jcs .cs usu..|cs 750 t|pcs Jo ox.nos o un. .oJo Jo 490 p.ost. Jc.os ouo s.c ccrst|tu|Jcs pc. c||r|c.s, |csp|t.|s, |.bc..tc.|cs, sotc.os Jo ..J|c|cg|. o cJcrtc|cg|. r. c.p|t.|, o.os|r., o rcs nur|c|p|cs Jc |rto.|c. /pos.. Jo so. un p|.rc Jo s.uJo vc|t. Jc p... so.v|Jc.os pub||ccs ost.Ju.|s, so ccn p...Jc .cs cut.cs p|.rcs p.|v.Jcs ox|stortos rc ||.u| c |S to.|. un. p..t|c|p..c Jo 42 Jc no.c.Jc ccr|c.no g..|cc 1 . sogu|. |crto |/||| S/|||, 2011/ /|S /gorc|. |.c|cr.| Jo S.uJo Sup|onor t.., 'ur/2011 |n .o|..c . c..to|.. Jo c||ortos, . u|t| n. |.|x. o ouo so .p.osort. Jo n.ro|.. n.|s ox p.oss|v., co.c. Jo 20,72 Jc sous boro|c|..|cs ton n.|s Jo 60 .rcs |rt.ot.rtc . p..t|c|p..c Jcs n.|s c vors t.nbon ncst..so Jo n.ro|.. s|gr||c.t| v., 17,68 pcssuon |J.Jo ort.o .o.c . Jo.c|tc .rcs, ccnpc.t.nortc osto ouo pcJo so. ov| Jorc|.Jc rc g..|cc .b.|xc 117 Fonte: IAPEP SADE, 2011 |c ouo t.rgo . ou.rt|J.Jo Jo .torJ| nortcs .o.||..Jcs po|c |/||| S/|||, .c |crgc Jo 2010, |c..n .o.||..Jcs 312077 (t.o.ortcs o Jc.o n|| o sotort. o soto) ccrsu|t.s o 738535 (sotocortcs o t.|rt. o c|tc n|| ou|r|ortcs o t.|rt. o c|rcc) ox.nos on tcJ.s .s ospoc|.|| J.Jos noJ|c.s o cJcrtc|cg|c.s, |rc|us|vo .s ccn t..t.nortc ccrt|ruc, ccnc ps|cc|cg|., |s|cto..p|., ||J.cto..p|., rut.|.c, .cupurtu.. o |crc.uJ|c|cg|., ccr|c.no g..|cc 3 118 Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012 O |/||| S/||| oxo.co |npc.t.rc|. c.p|t.| rc |uxc occrcn|cc Jc ||.u|, un. vo. ouo .ru.|norto |rot. r. occrcn|. Jc ost.Jc un. ou.rt|. on tc.rc Jo 28 n|||cos, ccr|c. no g..|cc .p.osort.Jc rc g..|cc 4 Fonte: IAPEP SADE, 2011 6.2 TECNOLOGIA DO IAPEP SADE |co, c |/||| S/||| J|spco Jo un s|s ton. tct.|norto r. .ob ouo po.no|. rcs t.os r|vo|s J. p|..n|Jo ||o...ou|c. cpo..c|cr.|, go.orc|.| o ost..tog|cc |c cpo..c|cr.| cu|n| r.n cs sogu|rtos boro||c|cs .) /torJ|nortc |un.r|..Jc c boro|c|..|c pcJo oscc||o. ou.|ouo. p.ost.Jc. Jo so.v|c, Jort.c J. .oJo c.oJorc|.J., son bu.cc..c|., cu so. c boro |c|..|c J|.|goso J|.ot.norto .c p.ost.Jc. Jo so.v|c (noJ|cc cu c||r|c.) ov|t.rJc .ss|n c Jos|cc.nortc |rco.tc Jo su. c|J.Jo Jo c.|gon .to .s |rst.|.cos Jc |S |co 100 J.s ccrsu| t.s s.c .o.||..J.s J|.ot.norto r. .oJo, J|spor s.rJc . sc||c|t..c Jo .utc.|...c, on .o|..c .cs ox.nos osto po.cortu.| ton un. |ovo .oJu.c, .por.s 7 s.c .utc.|..Jcs r. soJo Jc p|.rc Jo s.uJo, b) /g|||J.Jo rc p.ccos s.nortc J.s ccrt.s noJ|c.s ccnc tcJcs cs p.ccoJ|nortcs . ost.c rc s|ston., un s|np|os c||ouo p.ccoss. .s ccrt.s o J|sp... . c.Jon Jo p.g.nortc p... cs p.ost.Jc.os |c go.orc|.|, cs go.ortos ton .cossc . J|vo. scs .o|.tc.|cs ouo pcss|b|||t.n un. v|s.c, on tonpc .o.|, Jc ouo ost. .ccrtocorJc ccn p|.rc Jo s.uJo O .o|.tc.|c Jo ccrsunc J|..|c, pc. oxonp|c, ncst.. Jo |c.n. Jot.||.J. c ouo ost. .ccrtocorJc r.ouo|o ncnortc, ov|t.r Jc .ss|n su.p.os.s rc |r.| Jc nos 119 ||gu.. 1 crsunc ||..|c |/||| S/||| (02/09/2011) Fonte: IAPEP SADE, 2011 ||gu.. 2 |.|ro| Jo crt.c|o |/||| S/||| (02/09/2011) 120 Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012 |c. |n, rc r|vo| ost..tog|cc c gostc. pcssu| un ccckp|t ccn tcJcs |rJ|c.Jc.os ro coss..|cs p... un. po.cop.c .cu..J. Jc ouo ost. .ccrtocorJc rc p|.rc Jo s.uJo /|on J|s sc, c r|vo| |rst|tuc|cr.| J|spco Jo .|o.t.s v|su.|s c.sc .|gun |rJ|c.Jc. so .p.osorto on Jos.cc. Jc ccn c p|.ro.Jc, osto .|o.t. pcJo .ccrtoco., |rc|us|vo, v|. SVS (S|c.t Voss.go So.v|co) |ost. |c.n., c gostc. pcJo |r|uorc|.. p.ovort|v.nor to on .cos ouo vor|.n J|.oc|cr.. p... .|c.r .. . o|ot|v|J.Jo .|no.J., ov|t.rJc .ss|n, cs Josv|cs cc.s|cr.Jcs pc. pcss|vo|s |rgo.orc|.s Jo ccrt.c|o |.s |gu.. 2 o 3 pcJoncs v|su.||... c p.|ro| Jo ccrt.c|o ouo c gostc. ton .cossc Vosnc ouo c gostc. r.c tor|. p|orcs ccr|oc|nortcs .co.c. Jc |rJ|c.Jc.os, c s|sto n. |.. un. b.ovo o|uc|J..c scb.o . su. Jo| r|.c, |gu.. 3 ||gu.. 3 |.|ro| Jo crt.c|o |/||| S/||| (02/09/2011) ||gu.. 4 |.|ro| Jo crt.c|o |/||| S/||| (02/09/2011) 121 .sc ox|st. . rocoss|J.Jo Jo ccr|oco. . |r|c.n..c ccn un. g..ru|..|J.Jo norc., c gostc. pcJo |..o. un J.||| Jc.r o .v.||.. ou.|s cs |rJ|c.Jc.os .p.osort.nso |c.. Jcs p.J.cos p.ov|stcs o tcn.. . Joc|s.c c.b|vo| | |rto.oss.rto .oss.|t.. ouo c s|sto n. Jo |r|c.n..c go.orc|.| Jc |/||| S/|||, .p.osort. J|.ot.|.os p... ouo c gostc. ouo pcs s. so b.||... . |n Jo orccrt... . sc|u.c n.|s |rto.oss.rto p... .osc|u.c Jc p.cb|on. |n v|.tuJo J. .cbusto. o J|r.n|c| J.Jo Jc s|ston., c |S pcssu| c custc po. c. p|t. nos |r|o.|c. .c p..t|c.Jc po|. /gorc|. |.c|cr.| Jo S.uJo Sup|onort.. (/|S) o . |r|.c |.c|cr.| J.s |rst|tu|cos Jo /utcgos t.c on S.uJo (||||/S) |crto |/||| S/|||/||||/S//|S 7. CONSIDERAES FINAIS |.co .c J|r.n|snc Jc no.c.Jc o . ro coss|J.Jo c.J. vo. n.|s p.onorto Jo .cossc . |r|c.n..c, . tocrc|cg|. J. |r|c.n..c von .ssun|Jc .c |crgc Jcs .rcs |npc.t.rc|. c. p|t.| r. ccrst.u.c J. t..rsp..orc|. o r. o|o t|v|J.Jo Jc p.ccossc Jo tcn.J. Jo Joc|s.c |ort.c Josto ccrtoxtc, . su. .p||c.b|||J.Jo r.c Jovo so. .osun|J. .por.s . os|o.. p.|v. J., pc|s ccnc ov|Jorc|.ncs rosto ostuJc, . | p.cpc.c|crcu .c |/||| S/||| un J||o.orc|.| ccnpot|t|vc b.st.rto ...c.vo| so ccnp...Jc .cs runo.cs Jc no.c.Jc, .|on Jo g...rt|. un |rc.onortc Jo po.cop.c Jo ou.||J.Jo |.orto .cs sous boro|c|..|cs O s|ston. Jo |r|c.n..c go.orc|.| Jc |S ccrJu.|u p.c|urJ.s ovc|ucos c.g.r|..c|c 122 Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012 r.|s, ouo .to ort.c, r.c o..n v|su.||..J.s rc .nb|tc J. gost.c J. s.uJo pub||c. Jc ||.u| Os gostc.os Jc |.pop S.uJo ton .cossc . |r|c. n..c on tonpc .o.|, rc ncnortc on ouo c ovortc ccc..o o |ssc |.c|||t. c p.ccossc Jo tc n.J. Jo Joc|s.c /s onp.os.s Jovon ost.. p.op...J.s p... supc.t.. c c.oscorto vc|uno Jo |r|c.n. cos o .o.||... un. .uptu.. . p...J|gn.s .rt| gcs o p.occr|... . | ccnc po. v|t.| Jo sus tort..c |.c cbst.rto, su.s J|sc|p||r.s so.on .o|.t|v.norto rcv.s su. p.osor. Jovo so. v|st. ccnc c...cto.|st|c. |rJ|sscc|.vo| r. ccrs t.u.c o|ot|v|J.Jo J. gost.c o r. no||c.|. Jc p.ccossc Jo tcn.J. Jo Joc|s.c
REFERNCIAS /|S CADERNO DE INFORMAO DA SADE SUPLEMENTAR ||c Jo .ro|.c, 'u r|c, 2011 ||spcr|vo| on <|ttp//....rs gcvb./|n.gos/stc.|os/V.to.|.|s_p..._pos ou|s./|o. ||| _sotc./.Jo.rc_|r|c.n.c.c_ s.uJo_sup|onort../2011_nos06_c.Jo.rc_ |r|c.n.c.cpJ|> /cossc on /cossc on 31 .gc 2011 |O|||, |||||p, S|/|O\|, 'co| , S|\||S |c bert. J. Marketing estratgico para rea de sade |c.tc /|og.o bcckn.r, 2010 |/||O|, '.ro |, |/||O|, |||||| Sistemas de informaes gerenciais. S.c |.u|c |o..scr |.ort|co |.||, 2007 |O|CO, \.|to., /\/||S, o |u|. O marke- ting na era do nexo. ||c Jo '.ro|.c bost So||o., 2009 S|O|S, ..|cs, O||\|||/, 'cso, b/||S/, V| guo| Business Intelligence. |c.tc S|| Sc c|oJ.Jo |c.tuguos. Jo |rcv..c, 2006 ||b/|, ||..|n, | '|, |o||y |.|ro., |O||, ||c|..J | Administrao de tecnologia da informao. ||c Jo '.ro|.c ||sov|o., 2005 ||`|||/, |.r|o|o |osorJo Rede de Valor para Inteligncia Empresarial. Revista da |S|V, vc| 16, |J|.c rc 1, pg 8090, .ro|.c/ |ovo.o|.c 2009 ||||/S Unio Nacional das Instituies de Autogesto em Sade. ||c Jo .ro|.c, |cvonb.c, 2011 ||spcr|vo| on <|ttp//ur| J.sc.gb./po.|cJ|ccs/..o_po.|cJ|ccs/pos ou|s.2010pJ|> /cossc on /cossc on 31 .r 2012.
Crie seu mercado no mundo digital: Aprenda a viver de e-commerce com a estratégia que levou inúmeros negócios on-line a sair do zero e ultrapassar os R$ 100 mil em vendas por mês