Clinical Managers in the context of Brazilian hospitals: profile description and experience report
DOI:
https://doi.org/10.11606/issn.1982-6486.rco.2024.225919Keywords:
Clinical managers, Management skills, Management accounting, PerformanceAbstract
This study aimed to analyze the profile and experiences of clinical managers working in Brazilian hospitals, characterizing their role as hybrid professionals and comparing their experiences in public and private healthcare settings. The objective was to understand their clinical and managerial activities, as well as to assess their preparation and development for this role. It is a cross-sectional study with an exploratory character and a qualitative approach, conducted between March 2019 and July 2020 with healthcare professionals occupying management positions. The results show that clinical managers predominantly have academic backgrounds in Nursing and Medicine. In public hospitals, Nursing is the most common background (61.7%), while in private hospitals, Medicine is more prevalent (55.6%). A lato sensu postgraduate degree in Health Management or an MBA is the most frequent qualification among these professionals (52.5%). There is a combination of clinical and managerial responsibilities in the daily routine of clinical managers. In private hospitals, there is a greater focus on managerial activities, whereas in public hospitals, managers are more involved in direct patient care. The study concludes that aspects related to professional identity and the evaluation of the pedagogical projects of undergraduate Nursing and Medical programs can be explored to support the transition of clinical professionals into hybrid roles as clinical managers. This transition should be planned, clear, and well-prepared, enabling effective integration of clinical and managerial tasks, which is essential for the successful implementation of managerial accounting tools.
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