Resumo

Alshehhi, Bhaumik and Gangele (2019) argue that a significant approach for organizations to pursue efficiency is through human resource management and add that despite the numerous factors that impact productivity in companies, employee performance is considered the biggest influencing factor. Still on this discussion, Wei and Ng (2012) argue that the efficiency of the organization can be improved when the company implements a set of human resources practices that are consistent and aligned with the strategy.Within this organizational context are hospitals, the subject of this article

Therefore, understanding that hospitals are complex systems and have different sizes, structures, processes, people, technologies, management, among other variables, and given this contextualization, the following problem arises: Are human resource management practices a determining factor in the technical efficiency of hospitals? Therefore, within this context of hospitals, HRMPs (human resource management practices) and efficiency, this article aims to analyze human resource management practices as determinants of technical efficiency in hospitals.

The studies by Gile, Samardzic and Klundert (2018) and Prado et al. (2019) and Al- Ayed (2020) show that human resource management in hospitals has an impact on organizational performance, and according to Buchelt, Frączkiewicz-Wronka and Dobrowoslska (2020), the various nuances of human resources in the health sector have grown greatly due to their strategic importance for the sector.In Brazil, despite research that correlates HRMP and performance in general, no studies were found on HRMP determinants and technical efficiency in hospitals using data envelopment analysis.

Primary and secondary data were used to achieve the objectives. The primary data obtained through the application of a questionnaire to 57 public hospitals in the State of Rio Grande do Norte, which fully serve the Brazilian Unified Health System (SUS), to identify the HRMP. Secondary data obtained from DATASUS, CNES and research databases for Systematic Literature Review (SLR) on HRMP, TE and determinants in hospitals. DEA and the final model built by VRS were used to calculate TE

A total of 17 hospitals (32.07%) were classified as efficient, highlighting the regional Vale do Açu (75% being 100% efficient) and the average TE of the hospitals that use most HRMP, showed superior results. Regarding statistical significance, the variables proportion of physicians per total team, number of beds per team, level of complexity and rewards, incentives and benefits were determinants for hospital technical efficiency.

The average TE was higher when using PGRH, becoming relevant and corroborating studies that prove the importance of human resources in the performance or efficiency of organizations and, despite not being statistically significant, they were positive. and benefits were presented as the main result, specifically due to their significance in increasing the average TE and the perspective of using it as a public health policy, since it does not necessarily involve financial issues for its applicability

AL-AYED, S. I. The impact of strategic human resource management on organizational resilience: an empirical study on hospitals. Verslas: Teorija ir praktika. Business: theory and practice, [S. l.], v. 20, p. 179-186, 2019. ALATAWI, A. D.; NIESSEN, L. W.; KHAN, A. M. Determinants of technical efficiency in public hospitals: the case of Saudi Arabia. Health Economics Review, [S. l.], v. 10, p. 1-11, 2020. ALSAFADI, Y.; ALTAHAT, S. Human resource management practices and employee performance: the role of jobs satisfaction. Journal of Asian Finance, Economic and Business, [S. l.], v. 8, n. 1, 2021