Evaluation of health services? waste management systems: a case study in a Brazilian regional public hospital

The main goal of this paper is to propose an evaluation of the Health Services Waste Management Systems (SGRSS) and its application in the context of a Regional Public Hospital located in the countryside of Sao Paulo, Brazil. The methodology adopted in this research was an exploratory and qualitative case study. The relevance is given due to a broader view of the operational dimension that is usually addressed in other studies by aggregating the administrative, environmental, and financial dimensions. For this, this article presents some variables and indicators in an integrated assessment for their managerial applicability. The results indicate that the SGRSS of the Public Hospital needs to be improved through the most relevant operational dimension available, as well as its predominant model. The contribution of the research, based on the information of the evaluation models found in the literature, is focused on the elaboration of a more embracing Health Services Waste Management Systems Evaluation model and related to the direction for Integrated Waste Management in hospital organizations, which will be used as an assessment tool for managers in the RSS Management system.