Social impact of a partnership between a hospital of excellence and Brazil’s Unified Health System
1
Social Impact Directorate, Hospital Sírio-Libanês, São Paulo, Brazil
2
School of Public Health, University of São Paulo, São Paulo, Brazil
3
Sírio-Libanês School, Hospital Sírio-Libanês, São Paulo, Brazil
4
Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
INTRODUCTION:
The Programme for Institutional Development Support of Brazil’s Unified Health System (PROADI-SUS)1 is a partnership between the Brazilian Ministry of Health and seven philanthropic hospitals of excellence, established in 2009. Funded through tax exemption mechanisms, the programme supports triennial projects developed in strategic areas aligned with the goals of the National Health Plan2. These initiatives aim to strengthen health services, workforce capacity, research, and health system management nationwide. This study reports the social impact of one philanthropic hospital over 17 years of programme implementation.
METHODS:
This study reports results from projects implemented by Hospital Sírio-Libanês (HSL) within the PROADI-SUS framework between 2009 and 2026, covering six triennial cycles. Data were obtained from institutional management reports.
RESULTS:
Hospital Sírio-Libanês implemented projects across all five regions of Brazil, reaching all 27 states and 312 municipalities, with 57% of municipalities classified as having low or medium HDI. More than USD 508 million were invested in projects distributed across six strategic portfolios: innovation, operational excellence, clinical excellence, care, knowledge, and science. In total, more than 160 projects were developed. By 2026, over 118000 individuals participated in capacity-building activities, including courses, workshops, and medical and multiprofessional residency programmes. More than 56000 participants were enrolled in research studies, approximately 74000 teleconsultations were delivered, and over 436000 patients received care. In addition, HSL demonstrated pioneering initiatives, including the first PROADI-SUS projects focused on Indigenous communities, the structuring of residency programmes, the support of national palliative care policies, and leadership in transplantation and implant programmes.
CONCLUSIONS:
The findings indicate that this programme represents a successful partnership between philanthropic private hospitals and the public health system. The allocation of resources to areas with service gaps expanded access to care in underserved territories3, while high-impact projects and research initiatives contributed to meaningful improvements in healthcare delivery across Brazil4,5.
The Programme for Institutional Development Support of Brazil’s Unified Health System (PROADI-SUS)1 is a partnership between the Brazilian Ministry of Health and seven philanthropic hospitals of excellence, established in 2009. Funded through tax exemption mechanisms, the programme supports triennial projects developed in strategic areas aligned with the goals of the National Health Plan2. These initiatives aim to strengthen health services, workforce capacity, research, and health system management nationwide. This study reports the social impact of one philanthropic hospital over 17 years of programme implementation.
METHODS:
This study reports results from projects implemented by Hospital Sírio-Libanês (HSL) within the PROADI-SUS framework between 2009 and 2026, covering six triennial cycles. Data were obtained from institutional management reports.
RESULTS:
Hospital Sírio-Libanês implemented projects across all five regions of Brazil, reaching all 27 states and 312 municipalities, with 57% of municipalities classified as having low or medium HDI. More than USD 508 million were invested in projects distributed across six strategic portfolios: innovation, operational excellence, clinical excellence, care, knowledge, and science. In total, more than 160 projects were developed. By 2026, over 118000 individuals participated in capacity-building activities, including courses, workshops, and medical and multiprofessional residency programmes. More than 56000 participants were enrolled in research studies, approximately 74000 teleconsultations were delivered, and over 436000 patients received care. In addition, HSL demonstrated pioneering initiatives, including the first PROADI-SUS projects focused on Indigenous communities, the structuring of residency programmes, the support of national palliative care policies, and leadership in transplantation and implant programmes.
CONCLUSIONS:
The findings indicate that this programme represents a successful partnership between philanthropic private hospitals and the public health system. The allocation of resources to areas with service gaps expanded access to care in underserved territories3, while high-impact projects and research initiatives contributed to meaningful improvements in healthcare delivery across Brazil4,5.
| eISSN: | 2654-1459 |
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