University hospital: the dilemma of a new governance model

Context of the case: This case addresses the decision-making process of a university hospital's adherence to a new governance model through the management contract of the University with the Empresa Brasileira de Servi & ccedil;os Hospitalares. The dilemma of the case: The dilemma of whether to hand over the management of the hospital to the company is faced by Silva, Rector of the University, who experiences the conflicts involved in the process in a context of resistance. It brings the multiple actors involved (rector, academic community, university council, social movements, labor unions, servers, director, and hospital employees), the so-called democratic actions, changes in the economic context and how these reflect on the decision-making process and institutions. Case closure: Based on the analysis of the narrative and the dilemma, the reader is invited to reflect on the protagonist's decision-making. It can be applied in the disciplines of democratic governance, social mobilization, negotiation, and mediation.