ABSTRACT The hospital as a service provider is undergoing rapid technological change and a society where quality and efficiency are evaluated through quality indicators are inevitable in a highly competitive healthcare market. This research seeks to compare performance indicators between hospitals managed under the model of social health organizations with the indicators of public hospitals directly managed in the State of São Paulo. The research is a literature review of qualitative method, where we seek to synthesize the knowledge produced through the analysis of the results shown in some studies of expert authors. The quality of care is a major concern of health institutions. From the literature review conducted it was found that the results point to the fact that the excellent quality of care requires the evaluation of the results of the services offered to the user through the use of indicators as generators of information that support the development of guidelines for policies health. This study shows that monitoring of indicators by measuring the same health professionals enables the process of decision making based on their results, the use of indicators still allows them to modify and improve their practice for the quality and efficiency of assistance.