Oferta e demanda por média complexidade/SUS: relação com atenção básica

Pires, Maria Raquel Gomes Maia; Göttems, Leila Bernarda Donato; Martins, Cristiano Mundim Ferreira; Guilhem, Dirce; Alves, Elioenai Dornelles

doi:10.1590/s1413-81232010000700007

Cited by 48 publications

(61 citation statements)

References 8 publications

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“…The point of entry to the health system should preferably be basic healthcare 4 , made up of Basic Health Units (UBS) 1,3,[5][6] which, when they work properly, permit the majority of the population's health problems to be resolved, leading to a consequent reduction in lines at the mid-to high-complexity levels 5 . So the most common health problems should be resolved in these UBS, allowing the specialty day clinics and hospitals to get on with their real functions, resulting in greater user satisfaction and a more rational use of existing resources [5][6] .…”

Section: Introductionmentioning

confidence: 99%

“…So the most common health problems should be resolved in these UBS, allowing the specialty day clinics and hospitals to get on with their real functions, resulting in greater user satisfaction and a more rational use of existing resources [5][6] .…”

Section: Introductionmentioning

confidence: 99%

“…At the present time, the basic system is in a situation of low response capacity, whether it be due to problems of infrastructure or the difficulty medical professionals are experiencing in performing their clinics effectively 5 . Generally speaking, basic services have been operating as emergency care units, focusing on symptomatic care, and thus being large-scale referrers, overloading the specialty medical services and the UPAs 5 .…”

Section: Introductionmentioning

confidence: 99%

“…Generally speaking, basic services have been operating as emergency care units, focusing on symptomatic care, and thus being large-scale referrers, overloading the specialty medical services and the UPAs 5 .…”

Section: Introductionmentioning

confidence: 99%

“…Note that emergency units are being increasingly used by the population as a point of entry to the SUS 2,5 . It is thought that the reason for the demand in nonurgent situations is that, though overcrowded, impersonal and dealing with the main complaint, these health units also have at their disposal a wealth of resources, such as consultations, medication, nursing procedures, laboratory and radiological examinations, which satisfy the immediate needs of the population, thereby guaranteeing a greater possibility of serving as a point of entry to the health service system 14 .…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the use of services provided by emergency care units in a Brazilian municipality

Zanon

Zanin

Flório

2016

RGO, Rev. Gaúch. Odontol.

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Objective To characterize the users and to analyze the factors that determine their choice in using the emergency services. MethodsThe study was carried out in the two Emergency Care Units in Serra (Espírito Santo, Brazil RESUMO ObjetivoCaracterizar os usuários e analisar os fatores determinantes da escolha pela utilização dos serviços de urgência/emergência. MétodosA pesquisa foi desenvolvida nas duas unidades de pronto atendimento de Serra, Espírito Santo. Ao procurarem o serviço das Unidades de Pronto Atendimento, 1 a cada 4 usuários adultos, classificados na consulta da enfermagem como não pertinentes ao serviço, foi abordado e entrevistado baseado em um questionário validado. Para cada Unidade de Pronto Atendimento, foram entrevistadas 195 pessoas, totalizando 390 entrevistas. ResultadosNo período do estudo, 75% da demanda foi classificada como não pertinente, composta em sua maioria por mulheres (55,1%), possuía escolaridade entre 2º grau e superior incompleto (69,4%) e 14,6% possuía plano de saúde. A maioria (78,5%) não havia procurado nenhum serviço de saúde anteriormente, em vista da alegada garantia de atendimento no mesmo dia (43,1%) ou da dificuldade de atendimento nas unidades básicas de saúde (37,9%). ConclusãoA maior parte dos atendimentos realizados nas Unidades de Pronto Atendimento deveria ser solucionado na atenção básica. A "falsa demanda" está relacionada ao relato de dificuldades no atendimento e na resolutividade das unidades básicas de saúde levando a população a procurar os serviços de urgência/emergência causando superlotação e problemas de rotinas dos mesmos.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of the use of services provided by emergency care units in a Brazilian municipality

Zanon

Zanin

Flório

2016

RGO, Rev. Gaúch. Odontol.

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Application of Heijunka for Surgical Production Leveling

Souza

Vaccaro

Lima

et al. 2022

Springer Proceedings in Mathematics &Amp; Statistics

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Operating room effectiveness: a lean health-care performance indicator

Souza

Vaccaro

Lima

2020

IJLSS

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Purpose Overall equipment effectiveness (OEE) is a performance indicator that is been used to measure manufacturing productivity. The purpose of this paper is to propose the operating room effectiveness for hospital operating rooms (ORs), adapted from the OEE, to measure performance and identify losses based on lean health-care principles. Design/methodology/approach The present study is an exploratory, descriptive and applied research work. Literature review, documents of the hospital, observation and interviews with employees of a large university hospital in southern Brazil were analyzed to organize the proposed effectiveness indicator. After that, historical data of the ORs was collected and the usefulness of the indicator was analyzed. The indicator was applied for 10 months and validated with an expert committee from the hospital. Findings The present study describes an adaptation of a performance indicator to ORs of hospitals, allowing to classify its types of operational losses in a lean health-care context. The application of this indicator and the development of improvement actions to a university hospital, resulted in operational efficiency gains of 12 per cent and estimated annual savings of US$400,000. Practical implications ORs are a critical service for hospitals. This paper presents a new way to measure the performance of ORs and identify their main types of wastes. It also shows how to implement it and the potential gains of its application. The main research limitations are related to technical analysis of care data from doctors and nurses involved. Originality/value This paper fulfills the need to study how ORs performance can be measured and its operational wastes can be identified. In addition, this paper classifies the planning, performance and quality related losses, which can be used by researchers and practitioners to improve the performance of operation rooms.

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Oferta e demanda por média complexidade/SUS: relação com atenção básica

Abstract: Oferta e demanda por média complexidade/SUS: relação com atenção básicaSupply and demand of the medium-complexity/SUS: relation with primary health careResumo Investiga-

Cited by 48 publications

References 8 publications

Evaluation of the use of services provided by emergency care units in a Brazilian municipality

Evaluation of the use of services provided by emergency care units in a Brazilian municipality

Application of Heijunka for Surgical Production Leveling

Operating room effectiveness: a lean health-care performance indicator

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