Eficiência Do Atendimento Assistencial Nos Hospitais Universitários

Mota, Samuel Cavalcante; Oliveira, Antonio Rafael Valério de; Vasconcelos, Alessandra Carvalho de

doi:10.22561/cvr.v32i3.7060

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…University hospitals are important innovation laboratories with a heterogeneity of actors and services for providing health services to the population, while also being responsible for training health professionals. 16,17,[23][24][25][26]38 Because they are such complex institutions, university hospitals can be an important example of a research locus to be extended to other less complex institutions, but equally lacking in attention to the sustainability of innovations. This research seeks to establish a dialogue between academics and health managers based on experiences observed in university hospitals, given the importance of researchers communicating directly with managers in activity.…”

Section: Discussionmentioning

confidence: 99%

Meaning of sustainability of innovations in healthcare organizations: A systematic review

Louredo

Vargas

Araújo

2023

Health Serv Manage Res

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Background There is pressure on healthcare organizations to provide high-quality care to all patients while innovating the way care is delivered. As they take on the challenge of delivering high-quality, innovative services, any gains made tend to stall before a radical change impacts key outcomes given the difficulty in sustaining innovations over time. Methods A systematic search was performed in 5 electronic databases using the PRISMA structure that resulted in 1313 articles, of which 260 were duplicated, leaving 1053 articles. After reading their abstracts, 877 had an inadequate scope for analysis because they did not deal with research on the sustainability of innovations. After a full assessment of the remaining 176 articles, only 10 studies met the inclusion criteria with the snowball strategy generating one additional paper, leading to 11 empirical studies. A theoretical discussion and the proposition of a framework were used to analyze the data. Results Studies in university hospitals shed light on determining sustainability factors of innovations not yet fully explored such as the meaning given by individuals to innovation, culture, partnerships, and multidisciplinary collaboration, which complement the literature. This research sought to contribute to the dialogue between management theory and practice in studies on the sustainability of health innovations based on experiences observed in university hospitals. Health managers can verify how sustainability relates to the challenges presented and identify a path that helps them overcome the limitations imposed on the process. The literature shows that the understanding of sustainability as a mediating dimension can collaborate in sustained innovations in order to allow managers to identify actions related to the individual-organization dimension that may be compromising the process and thus act in a more efficient, assertive way in determining the factors that sustain ongoing innovations. Conclusions A relevant point is that innovation sustainability needs to be an objective to be achieved where managers/individuals must incorporate this perspective of innovation continuity since the beginning of the process, otherwise this may represent a greater propensity for discontinuity. This analysis can potentially be applied in university hospitals, but it can also be applicable to other types of hospitals and public or private institutions as long as it is an organization that adopts, implements, and seeks to sustain innovations in service delivery.

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Section: Discussionmentioning

confidence: 99%

Meaning of sustainability of innovations in healthcare organizations: A systematic review

Louredo

Vargas

Araújo

2023

Health Serv Manage Res

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“…Assim, por meio dessa técnica procurou-se promover o agrupamento dos municípios da região do Cariri Cearense adotando como base o nível de eficiência calculado por meio da DEA, sendo possível a formação de quatro grupos (Mota, Oliveira, & Vasconcelos, 2021).…”

Section: Quadro 1 Variáveis Utilizadas No Estudounclassified

Eficiência administrativa dos municípios da região do Cariri Cearense no enfrentamento à pandemia de Covid-19

Oliveira¹,

Chagas²,

Leite³

et al. 2023

R. G. Secr.

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A pandemia de COVID-19 ficou marcada mundialmente, dentre outros fatores, pelo aumento dos gastos com saúde. O Brasil foi demasiadamente impactado, pois mesmo antes da confirmação do primeiro caso da doença o país enfrentava graves problemas socioeconômicos e fiscais. Assim, um dos maiores desafios para o gestor público, em especial de saúde, consiste em buscar ganhos de eficiência, já que os recursos são escassos, notadamente em tempos de crises. Nesse sentido, o presente estudo tem como objetivo avaliar a eficiência administrativa dos municípios da região do cariri cearense no enfrentamento à pandemia de Covid-19, utilizando a Análise Envoltória de Dados (DEA), no modelo Retornos Constantes à Escala, proposto por Charnes, Cooper e Rhodes (1978), CCR, e no modelo Retornos Variáveis à Escala, proposto por Banker, Charnes e Cooper (1984) o BCC, com orientação para outputs, para o cálculo da eficiência dos 26 municípios. Com base no CCR, em que considera a proporcionalidade entre inputs e outputs, houve maior número DMU’s eficientes. Em relação ao BCC, o qual admite que a eficiência máxima varie em função da economia de escala. Na média, os municípios obtiveram melhores escores médios de eficiência pelo método BCC em comparação ao CCR. Houve aumento de gastos com saúde, contudo houve desperdício de 3,48% nas análises pelo método BCC. O número de notificados e de confirmados foram as variáveis que apresentaram o maior potencial de melhoria indicando a necessidade de redução do contágio. Além disso, o melhor nível de eficiência não necessariamente ocorre naqueles que tiveram maiores gastos.

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Eficiência Do Atendimento Assistencial Nos Hospitais Universitários

Cited by 2 publications

References 19 publications

Meaning of sustainability of innovations in healthcare organizations: A systematic review

Meaning of sustainability of innovations in healthcare organizations: A systematic review

Eficiência administrativa dos municípios da região do Cariri Cearense no enfrentamento à pandemia de Covid-19

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