Gestão de custos aplicada a hospitais universitários públicos: a experiência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da USP

Bonacim, Carlos Alberto Grespan; Araújo, Adriana Maria Procópio de

doi:10.1590/s0034-76122010000400007

Cited by 40 publications

(39 citation statements)

References 7 publications

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“…The introduction of new health technologies generates increasing demand of resources in service delivery, however, there is insufficient funding in the public sector, what gives special relevance to health economics, justifying the need for studies on the topic (24) .…”

Section: Discussionmentioning

confidence: 99%

Direct cost of connecting, maintaining and disconnecting patient-controlled analgesia pump

Gouvêa¹,

Lima²

2014

Rev. esc. enferm. USP

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RESUmoPesquisa quantitativa que objetivou identificar o custo total médio (CTM) da instalação, manutenção e desligamento da bomba de analgesia controlada pelo paciente (PCA) no manejo da dor. A amostra não probabilística correspondeu à observação de 81 procedimentos em 17 Unidades do Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Calculou-se o CTM multiplicando-se o tempo despendido pelas enfermeiras pelo custo unitário da mão de obra direta, somando-se ao custo dos materiais e medicamentos/soluções. O CTM da instalação foi de R$ 107,91; da manutenção R$ 110,55 e do desligamento R$ 4,94. Os resultados obtidos subsidiarão discussões acerca da necessidade de repasse monetá-rio do Sistema Único de Saúde às unidades hospitalares que realizam essa técnica de terapia antálgica e contribuirão para o gerenciamento de custos visando à tomada de decisão eficiente e eficaz na alocação dos recursos disponíveis.

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Section: Discussionmentioning

confidence: 99%

Direct cost of connecting, maintaining and disconnecting patient-controlled analgesia pump

Gouvêa¹,

Lima²

2014

Rev. esc. enferm. USP

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“…Therefore, coexisting situation with the use of high technology for diagnosis and treatments, as well as high waste rates (Contreras Pinochet et al, 2014) tend to increase the operating costs of these facilities. Vogl (2014) claims that over 90% of costs in hospitals in Germany are considered operating costs, which confirms, as advocated by Bonacim et Araujo (2010) and Dallora et Forster (2013) the need to intensify research in order to reduce them.…”

Section: Introductionmentioning

confidence: 73%

“…In order to have an idea of its representation in the economic scenario, in 2011 the financial transactions of this sector were nearly 9% of the gross domestic product -GDP, about 20 billion reais, employing about 12 million formal workers (Brasil, 2011). Given its representation and socio-economic importance, the sectors are showing an increasing demand for resources due to the high technology involved in it, associated to insufficient resources in the public sector, which justifies, according to Bonacim et Araujo (2010), the need for studies and practices in this area.…”

Section: Introductionmentioning

confidence: 99%

Parameters involved in the internal reverse logistics of a hospital pharmacy

Yui

Reis

Moro

et al. 2017

BJO&PM

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This research aims to identify the causes linked to internal reverse logistics of materials and medicines in a hospital, covering studies for process optimization performed by this department. The study is based on a hospital located in the State of Paraná, Brazil. First, observations were performed through visits during the months of September/2015 to April/2016, and the month of March was chosen for the collection of data. Also, "in loco" visits were carried out for better understanding the process that occurs in both of the drug shipment to patients, as the internal reverse logistics was performed with drugs. To collect the data a survey form was used on the main reasons for discarding of drugs and materials for the central pharmacy. The instrument was adapted from the form used by the institution aimed specifically to the Intensive Care Unit. Through the observations made in the Hospital Unit, it was revealed that the company has a structured logistics process, standardized, and has a fundamental tool for this: information technology, creating efficient, reliable and fast data, requiring however, some improvements aiming primarily to prevent and reduce waste of both time and materials/medicines.

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“…These authors state that "an understanding of the phenomenon is based fundamentally on an interpretation of what is said by those participating in the survey" (p. 9), even though only three people were interviewed by them. Similarly, Bonacim and Araújo (2010), for a study that attempted to analyze the costing system at the Hospital das Clínicas at the Faculty of Medicine of the University of Ribeirão Preto in São Paulo (HCFMRP-USP), as well as to evaluate a proposal to change the Hospital's running costs methodology, interviewed only one person.…”

Section: Specific Questionsmentioning

confidence: 99%

Case study in public administration: a critical review of Brazilian scientific production

Guerra¹,

Gomes²,

Isidro-Filho³

2015

Rev. adm. contemp.

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ResumoEste artigo apresenta uma revisão crítica de parte da produção acadêmica brasileira em administração pública. O objetivo é identificar de que forma estudos de caso têm sido utilizados em trabalhos brasileiros que tratam da administração governamental. Foram analisadas 47 publicações de 2006 a 2011. Além de observar características teóricas e metodológicas, outros quatros tópicos específicos de interesse foram considerados: (a) o que se entende por estudo de caso; (b) a relação entre o fenômeno de interesse e o caso investigado; (c) a possibilidade de replicação; e (d) como o suposto método contribui no desenvolvimento da área de administração pública. Os resultados indicam falhas e inconsistências metodológicas nos trabalhos revisados, o que compromete o valor científico e a relevância da produção acadêmica nacional. As principais inconsistências encontradas foram as seguintes: descrição confusa da metodologia; descrição de resultados inconsistentes com a coleta e a análise de dados; falta de informação a respeito dos entrevistados; e falta de descrição das variáveis investigadas.Palavras-chave: administração pública; estudo de caso; pesquisa qualitativa; método. AbstractThis paper presents a critical review of 47 articles published between 2006 and 2011 to identify how case studies have been applied in Brazilian research on public administration. In addition to their theoretical and methodological characteristics, four further specific topics of interest were addressed: (a) what is meant by case study; (b) the relationship between the phenomenon of interest and the case under investigation; (c) the possibility of replication; and (d) how the supposed method contributes towards the development of the field of public administration. The main inconsistencies found were: the methodological descriptions are confusing; the results are inconsistent compared with data gathering procedures and data analysis techniques; a lack of information about the number of interviewed individuals; and no descriptions of research variables. The results suggest the reviewed case studies present methodological inconsistencies and limitations, which undermine their scientific value and relevance to academic work in Brazil.

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Gestão de custos aplicada a hospitais universitários públicos: a experiência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da USP

Cited by 40 publications

References 7 publications

Direct cost of connecting, maintaining and disconnecting patient-controlled analgesia pump

Direct cost of connecting, maintaining and disconnecting patient-controlled analgesia pump

Parameters involved in the internal reverse logistics of a hospital pharmacy

Case study in public administration: a critical review of Brazilian scientific production

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