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O serviço de urgência da unidade de Faro do Centro Hospitalar Universitário do Algarve: um contributo do método DISTATIS para classificar e hierarquizar
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Abstract(s)
Usualmente, os Serviços de Urgência (SU) caracterizam-se através de ambientes
complexos e, por vezes, caóticos. Constituem desafios que são únicos, principalmente na
área da gestão, no volume de trabalho, nos equipamentos e, sobretudo, nos recursos
humanos. A presente investigação aborda estas questões, ao utilizar um conjunto de
problemas e desafios do SU polivalente da unidade de Faro do Hospital Universitário do
Algarve, considerados essenciais segundo um painel de especialistas internos que
intervêm no processo de gestão do referido serviço. Os dados utilizados neste trabalho,
relativos ao período entre Janeiro e Maio de 2018, provêm de dois momentos distintos:
a)- de um brainstorming realizado com os chefes de banco e de turno do SU para eleger
os dez principais problemas/desafios que mais afetam o SU e, b)- da apresentação do Top
Ten dos problemas/desafios, para classificação e ordenação através de Sorting Tasks, a
um painel de especialistas selecionados de acordo com as principais áreas operacionais
que interferem diretamente na dinâmica do SU. Com recurso ao método DISTATIS (Abdi
et al., 2005; Abdi et al., 2007), uma técnica exploratória para a análise de dados de Três-
Vias. Foram produzidos resultados sobre as avaliações dos especialistas que, não
somente, permitiram caracterizar as semelhanças e as diferenças nas opiniões declaradas
como, possibilitaram avaliar a estabilidade e/ou instabilidade das mesmas. Assim, tendo
por base informação sobre a discordância e a coerência manifestadas pelos especialistas,
foi possível identificar os problemas/desafios mais sensíveis no processo de tomada de
decisão para uma gestão mais eficiente do SU.
Events occurring in hospital emergency services tend to be of chaotic and complex nature, giving rise to unique challenges, mainly in the fields of finance management, equipment, workloads and human resources. The research here presented, addresses the issue, first by determining the top ten problems and challenges facing the Emergency Service of the University Hospital of Algarve in Faro and second by underlining perceptions and associated levels of importance attributed by an in-house group of specialists that assist on the unit's management process Data was collected in two phases a)- brainstorming exercise with work-shift leaders for generation of opinions and ideas regarding the evaluation of the top ten problems; b)- presentation of the top ten issues to a panel of experts that, on an individual bases, have classified, categorized, and ranked them. Collected data was of multidimensional nature and it was later analyzed using an innovative three-way technique, the DISTATIS method (Abdi et al., 2005; Abdi et al., 2007). This three-way exploratory method highlights stable relations between structured data matrices (as a whole) and it is generalization of multidimensional scaling, taking into account individual data, this analysis also performs calculations on individual distance matrices. In our evaluation of the expert responses, we highlighted experts whose options were characterized by similarities and differences and others with stable and unstable opinions. Final results provided information on opposition and coherence among the experts, identifying common themes and problems relevant to the organization's management and decision processes.
Events occurring in hospital emergency services tend to be of chaotic and complex nature, giving rise to unique challenges, mainly in the fields of finance management, equipment, workloads and human resources. The research here presented, addresses the issue, first by determining the top ten problems and challenges facing the Emergency Service of the University Hospital of Algarve in Faro and second by underlining perceptions and associated levels of importance attributed by an in-house group of specialists that assist on the unit's management process Data was collected in two phases a)- brainstorming exercise with work-shift leaders for generation of opinions and ideas regarding the evaluation of the top ten problems; b)- presentation of the top ten issues to a panel of experts that, on an individual bases, have classified, categorized, and ranked them. Collected data was of multidimensional nature and it was later analyzed using an innovative three-way technique, the DISTATIS method (Abdi et al., 2005; Abdi et al., 2007). This three-way exploratory method highlights stable relations between structured data matrices (as a whole) and it is generalization of multidimensional scaling, taking into account individual data, this analysis also performs calculations on individual distance matrices. In our evaluation of the expert responses, we highlighted experts whose options were characterized by similarities and differences and others with stable and unstable opinions. Final results provided information on opposition and coherence among the experts, identifying common themes and problems relevant to the organization's management and decision processes.
Description
Keywords
Distatis Sorting task Health management Emergency services Inefficiency