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Publication
Serviço de urgência de ginecologia/obstetrícia da Unidade de Faro do Centro Hospitalar e Universitário do Algarve um contributo do método DISTATIS para a melhoria da gestão do serviço
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Abstract(s)
Num contexto de incontornável exigência a nível da gestão de serviços de saúde, as unidades hospitalares, e em particular os Serviços de Urgência (SU), deparam-se com decisões críticas para manter a sua sustentabilidade financeira e operacional. Com base nos desafios e objetivos definidos no PNS e no Roteiro de Intervenção em Cuidados de Emergência e Urgência (RICEU), esta investigação parte de uma listagem dos 10 principais problemas/desafios identificados nos SUGO-CHUA da Unidade de Faro por um painel interno e institucional de especialistas que lhes atribui importância de forma a produzir resultados cruciais no auxílio do processo de gestão. O período de recolha dos dados incidiu entre abril e maio de 2021, com recurso à técnica de Brainstorming em especialistas do serviço e chefes de equipa, de forma a obter um Top 10 dos problemas/desafios associados a este serviço. Posteriormente, foram submetidos a apreciação, recorrendo à perceção da similitude através de Sorting Tasks por parte de um painel de especialistas com atividade direta com o serviço, de acordo com as diferentes dimensões de integração funcionais. Por último, a informação recolhida foi estruturada em matrizes de distância de Três-Vias, de forma a viabilizar uma análise de dados através do método DISTATIS (Abdi et al., 2005; Abdi et al., 2007a; Abdil et al.,2012; Gómez-Corona, 2017). Dos resultados obtidos, foi possível esclarecer as intervenções para as quais a perspetiva dos especialistas é mais concordante/influente, assim como as áreas suscetíveis de desenvolvimento, com ações de gestão de melhoria do serviço.
The pursuit of ideal health service management imposed hospital units, and in particular Emergency Services, to face critical decisions to maintain their financial and operational sustainability. Based on the challenges and objectives defined in the PNS and in the Roadmap for Intervention in Emergency and Urgent Care, this investigation was established from a list of the 10 main problems/challenges identified in the SUGO-CHUA of the Faro Unit, considered as fundamental by an internal and institutional panel of specialists that scored them in order to produce results that could help in the management process. Data collection took place between April and May 2021 using the Brainstorming technique with specialists and team leaders in order to obtain a Top 10 of the problems/challenges from the service, and subsequently, were submitted for consideration using the perception of similarity through Sorting Tasks by a panel of experts. Finally, the information collected was structured in Three-Way distance matrices in order to enable data analysis using the DISTATIS method (Abdi et al., 2005; Abdi et al., 2007a; Abdil et al., 2012; Gómez-Corona, 2017). From the results, it was possible to clarify the interventions that from the perspective of the specialists are more consistent/influential, as well as the areas susceptible to enhancement, with management actions to improve the service.
The pursuit of ideal health service management imposed hospital units, and in particular Emergency Services, to face critical decisions to maintain their financial and operational sustainability. Based on the challenges and objectives defined in the PNS and in the Roadmap for Intervention in Emergency and Urgent Care, this investigation was established from a list of the 10 main problems/challenges identified in the SUGO-CHUA of the Faro Unit, considered as fundamental by an internal and institutional panel of specialists that scored them in order to produce results that could help in the management process. Data collection took place between April and May 2021 using the Brainstorming technique with specialists and team leaders in order to obtain a Top 10 of the problems/challenges from the service, and subsequently, were submitted for consideration using the perception of similarity through Sorting Tasks by a panel of experts. Finally, the information collected was structured in Three-Way distance matrices in order to enable data analysis using the DISTATIS method (Abdi et al., 2005; Abdi et al., 2007a; Abdil et al., 2012; Gómez-Corona, 2017). From the results, it was possible to clarify the interventions that from the perspective of the specialists are more consistent/influential, as well as the areas susceptible to enhancement, with management actions to improve the service.
Description
Keywords
DISTATIS Sorting task Gestão na saúde Serviços de urgência