Application of TDABC in assessing the profitability of examinations and the level of idleness of computed tomography in the gynecological oncology sector
Autor(a) principal: | |
---|---|
Data de Publicação: | 2024 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista Catarinense da Ciência Contábil (Online) |
Texto Completo: | https://revista.crcsc.org.br/index.php/CRCSC/article/view/3449 |
Resumo: | Gynecological malignancies represent one of the main mortality factors in women, with imaging exams being important tools for diagnosis, staging and surgical planning. Such exams are carried out at Diagnostic Imaging Centers (CDI) which, due to the use of sophisticated technology and qualified labor, are expensive and impact health systems. Given this context, this research aims to demonstrate how TDABC can be used to evaluate the profitability of exams and the levels of idleness that exist in the context of the computed tomography sector of the gynecological oncology unit. For this purpose, a methodology classifiable as qualitative and descriptive was used and the case study format was adopted, with data collection through documentary research, informal interviews to learn about the process and estimates of the execution time of the activities. The results showed that the tests carried out are deficient, as the cost of providing these services is higher than the prices paid by the Unified Health System (SUS), which resulted in a total loss of R$ -79,347.04 in the month. The levels of idleness of the activities involved were also determined, both in terms of inactive minutes and in monetary values. Therefore, it was concluded that the total idleness of the tomography sector surveyed reached R$ 102,932.81 and is equivalent to 41.62% on average for the activities covered (varying between 3.66% in the case of equipment and 81.59% in relation to nurses’ activity). Regarding the contributions made, it is worth noting that the information made available by TDABC can support actions aimed at reducing time between activities and optimizing the performance of the employees involved, in addition to demonstrating TDABC's adherence within the scope of entities that perform diagnostic imaging services. From the results obtained, it is concluded that it is essential to optimize processes to reduce exam time and increase productivity, as well as the need to readjust the values in the SUS table to avoid compromising investment of resources in other sectors of the hospital. |
id |
CRCSC-1_39eec2084db78b86a26b0c68b9dadda2 |
---|---|
oai_identifier_str |
oai:ojs.pkp.sfu.ca:article/3449 |
network_acronym_str |
CRCSC-1 |
network_name_str |
Revista Catarinense da Ciência Contábil (Online) |
repository_id_str |
|
spelling |
Application of TDABC in assessing the profitability of examinations and the level of idleness of computed tomography in the gynecological oncology sectorAplicação do TDABC na avaliação da lucratividade de exames e do nível de ociosidade da tomografia computadorizada do setor de oncologia ginecológicaTDABCTomographyCase studyIdlenessTDABCTomografiaEstudo de casoOciosidadeGynecological malignancies represent one of the main mortality factors in women, with imaging exams being important tools for diagnosis, staging and surgical planning. Such exams are carried out at Diagnostic Imaging Centers (CDI) which, due to the use of sophisticated technology and qualified labor, are expensive and impact health systems. Given this context, this research aims to demonstrate how TDABC can be used to evaluate the profitability of exams and the levels of idleness that exist in the context of the computed tomography sector of the gynecological oncology unit. For this purpose, a methodology classifiable as qualitative and descriptive was used and the case study format was adopted, with data collection through documentary research, informal interviews to learn about the process and estimates of the execution time of the activities. The results showed that the tests carried out are deficient, as the cost of providing these services is higher than the prices paid by the Unified Health System (SUS), which resulted in a total loss of R$ -79,347.04 in the month. The levels of idleness of the activities involved were also determined, both in terms of inactive minutes and in monetary values. Therefore, it was concluded that the total idleness of the tomography sector surveyed reached R$ 102,932.81 and is equivalent to 41.62% on average for the activities covered (varying between 3.66% in the case of equipment and 81.59% in relation to nurses’ activity). Regarding the contributions made, it is worth noting that the information made available by TDABC can support actions aimed at reducing time between activities and optimizing the performance of the employees involved, in addition to demonstrating TDABC's adherence within the scope of entities that perform diagnostic imaging services. From the results obtained, it is concluded that it is essential to optimize processes to reduce exam time and increase productivity, as well as the need to readjust the values in the SUS table to avoid compromising investment of resources in other sectors of the hospital.As neoplasias malignas ginecológicas representam um dos principais fatores de mortalidade em mulheres, sendo os exames de imagem instrumentos importantes para diagnóstico, estadiamento e planejamento cirúrgico. Tais exames são realizados nos Centros de Diagnósticos por Imagens (CDI) que, devido ao uso de tecnologia sofisticada e de mão de obra qualificada, têm alto custo e impactam os sistemas de saúde. Diante desse contexto, esta pesquisa tem por objetivo demonstrar como o TDABC pode ser utilizado na avaliação da lucratividade dos exames e dos patamares de ociosidade existentes no contexto do setor de tomografia computadorizada da unidade de oncologia ginecológica. Para essa finalidade foi utilizada metodologia classificável como qualitativa e descritiva e adotado o formato de estudo de caso, com levantamento de dados por meio de pesquisa documental, entrevistas informais para conhecer o processo e estimativas do tempo de execução das atividades. Os resultados mostraram que os exames executados são deficitários, visto que o custo da prestação desses serviços é superior aos preços pagos pelo Sistema Único de Saúde (SUS), o que acarretou prejuízo total de R$ -79.347,04 no mês. Foram apurados também os patamares de ociosidade das atividades envolvidas, tanto em termos de minutos inativos quanto em valores monetários. Portanto, concluiu-se que a ociosidade total do setor de tomografia pesquisado chegou a R$ 102.932,81 e equivale a 41,62% na média das atividades abrangidas (variando entre 3,66% no caso dos equipamentos e 81,59% em relação à atividade dos enfermeiros). Quanto às contribuições oriundas, cabe destacar que as informações disponibilizadas pelo TDABC podem fundamentar ações visando redução de tempo entre atividades e otimizar o desempenho dos funcionários envolvidos, além de evidenciar a aderência do TDABC no âmbito de entidades que realizam serviços de diagnósticos por imagens. A partir dos resultados obtidos, conclui-se que é fundamental a otimização dos processos para reduzir o tempo de exame e aumentar a produtividade, bem como a necessidade de readequação dos valores da tabela SUS para evitar o comprometimento de investimento de recursos em outros setores do hospital. Conselho Regional de Contabilidade de Santa Catarina2024-05-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/xmlhttps://revista.crcsc.org.br/index.php/CRCSC/article/view/344910.16930/2237-766220243449Revista Catarinense da Ciência Contábil; Vol. 23 (2024): RCCC; e3449Revista Catarinense da Ciência Contábil; v. 23 (2024): RCCC; e34492237-76621808-378110.16930/2237-76622024reponame:Revista Catarinense da Ciência Contábil (Online)instname:Conselho Regional de Contabilidade de Santa Catarina (CRCSC)instacron:CRCSCporenghttps://revista.crcsc.org.br/index.php/CRCSC/article/view/3449/2634https://revista.crcsc.org.br/index.php/CRCSC/article/view/3449/2635https://revista.crcsc.org.br/index.php/CRCSC/article/view/3449/263610.16930/2237-766220243449110.16930/2237-7662202434492Copyright (c) 2024 Revista Catarinense da Ciência Contábilhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPereira, Helcio MendonçaWernke, Rodneyde Oliveira Ritta, Cleyton2024-09-04T09:54:56Zoai:ojs.pkp.sfu.ca:article/3449Revistahttp://www.atena.org.br/revista/ojs-2.2.3-06/index.php/crcscPRIhttp://revista.crcsc.org.br/revista/ojs-2.2.3-06/index.php/CRCSC/oai||revista@crcsc.org.br2237-76621808-3781opendoar:2024-09-04T09:54:56Revista Catarinense da Ciência Contábil (Online) - Conselho Regional de Contabilidade de Santa Catarina (CRCSC)false |
dc.title.none.fl_str_mv |
Application of TDABC in assessing the profitability of examinations and the level of idleness of computed tomography in the gynecological oncology sector Aplicação do TDABC na avaliação da lucratividade de exames e do nível de ociosidade da tomografia computadorizada do setor de oncologia ginecológica |
title |
Application of TDABC in assessing the profitability of examinations and the level of idleness of computed tomography in the gynecological oncology sector |
spellingShingle |
Application of TDABC in assessing the profitability of examinations and the level of idleness of computed tomography in the gynecological oncology sector Pereira, Helcio Mendonça TDABC Tomography Case study Idleness TDABC Tomografia Estudo de caso Ociosidade |
title_short |
Application of TDABC in assessing the profitability of examinations and the level of idleness of computed tomography in the gynecological oncology sector |
title_full |
Application of TDABC in assessing the profitability of examinations and the level of idleness of computed tomography in the gynecological oncology sector |
title_fullStr |
Application of TDABC in assessing the profitability of examinations and the level of idleness of computed tomography in the gynecological oncology sector |
title_full_unstemmed |
Application of TDABC in assessing the profitability of examinations and the level of idleness of computed tomography in the gynecological oncology sector |
title_sort |
Application of TDABC in assessing the profitability of examinations and the level of idleness of computed tomography in the gynecological oncology sector |
author |
Pereira, Helcio Mendonça |
author_facet |
Pereira, Helcio Mendonça Wernke, Rodney de Oliveira Ritta, Cleyton |
author_role |
author |
author2 |
Wernke, Rodney de Oliveira Ritta, Cleyton |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Pereira, Helcio Mendonça Wernke, Rodney de Oliveira Ritta, Cleyton |
dc.subject.por.fl_str_mv |
TDABC Tomography Case study Idleness TDABC Tomografia Estudo de caso Ociosidade |
topic |
TDABC Tomography Case study Idleness TDABC Tomografia Estudo de caso Ociosidade |
description |
Gynecological malignancies represent one of the main mortality factors in women, with imaging exams being important tools for diagnosis, staging and surgical planning. Such exams are carried out at Diagnostic Imaging Centers (CDI) which, due to the use of sophisticated technology and qualified labor, are expensive and impact health systems. Given this context, this research aims to demonstrate how TDABC can be used to evaluate the profitability of exams and the levels of idleness that exist in the context of the computed tomography sector of the gynecological oncology unit. For this purpose, a methodology classifiable as qualitative and descriptive was used and the case study format was adopted, with data collection through documentary research, informal interviews to learn about the process and estimates of the execution time of the activities. The results showed that the tests carried out are deficient, as the cost of providing these services is higher than the prices paid by the Unified Health System (SUS), which resulted in a total loss of R$ -79,347.04 in the month. The levels of idleness of the activities involved were also determined, both in terms of inactive minutes and in monetary values. Therefore, it was concluded that the total idleness of the tomography sector surveyed reached R$ 102,932.81 and is equivalent to 41.62% on average for the activities covered (varying between 3.66% in the case of equipment and 81.59% in relation to nurses’ activity). Regarding the contributions made, it is worth noting that the information made available by TDABC can support actions aimed at reducing time between activities and optimizing the performance of the employees involved, in addition to demonstrating TDABC's adherence within the scope of entities that perform diagnostic imaging services. From the results obtained, it is concluded that it is essential to optimize processes to reduce exam time and increase productivity, as well as the need to readjust the values in the SUS table to avoid compromising investment of resources in other sectors of the hospital. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-05-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.crcsc.org.br/index.php/CRCSC/article/view/3449 10.16930/2237-766220243449 |
url |
https://revista.crcsc.org.br/index.php/CRCSC/article/view/3449 |
identifier_str_mv |
10.16930/2237-766220243449 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revista.crcsc.org.br/index.php/CRCSC/article/view/3449/2634 https://revista.crcsc.org.br/index.php/CRCSC/article/view/3449/2635 https://revista.crcsc.org.br/index.php/CRCSC/article/view/3449/2636 10.16930/2237-7662202434491 10.16930/2237-7662202434492 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 Revista Catarinense da Ciência Contábil https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 Revista Catarinense da Ciência Contábil https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf text/xml |
dc.publisher.none.fl_str_mv |
Conselho Regional de Contabilidade de Santa Catarina |
publisher.none.fl_str_mv |
Conselho Regional de Contabilidade de Santa Catarina |
dc.source.none.fl_str_mv |
Revista Catarinense da Ciência Contábil; Vol. 23 (2024): RCCC; e3449 Revista Catarinense da Ciência Contábil; v. 23 (2024): RCCC; e3449 2237-7662 1808-3781 10.16930/2237-76622024 reponame:Revista Catarinense da Ciência Contábil (Online) instname:Conselho Regional de Contabilidade de Santa Catarina (CRCSC) instacron:CRCSC |
instname_str |
Conselho Regional de Contabilidade de Santa Catarina (CRCSC) |
instacron_str |
CRCSC |
institution |
CRCSC |
reponame_str |
Revista Catarinense da Ciência Contábil (Online) |
collection |
Revista Catarinense da Ciência Contábil (Online) |
repository.name.fl_str_mv |
Revista Catarinense da Ciência Contábil (Online) - Conselho Regional de Contabilidade de Santa Catarina (CRCSC) |
repository.mail.fl_str_mv |
||revista@crcsc.org.br |
_version_ |
1809731682663661568 |