Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas

Detalhes bibliográficos
Autor(a) principal: Raffa, Claudia
Data de Publicação: 2017
Tipo de documento: Tese
Idioma: por
Título da fonte: Repositório Institucional do FGV (FGV Repositório Digital)
Texto Completo: http://hdl.handle.net/10438/18070
Resumo: This study aims to identify variables related to the internal environment (practice of resource management, structural characteristics of service rendering and processes) relevant to bed management in hospital organizations. One of the critical processes that hospitals have experienced is bed management. Therefore, it’s necessary to clearly identify the processes that interact with the occupation of the beds, and then to propose improvements. The research contemplates an exploratory and descriptive study, elaborated from the collection of data in sources of evidences that included interviews with managers and documentary analysis. This work used the Systematic Literature Review (SLR) based on the bibliographical research and theoretical discussion based on five cases of private hospitals, a mapping of a theoretical model that was used to guide the analysis of the data with the use of the content analysis method with NVivo 11 Pro software support. Thus, it was found that bed management involves strategic processes. For these management, knowledge is needed that go beyond administrative routines, justifying the need for staff training, as well as investment in infrastructure and personnel. In this study, it was confirmed that the most productive hospital was the one with the shortest average length of stay, the highest turnover rate and the lowest replacement interval index. It is concluded that in health the request of beds should be considered a strategic process, and should be redesigned, if necessary to guarantee support for the reach of organizational strategies. It’s considered that the management intends to seek the use of the available beds in their maximum capacity, with safety within the established criterion, with the objective of optimizing the waiting time for hospitalization and satisfaction of the internal and external clients of the hospital environment
id FGV_44e16678646bd52a08d4dd92c27dbba4
oai_identifier_str oai:repositorio.fgv.br:10438/18070
network_acronym_str FGV
network_name_str Repositório Institucional do FGV (FGV Repositório Digital)
repository_id_str 3974
spelling Raffa, ClaudiaEscolas::EAESPPedroso, Marcelo CaldeiraPinochet, Luis Hernan ContrerasPereira, Susana Carla FariasMalik, Ana Maria2017-03-22T15:59:33Z2017-03-22T15:59:33Z2017-02-22RAFFA, Claudia. Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas. Tese (Doutorado em Administração de Empresas) - FGV - Fundação Getúlio Vargas, São Paulo, 2017.http://hdl.handle.net/10438/18070This study aims to identify variables related to the internal environment (practice of resource management, structural characteristics of service rendering and processes) relevant to bed management in hospital organizations. One of the critical processes that hospitals have experienced is bed management. Therefore, it’s necessary to clearly identify the processes that interact with the occupation of the beds, and then to propose improvements. The research contemplates an exploratory and descriptive study, elaborated from the collection of data in sources of evidences that included interviews with managers and documentary analysis. This work used the Systematic Literature Review (SLR) based on the bibliographical research and theoretical discussion based on five cases of private hospitals, a mapping of a theoretical model that was used to guide the analysis of the data with the use of the content analysis method with NVivo 11 Pro software support. Thus, it was found that bed management involves strategic processes. For these management, knowledge is needed that go beyond administrative routines, justifying the need for staff training, as well as investment in infrastructure and personnel. In this study, it was confirmed that the most productive hospital was the one with the shortest average length of stay, the highest turnover rate and the lowest replacement interval index. It is concluded that in health the request of beds should be considered a strategic process, and should be redesigned, if necessary to guarantee support for the reach of organizational strategies. It’s considered that the management intends to seek the use of the available beds in their maximum capacity, with safety within the established criterion, with the objective of optimizing the waiting time for hospitalization and satisfaction of the internal and external clients of the hospital environmentEste trabalho objetiva identificar variáveis relacionadas ao ambiente interno (prática de gerenciamento de recursos, características estruturais da prestação de serviços e processos) relevantes no gerenciamento de leitos em organizações hospitalares. Um dos processos críticos que os hospitais têm vivenciado é o gerenciamento de leitos. Portanto, faz-se necessário identificar claramente os processos que interagem na ocupação dos leitos, para posteriormente, serem propostas melhorias. A pesquisa contempla um estudo exploratório e descritivo, elaborado a partir da coleta de dados em fontes de evidências que incluíram entrevistas com gestores de leitos e análise documental. Este trabalho utilizou a revisão sistemática da literatura (Systematic Literature Review – SLR) com base na pesquisa bibliográfica e discussão teórica baseada em cinco casos de hospitais particulares. A análise de dados foi norteada pelo uso do método da análise de conteúdo com o apoio do software NVivo 11 Pro. Como resultado, verificou-se que a gestão de leitos envolve processos estratégicos. Para sua gestão são necessários conhecimentos que vão além das rotinas administrativas, justificando a necessidade de capacitação da equipe, bem como o investimento em infraestrutura e pessoal. Nesta pesquisa identificou-se que melhores indicadores (menor tempo médio de permanência, maior índice de giro e menor índice de intervalo de substituição) estão associados a modernas práticas de gestão, bem como ao apoio da tecnologia. Conclui-se que na saúde a solicitação de leitos deve ser considerado um processo estratégico, devendo ser redesenhado, se necessário para garantir o suporte para o alcance das estratégias organizacionais. Considera-se que o gerenciamento visa buscar a utilização dos leitos disponíveis em sua capacidade máxima, com segurança dentro dos critérios estabelecidos, com objetivo de otimizar o tempo de espera para internação e satisfação dos clientes internos e externos do ambiente hospitalar.porBedsOperation and Service StrategiesGestão de LeitosHospitaisEstratégias de Operações e ServiçosHospitalsAdministração de empresasSaúde - AdministraçãoLeitos hospitalaresHospitais - AdministraçãoSaúde - PlanejamentoAnálise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadasinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisreponame:Repositório Institucional do FGV (FGV Repositório Digital)instname:Fundação Getulio Vargas (FGV)instacron:FGVinfo:eu-repo/semantics/openAccessTEXTTese Claudia Raffa 21 03.pdf.txtTese Claudia Raffa 21 03.pdf.txtExtracted texttext/plain102980https://repositorio.fgv.br/bitstreams/0a75d84b-5a0b-4fbe-ba25-8f4ac00a387e/download3db62ffe064f2d618119fb5747a61746MD57ORIGINALTese Claudia Raffa 21 03.pdfTese Claudia Raffa 21 03.pdfapplication/pdf2202332https://repositorio.fgv.br/bitstreams/36a3b56f-4af9-4bd3-a0bd-43deef0d0fb5/downloadb806c8b15ab75c4ec5512c372c30981dMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-84707https://repositorio.fgv.br/bitstreams/6cd40215-38ea-4864-bdaf-34042599965e/downloaddfb340242cced38a6cca06c627998fa1MD52THUMBNAILTese Claudia Raffa 21 03.pdf.jpgTese Claudia Raffa 21 03.pdf.jpgGenerated Thumbnailimage/jpeg2477https://repositorio.fgv.br/bitstreams/24a64583-c637-48d3-9551-28ea2f6c3934/downloadff52e17696ecc54bcfc673f5c5ea3c78MD5810438/180702023-11-09 23:21:41.93open.accessoai:repositorio.fgv.br:10438/18070https://repositorio.fgv.brRepositório InstitucionalPRIhttp://bibliotecadigital.fgv.br/dspace-oai/requestopendoar:39742023-11-09T23:21:41Repositório Institucional do FGV (FGV Repositório Digital) - Fundação Getulio Vargas (FGV)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
dc.title.por.fl_str_mv Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas
title Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas
spellingShingle Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas
Raffa, Claudia
Beds
Operation and Service Strategies
Gestão de Leitos
Hospitais
Estratégias de Operações e Serviços
Hospitals
Administração de empresas
Saúde - Administração
Leitos hospitalares
Hospitais - Administração
Saúde - Planejamento
title_short Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas
title_full Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas
title_fullStr Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas
title_full_unstemmed Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas
title_sort Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas
author Raffa, Claudia
author_facet Raffa, Claudia
author_role author
dc.contributor.unidadefgv.por.fl_str_mv Escolas::EAESP
dc.contributor.member.none.fl_str_mv Pedroso, Marcelo Caldeira
Pinochet, Luis Hernan Contreras
Pereira, Susana Carla Farias
dc.contributor.author.fl_str_mv Raffa, Claudia
dc.contributor.advisor1.fl_str_mv Malik, Ana Maria
contributor_str_mv Malik, Ana Maria
dc.subject.eng.fl_str_mv Beds
Operation and Service Strategies
topic Beds
Operation and Service Strategies
Gestão de Leitos
Hospitais
Estratégias de Operações e Serviços
Hospitals
Administração de empresas
Saúde - Administração
Leitos hospitalares
Hospitais - Administração
Saúde - Planejamento
dc.subject.por.fl_str_mv Gestão de Leitos
Hospitais
Estratégias de Operações e Serviços
Hospitals
dc.subject.area.por.fl_str_mv Administração de empresas
dc.subject.bibliodata.por.fl_str_mv Saúde - Administração
Leitos hospitalares
Hospitais - Administração
Saúde - Planejamento
description This study aims to identify variables related to the internal environment (practice of resource management, structural characteristics of service rendering and processes) relevant to bed management in hospital organizations. One of the critical processes that hospitals have experienced is bed management. Therefore, it’s necessary to clearly identify the processes that interact with the occupation of the beds, and then to propose improvements. The research contemplates an exploratory and descriptive study, elaborated from the collection of data in sources of evidences that included interviews with managers and documentary analysis. This work used the Systematic Literature Review (SLR) based on the bibliographical research and theoretical discussion based on five cases of private hospitals, a mapping of a theoretical model that was used to guide the analysis of the data with the use of the content analysis method with NVivo 11 Pro software support. Thus, it was found that bed management involves strategic processes. For these management, knowledge is needed that go beyond administrative routines, justifying the need for staff training, as well as investment in infrastructure and personnel. In this study, it was confirmed that the most productive hospital was the one with the shortest average length of stay, the highest turnover rate and the lowest replacement interval index. It is concluded that in health the request of beds should be considered a strategic process, and should be redesigned, if necessary to guarantee support for the reach of organizational strategies. It’s considered that the management intends to seek the use of the available beds in their maximum capacity, with safety within the established criterion, with the objective of optimizing the waiting time for hospitalization and satisfaction of the internal and external clients of the hospital environment
publishDate 2017
dc.date.accessioned.fl_str_mv 2017-03-22T15:59:33Z
dc.date.available.fl_str_mv 2017-03-22T15:59:33Z
dc.date.issued.fl_str_mv 2017-02-22
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv RAFFA, Claudia. Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas. Tese (Doutorado em Administração de Empresas) - FGV - Fundação Getúlio Vargas, São Paulo, 2017.
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10438/18070
identifier_str_mv RAFFA, Claudia. Análise das variáveis do ambiente interno para o gerenciamento de leitos em organizações hospitalares privadas. Tese (Doutorado em Administração de Empresas) - FGV - Fundação Getúlio Vargas, São Paulo, 2017.
url http://hdl.handle.net/10438/18070
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional do FGV (FGV Repositório Digital)
instname:Fundação Getulio Vargas (FGV)
instacron:FGV
instname_str Fundação Getulio Vargas (FGV)
instacron_str FGV
institution FGV
reponame_str Repositório Institucional do FGV (FGV Repositório Digital)
collection Repositório Institucional do FGV (FGV Repositório Digital)
bitstream.url.fl_str_mv https://repositorio.fgv.br/bitstreams/0a75d84b-5a0b-4fbe-ba25-8f4ac00a387e/download
https://repositorio.fgv.br/bitstreams/36a3b56f-4af9-4bd3-a0bd-43deef0d0fb5/download
https://repositorio.fgv.br/bitstreams/6cd40215-38ea-4864-bdaf-34042599965e/download
https://repositorio.fgv.br/bitstreams/24a64583-c637-48d3-9551-28ea2f6c3934/download
bitstream.checksum.fl_str_mv 3db62ffe064f2d618119fb5747a61746
b806c8b15ab75c4ec5512c372c30981d
dfb340242cced38a6cca06c627998fa1
ff52e17696ecc54bcfc673f5c5ea3c78
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional do FGV (FGV Repositório Digital) - Fundação Getulio Vargas (FGV)
repository.mail.fl_str_mv
_version_ 1810023983881388032