Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/1717 |
Resumo: | With the objective of analyzing the results of the implantation of electronic systems and tools, used to perform the regulation of high complexity access, that is, consultation schedules and specialized outpatient exams, this research starts from an exploratory descriptive analysis, promoting a greater knowledge on the history of the Regulation of Access to Assistance (Also called regulation of access or care regulation) and the implementation of a computerized system that acts in this practice. With the 1988 Constitution, the Unified Health System was defined as the right of all, and the State should guarantee equal access. At the outset, it found difficulties in broadening access to citizens and decentralize health actions, dividing the responsibility between States and Municipalities. The approach used was qualitative and quantitative, because it intends to describe and interpret the phenomena, besides analyzing the information collected. The regulation of access to care had its mark with publication of NOA / SUS 2001(Health Care Operational Standard), and has intensified over the years, even with the challenges encountered in achieving the quality required by SUS users and meet the needs that vary according to your individual profile. Since its inception in 2008 through ordinance no. 1,559, presented advances related to the improvement of the quality of care flows making this dimension of regulation can be considered the user's access door to public health services. That is why the main objective of the research consists of analyzing the indicators of satisfaction and absenteeism, because, these are the ones that reveal how the image of the institution is and their use in relation to supply and demand. In August 2010, the Central of Regulation of the Health Services Offering - CROSS, and was implanted in the Hospital of this work with its various functions, allowing a more practical and organized flow to promote access to SUS users, so in this work will be evaluated the impact of the schedules made through the CROSS system allowing outpatient access and evaluating the indicators that effectively present the impact of its implementation. The obtained results indicate positive changes and improvements in the quality of care, since it adopts more adequate protocols in the practice of health care regulation. |
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Serinolli, Mario IvoSerinolli, Mario IvoFouto, Nuno Manoel Martins DiasBittar, Olimpio Jos?? Nogueira VittarEscriv??o Junior, ??lvaroFerraz, Renato Ribeiro Nogueirahttp://lattes.cnpq.br/7776890134452371Souza, Danielle Cristina Campos de2017-09-19T20:56:23Z2017-02-06Souza, Danielle Cristina Campos de. Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o. 2017. 88 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/1717With the objective of analyzing the results of the implantation of electronic systems and tools, used to perform the regulation of high complexity access, that is, consultation schedules and specialized outpatient exams, this research starts from an exploratory descriptive analysis, promoting a greater knowledge on the history of the Regulation of Access to Assistance (Also called regulation of access or care regulation) and the implementation of a computerized system that acts in this practice. With the 1988 Constitution, the Unified Health System was defined as the right of all, and the State should guarantee equal access. At the outset, it found difficulties in broadening access to citizens and decentralize health actions, dividing the responsibility between States and Municipalities. The approach used was qualitative and quantitative, because it intends to describe and interpret the phenomena, besides analyzing the information collected. The regulation of access to care had its mark with publication of NOA / SUS 2001(Health Care Operational Standard), and has intensified over the years, even with the challenges encountered in achieving the quality required by SUS users and meet the needs that vary according to your individual profile. Since its inception in 2008 through ordinance no. 1,559, presented advances related to the improvement of the quality of care flows making this dimension of regulation can be considered the user's access door to public health services. That is why the main objective of the research consists of analyzing the indicators of satisfaction and absenteeism, because, these are the ones that reveal how the image of the institution is and their use in relation to supply and demand. In August 2010, the Central of Regulation of the Health Services Offering - CROSS, and was implanted in the Hospital of this work with its various functions, allowing a more practical and organized flow to promote access to SUS users, so in this work will be evaluated the impact of the schedules made through the CROSS system allowing outpatient access and evaluating the indicators that effectively present the impact of its implementation. The obtained results indicate positive changes and improvements in the quality of care, since it adopts more adequate protocols in the practice of health care regulation.Com o objetivo de analisar os resultados da implanta????o de sistemas e ferramentas eletr??nicas, utilizados para executar a regula????o do acesso de alta complexidade, ou seja, agendamentos de consultas e exames ambulatoriais especializados, esta pesquisa parte de uma an??lise explorat??ria descritiva, promovendo um maior conhecimento sobre a hist??ria da Regula????o do Acesso ?? Assist??ncia (tamb??m denominada regula????o do acesso ou regula????o assistencial) e a implanta????o de um sistema informatizado que atua nessa pr??tica. Com a Constitui????o de 1988, o Sistema ??nico de Sa??de foi definido como sendo direito de todos, devendo o Estado, garantir o acesso igualit??rio. Em seu in??cio, encontrou dificuldades em ampliar os acessos aos cidad??os e descentralizar as a????es de sa??de, dividindo a responsabilidade entre Estados e Munic??pios. A abordagem utilizada foi qualitativa e quantitativa, pois tem a inten????o de descrever e interpretar os fen??menos, al??m de analisar as informa????es coletadas. A regula????o do acesso ?? assist??ncia teve seu marco com a publica????o da NOA/SUS 2001 (Norma Operacional de Assist??ncia ?? Sa??de), e tem se intensificado no decorrer dos anos, mesmo com os desafios encontrados em atingir a qualidade exigida pelos usu??rios do SUS e atender as necessidades que variam de acordo com seu perfil individual. Desde sua institui????o, em 2008 atrav??s da portaria n?? 1.559, apresentou avan??os relacionados ?? melhoria da qualidade dos fluxos assistenciais, fazendo com que essa dimens??o da regula????o possa ser considerada a porta de acesso do usu??rio aos servi??os p??blicos de sa??de. Por isso, o objetivo principal da pesquisa consiste em analisar os indicadores de satisfa????o e absente??smo, pois, estes s??o os que revelam como est?? a imagem da institui????o e seu aproveitamento com rela????o ?? oferta e demanda. Em agosto de 2010, surgiu a Central de Regula????o de Oferta de Servi??os de Sa??de ??? CROSS, e foi implantada no Hospital alvo deste trabalho com suas diversas fun????es, permitindo um fluxo mais pr??tico e organizado de promover o acesso aos usu??rios do SUS, por isso, neste trabalho ser?? avaliado o impacto dos agendamentos realizados por meio do sistema CROSS, permitindo o acesso ambulatorial e avaliando os indicadores que apresentem efetivamente o impacto de sua implanta????o. Os resultados obtidos apontam mudan??as positivas e melhorias na qualidade assistencial, pois passa a seguir protocolos mais adequados na pr??tica da regula????o assistencial.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2017-09-19T20:56:23Z No. of bitstreams: 1 Danielle Cristina Campos de Souza.pdf: 1576989 bytes, checksum: da92792bd527aad6147656d031525bac (MD5)Made available in DSpace on 2017-09-19T20:56:23Z (GMT). No. of bitstreams: 1 Danielle Cristina Campos de Souza.pdf: 1576989 bytes, checksum: da92792bd527aad6147656d031525bac (MD5) Previous issue date: 2017-02-06application/pdfporUniversidade Nove de JulhoPrograma de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??deUNINOVEBrasilAdministra????oacesso aos servi??os de sa??deregula????o e fiscaliza????o em sa??depol??ticas p??blicas de sa??deagendamento de consultasaccess to health servicesregulation and surveillance in healthpublic healthscheduling queriesADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOSAgendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????oAmbulatory electronic scheduling: improved analysis after implantationinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-710462410973612412600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALDanielle Cristina Campos de Souza.pdfDanielle Cristina Campos de Souza.pdfapplication/pdf1576989http://localhost:8080/tede/bitstream/tede/1717/2/Danielle+Cristina+Campos+de+Souza.pdfda92792bd527aad6147656d031525bacMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://localhost:8080/tede/bitstream/tede/1717/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51tede/17172017-09-19 17:56:23.664oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2017-09-19T20:56:23Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o |
dc.title.alternative.eng.fl_str_mv |
Ambulatory electronic scheduling: improved analysis after implantation |
title |
Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o |
spellingShingle |
Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o Souza, Danielle Cristina Campos de acesso aos servi??os de sa??de regula????o e fiscaliza????o em sa??de pol??ticas p??blicas de sa??de agendamento de consultas access to health services regulation and surveillance in health public health scheduling queries ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
title_short |
Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o |
title_full |
Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o |
title_fullStr |
Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o |
title_full_unstemmed |
Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o |
title_sort |
Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o |
author |
Souza, Danielle Cristina Campos de |
author_facet |
Souza, Danielle Cristina Campos de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Serinolli, Mario Ivo |
dc.contributor.referee1.fl_str_mv |
Serinolli, Mario Ivo |
dc.contributor.referee2.fl_str_mv |
Fouto, Nuno Manoel Martins Dias |
dc.contributor.referee3.fl_str_mv |
Bittar, Olimpio Jos?? Nogueira Vittar |
dc.contributor.referee4.fl_str_mv |
Escriv??o Junior, ??lvaro |
dc.contributor.referee5.fl_str_mv |
Ferraz, Renato Ribeiro Nogueira |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7776890134452371 |
dc.contributor.author.fl_str_mv |
Souza, Danielle Cristina Campos de |
contributor_str_mv |
Serinolli, Mario Ivo Serinolli, Mario Ivo Fouto, Nuno Manoel Martins Dias Bittar, Olimpio Jos?? Nogueira Vittar Escriv??o Junior, ??lvaro Ferraz, Renato Ribeiro Nogueira |
dc.subject.por.fl_str_mv |
acesso aos servi??os de sa??de regula????o e fiscaliza????o em sa??de pol??ticas p??blicas de sa??de agendamento de consultas |
topic |
acesso aos servi??os de sa??de regula????o e fiscaliza????o em sa??de pol??ticas p??blicas de sa??de agendamento de consultas access to health services regulation and surveillance in health public health scheduling queries ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
dc.subject.eng.fl_str_mv |
access to health services regulation and surveillance in health public health scheduling queries |
dc.subject.cnpq.fl_str_mv |
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
description |
With the objective of analyzing the results of the implantation of electronic systems and tools, used to perform the regulation of high complexity access, that is, consultation schedules and specialized outpatient exams, this research starts from an exploratory descriptive analysis, promoting a greater knowledge on the history of the Regulation of Access to Assistance (Also called regulation of access or care regulation) and the implementation of a computerized system that acts in this practice. With the 1988 Constitution, the Unified Health System was defined as the right of all, and the State should guarantee equal access. At the outset, it found difficulties in broadening access to citizens and decentralize health actions, dividing the responsibility between States and Municipalities. The approach used was qualitative and quantitative, because it intends to describe and interpret the phenomena, besides analyzing the information collected. The regulation of access to care had its mark with publication of NOA / SUS 2001(Health Care Operational Standard), and has intensified over the years, even with the challenges encountered in achieving the quality required by SUS users and meet the needs that vary according to your individual profile. Since its inception in 2008 through ordinance no. 1,559, presented advances related to the improvement of the quality of care flows making this dimension of regulation can be considered the user's access door to public health services. That is why the main objective of the research consists of analyzing the indicators of satisfaction and absenteeism, because, these are the ones that reveal how the image of the institution is and their use in relation to supply and demand. In August 2010, the Central of Regulation of the Health Services Offering - CROSS, and was implanted in the Hospital of this work with its various functions, allowing a more practical and organized flow to promote access to SUS users, so in this work will be evaluated the impact of the schedules made through the CROSS system allowing outpatient access and evaluating the indicators that effectively present the impact of its implementation. The obtained results indicate positive changes and improvements in the quality of care, since it adopts more adequate protocols in the practice of health care regulation. |
publishDate |
2017 |
dc.date.accessioned.fl_str_mv |
2017-09-19T20:56:23Z |
dc.date.issued.fl_str_mv |
2017-02-06 |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
Souza, Danielle Cristina Campos de. Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o. 2017. 88 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/1717 |
identifier_str_mv |
Souza, Danielle Cristina Campos de. Agendamento eletr??nico ambulatorial: an??lise de melhorias ap??s a implanta????o. 2017. 88 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/1717 |
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