Procedures production by SAMU 192 in Brazil: Performance, benchmarking, and challenges

Detalhes bibliográficos
Autor(a) principal: Malvestio, Marisa Aparecida Amaro
Data de Publicação: 2022
Outros Autores: Sousa, Regina Márcia Cardoso de
Tipo de documento: preprint
Idioma: por
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/4023
Resumo: Objective: To describe and analyze the production of approved procedures carried out by the SAMU 192 regulation centers and mobile resources between 2015 and 2019, according to frequency, population-based indicators, and daily productivity, establishing a performance indicator. Method: Census, observational, descriptive study, carried out with production data, extracted from the Outpatient Information System, complemented with population data from the Brazilian Institute of Geography and Statistics and information from the Ministry of Health. Results: The 116.8 million procedures analyzed stem from a 28.5% increase in the period, while the covered population and mobile resources grew by 9.7% and 14.4%. Every 1,000 inhabitants covered generated 109.8 calls per year, resulting in 24.0 shipments of mobile resources. Daily, basic support units performed 3.3 visits and 0.5 transports, while advanced support performed 2.7 visits and 0.9 transports. Conclusion: The production of procedures exceeded the growth of covered population, with variations between states, high production in populated areas, strong presence of basic support and elevation of transports, however, national productivity was lower than the international one.
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spelling Procedures production by SAMU 192 in Brazil: Performance, benchmarking, and challengesProducción de procedimientos por SAMU 192 en Brasil: Desempeño, benchmarking y desafíosProdução de procedimentos pelo SAMU 192 no Brasil: Performance, benchmarking e desafiosAtendimento pré-hospitalar; Serviços Médicos de emergência; SAMU; Sistema de Informação; Benchmarking em Assistência à SaúdeBenchmarking em Assistência à SaúdeObjective: To describe and analyze the production of approved procedures carried out by the SAMU 192 regulation centers and mobile resources between 2015 and 2019, according to frequency, population-based indicators, and daily productivity, establishing a performance indicator. Method: Census, observational, descriptive study, carried out with production data, extracted from the Outpatient Information System, complemented with population data from the Brazilian Institute of Geography and Statistics and information from the Ministry of Health. Results: The 116.8 million procedures analyzed stem from a 28.5% increase in the period, while the covered population and mobile resources grew by 9.7% and 14.4%. Every 1,000 inhabitants covered generated 109.8 calls per year, resulting in 24.0 shipments of mobile resources. Daily, basic support units performed 3.3 visits and 0.5 transports, while advanced support performed 2.7 visits and 0.9 transports. Conclusion: The production of procedures exceeded the growth of covered population, with variations between states, high production in populated areas, strong presence of basic support and elevation of transports, however, national productivity was lower than the international one.Objetivo: Describir y analizar la producción de trámites realizados por los centros de regulación y por los diferentes recursos móviles del SAMU 192 desde el año 2015 al 2019, según indicadores de base poblacional y productividad diaria, estableciendo un indicador básico de desempeño del sistema. Método: Estudio censal, retrospectivo y descriptivo realizado con datos de producción homologada de procedimientos, extraídos del Sistema de Información de Consulta Externa del Sistema Único de Salud, según país y estados, en cuanto a frecuencia, base poblacional y productividad. El benchmarking fue establecido por el promedio histórico. Resultados: Se analizaron 116,8 millones de procedimientos. En el período, la población cubierta y los recursos crecieron un 9,7% y un 14,4%, respectivamente, mientras que las llamadas atendidas aumentaron un 26,5% y el total de trámites básicos y avanzados un 28,5%. En promedio, cada mil habitantes generó 109,8 llamadas al año, resultando en 42,5 trámites por parte de la central, 24,0 con el envío de recursos móviles, que realizó 26,4 trámites. Las unidades básicas de apoyo realizaron 18,5 llamadas de emergencia y 2,7 ​​traslados por mil habitantes cubiertos, con una productividad diaria de 3,3 llamadas/día y 0,5 traslados/día. Diariamente, las unidades de apoyo avanzado realizaron 2,7 llamadas/día y 0,9 traslados/día. Conclusión: La producción de trámites superó las tasas de crecimiento de los recursos móviles y población asistida. Hubo variaciones en la demanda y productividad entre estados, alta producción en áreas pobladas, fuerte presencia de modalidades BLS y aumento de trámites de transporte. Los puntos de referencia de productividad nacionales fueron más bajos que los internacionales y pueden reflejar un comportamiento operativo ineficiente.Objetivo: Descrever e analisar a produção de procedimentos realizados pelas centrais de regulação e recursos móveis do SAMU 192 entre 2015 e 2019, segundo frequência, indicadores de base populacional e produtividade diária, estabelecendo um indicador de performance. Método: Estudo censitário, observacional descritivo, realizado com dados de produção, extraídos do Sistema de Informações Ambulatoriais, complementados com dados do Instituto Brasileiro de Geografia e Estatística e do Ministério da Saúde. Resultados: Os 116,8 milhões de procedimentos analisados decorrem de 28,5% de aumento no período enquanto a população coberta e os recursos móveis cresceram 9,7% e 14,4% respectivamente. Cada mil habitantes cobertos geraram 109,8 chamadas, resultando em 24,0 envios de recursos móveis anuais. Diariamente, unidades de suporte básico realizaram 3,3 atendimentos e 0,5 transportes, enquanto o suporte avançado realizou 2,7 atendimentos e 0,9 transporte. Conclusão: A produção de procedimentos excedeu o crescimento de população coberta, com variações entre estados, alta produção em áreas populosas, forte presença do suporte básico e elevação dos transportes, todavia a produtividade nacional mostrou-se inferior a internacional.SciELO PreprintsSciELO PreprintsSciELO Preprints2022-10-21info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/402310.1590/SciELOPreprints.4023porhttps://preprints.scielo.org/index.php/scielo/article/view/4023/9522Copyright (c) 2022 Marisa Aparecida Amaro Malvestio, Regina Márcia Cardoso de Sousahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMalvestio, Marisa Aparecida AmaroSousa, Regina Márcia Cardoso dereponame:SciELO Preprintsinstname:SciELOinstacron:SCI2022-04-26T19:44:02Zoai:ops.preprints.scielo.org:preprint/4023Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2022-04-26T19:44:02SciELO Preprints - SciELOfalse
dc.title.none.fl_str_mv Procedures production by SAMU 192 in Brazil: Performance, benchmarking, and challenges
Producción de procedimientos por SAMU 192 en Brasil: Desempeño, benchmarking y desafíos
Produção de procedimentos pelo SAMU 192 no Brasil: Performance, benchmarking e desafios
title Procedures production by SAMU 192 in Brazil: Performance, benchmarking, and challenges
spellingShingle Procedures production by SAMU 192 in Brazil: Performance, benchmarking, and challenges
Malvestio, Marisa Aparecida Amaro
Atendimento pré-hospitalar; Serviços Médicos de emergência; SAMU; Sistema de Informação; Benchmarking em Assistência à Saúde
Benchmarking em Assistência à Saúde
title_short Procedures production by SAMU 192 in Brazil: Performance, benchmarking, and challenges
title_full Procedures production by SAMU 192 in Brazil: Performance, benchmarking, and challenges
title_fullStr Procedures production by SAMU 192 in Brazil: Performance, benchmarking, and challenges
title_full_unstemmed Procedures production by SAMU 192 in Brazil: Performance, benchmarking, and challenges
title_sort Procedures production by SAMU 192 in Brazil: Performance, benchmarking, and challenges
author Malvestio, Marisa Aparecida Amaro
author_facet Malvestio, Marisa Aparecida Amaro
Sousa, Regina Márcia Cardoso de
author_role author
author2 Sousa, Regina Márcia Cardoso de
author2_role author
dc.contributor.author.fl_str_mv Malvestio, Marisa Aparecida Amaro
Sousa, Regina Márcia Cardoso de
dc.subject.por.fl_str_mv Atendimento pré-hospitalar; Serviços Médicos de emergência; SAMU; Sistema de Informação; Benchmarking em Assistência à Saúde
Benchmarking em Assistência à Saúde
topic Atendimento pré-hospitalar; Serviços Médicos de emergência; SAMU; Sistema de Informação; Benchmarking em Assistência à Saúde
Benchmarking em Assistência à Saúde
description Objective: To describe and analyze the production of approved procedures carried out by the SAMU 192 regulation centers and mobile resources between 2015 and 2019, according to frequency, population-based indicators, and daily productivity, establishing a performance indicator. Method: Census, observational, descriptive study, carried out with production data, extracted from the Outpatient Information System, complemented with population data from the Brazilian Institute of Geography and Statistics and information from the Ministry of Health. Results: The 116.8 million procedures analyzed stem from a 28.5% increase in the period, while the covered population and mobile resources grew by 9.7% and 14.4%. Every 1,000 inhabitants covered generated 109.8 calls per year, resulting in 24.0 shipments of mobile resources. Daily, basic support units performed 3.3 visits and 0.5 transports, while advanced support performed 2.7 visits and 0.9 transports. Conclusion: The production of procedures exceeded the growth of covered population, with variations between states, high production in populated areas, strong presence of basic support and elevation of transports, however, national productivity was lower than the international one.
publishDate 2022
dc.date.none.fl_str_mv 2022-10-21
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dc.identifier.uri.fl_str_mv https://preprints.scielo.org/index.php/scielo/preprint/view/4023
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url https://preprints.scielo.org/index.php/scielo/preprint/view/4023
identifier_str_mv 10.1590/SciELOPreprints.4023
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://preprints.scielo.org/index.php/scielo/article/view/4023/9522
dc.rights.driver.fl_str_mv Copyright (c) 2022 Marisa Aparecida Amaro Malvestio, Regina Márcia Cardoso de Sousa
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Marisa Aparecida Amaro Malvestio, Regina Márcia Cardoso de Sousa
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
SciELO Preprints
publisher.none.fl_str_mv SciELO Preprints
SciELO Preprints
SciELO Preprints
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