Análise do custo econômico do absenteísmo de consultas no Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa Maria
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/19479 |
Resumo: | Outpatient absenteeism can be considered as the absence of the user to the consultation and / or examination previously scheduled or when the health institution is communicated, however without allowing the communication of a new user to the consultation and / or examination not performed. Considering the limited capacity of care and the scarcity of resources, the health systems have aggravated their conditions due to these situations. This scenario was based on the objective of measuring the economic cost with the outpatient absenteeism of patients from the Psychosocial Care Outpatient Clinic of the University Hospital of Santa Maria (HUSM), in the period 2015-2017. This purpose was met by the use of the absorption cost method. In addition, interviews were conducted with the agents involved in the scheduling and execution of the consultations in order to obtain their perception about outpatient absenteeism and its economic repercussions. In terms of results, from the allocation of these costs, the quantitative data on the economic losses of absenteeism was obtained, which averaged R$396 thousand per year in the triennium analyzed for AAPS / HUSM. Regarding the unit cost per appointment, the results showed that the average cost per scheduled patient was R$202,92 while the average cost per patient served was R$252,95. As determinants of absenteeism, there were mainly those related to users, with emphasis on forgetfulness, lack of awareness and lack of user. Regarding the control of absenteeism and its repercussions on the institution's revenues, although the monitoring is being carried out through reports, the informational level is asymmetrical among the agents involved in the scheduling and execution process. |
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2020-02-04T14:33:49Z2020-02-04T14:33:49Z2019-06-28http://repositorio.ufsm.br/handle/1/19479Outpatient absenteeism can be considered as the absence of the user to the consultation and / or examination previously scheduled or when the health institution is communicated, however without allowing the communication of a new user to the consultation and / or examination not performed. Considering the limited capacity of care and the scarcity of resources, the health systems have aggravated their conditions due to these situations. This scenario was based on the objective of measuring the economic cost with the outpatient absenteeism of patients from the Psychosocial Care Outpatient Clinic of the University Hospital of Santa Maria (HUSM), in the period 2015-2017. This purpose was met by the use of the absorption cost method. In addition, interviews were conducted with the agents involved in the scheduling and execution of the consultations in order to obtain their perception about outpatient absenteeism and its economic repercussions. In terms of results, from the allocation of these costs, the quantitative data on the economic losses of absenteeism was obtained, which averaged R$396 thousand per year in the triennium analyzed for AAPS / HUSM. Regarding the unit cost per appointment, the results showed that the average cost per scheduled patient was R$202,92 while the average cost per patient served was R$252,95. As determinants of absenteeism, there were mainly those related to users, with emphasis on forgetfulness, lack of awareness and lack of user. Regarding the control of absenteeism and its repercussions on the institution's revenues, although the monitoring is being carried out through reports, the informational level is asymmetrical among the agents involved in the scheduling and execution process.O absenteísmo ambulatorial pode ser conceituado como a ausência do usuário à consulta e/ou exame previamente agendado ou quando a instituição de saúde é comunicada, no entanto sem possibilitar a comunicação de um novo usuário à consulta e/ou exame não realizado. Considerando a capacidade limitada de atendimento e a escassez de recursos, os sistemas de saúde tem agravado suas condições decorrente destas situações. Cenário este que fundamentou o objetivo de mensurar o custo econômico com o absenteísmo ambulatorial de pacientes do Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa Maria (HUSM), no período 2015-2017. Este propósito foi atendido pela utilização do método de custo por absorção. Complementarmente, foram realizadas entrevistas com os agentes participantes do processo de agendamento e execução das consultas com o intuito de obter a percepção destes acerca do absenteísmo ambulatorial e suas repercussões econômicas. Em termos de resultados, a partir da alocação destes custos, obteve-se o quantitativo referente às perdas econômicas do absenteísmo que, em média, foi de R$396 mil ao ano no triênio analisado para o AAPS/HUSM. No tocante ao custo unitário por consulta, os resultados evidenciaram que o custo médio por paciente agendado foi de R$202,92 enquanto o custo médio por paciente atendido foi de R$252,95. Como determinantes do absenteísmo, evidenciou-se principalmente aqueles relacionados aos usuários, com destaque ao esquecimento, a falta de consciência e ao descaso do usuário. Quanto ao controle do absenteísmo como suas repercussões nas receitas da instituição, embora o acompanhamento esteja sendo realizado por meio de relatórios, o nível informacional é assimétrico entre os agentes envolvidos no processo de agendamento e execução.porUniversidade Federal de Santa MariaCentro de Ciências Sociais e HumanasPrograma de Pós-Graduação em Gestão de Organizações PúblicasUFSMBrasilAdministração PúblicaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessAbsenteísmoCusto econômicoAmbulatório de atenção psicossocialHUSMAbsenteeismEconomic CostPsychosocial attention outpatient clinicCNPQ::CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICAAnálise do custo econômico do absenteísmo de consultas no Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa MariaAnalysis of the economic cost of absenteism of consultations in the Ambulatory of Psychosocial Attention of the Hospital Universitário de Santa Mariainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisBender Filho, Reisolihttp://lattes.cnpq.br/9794436610539367Resener, Elaine Verenahttp://lattes.cnpq.br/3193600549463375Santos, Wendel Mombaque doshttp://lattes.cnpq.br/0027810025704879http://lattes.cnpq.br/3984929083072176Oliveira, Fabrício Varoni de6002002000096005137aea9-6b9d-4338-b68c-0cb00c87948bd1c890ee-e3d0-4ab8-ab33-82feeb5646b4694b4876-cd37-41d8-a032-b497c4f49fec16ba64cf-a6c3-4d5a-8cd9-f64d75a3e5a3reponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Análise do custo econômico do absenteísmo de consultas no Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa Maria |
dc.title.alternative.eng.fl_str_mv |
Analysis of the economic cost of absenteism of consultations in the Ambulatory of Psychosocial Attention of the Hospital Universitário de Santa Maria |
title |
Análise do custo econômico do absenteísmo de consultas no Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa Maria |
spellingShingle |
Análise do custo econômico do absenteísmo de consultas no Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa Maria Oliveira, Fabrício Varoni de Absenteísmo Custo econômico Ambulatório de atenção psicossocial HUSM Absenteeism Economic Cost Psychosocial attention outpatient clinic CNPQ::CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA |
title_short |
Análise do custo econômico do absenteísmo de consultas no Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa Maria |
title_full |
Análise do custo econômico do absenteísmo de consultas no Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa Maria |
title_fullStr |
Análise do custo econômico do absenteísmo de consultas no Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa Maria |
title_full_unstemmed |
Análise do custo econômico do absenteísmo de consultas no Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa Maria |
title_sort |
Análise do custo econômico do absenteísmo de consultas no Ambulatório de Atenção Psicossocial do Hospital Universitário de Santa Maria |
author |
Oliveira, Fabrício Varoni de |
author_facet |
Oliveira, Fabrício Varoni de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Bender Filho, Reisoli |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9794436610539367 |
dc.contributor.referee1.fl_str_mv |
Resener, Elaine Verena |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/3193600549463375 |
dc.contributor.referee2.fl_str_mv |
Santos, Wendel Mombaque dos |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/0027810025704879 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3984929083072176 |
dc.contributor.author.fl_str_mv |
Oliveira, Fabrício Varoni de |
contributor_str_mv |
Bender Filho, Reisoli Resener, Elaine Verena Santos, Wendel Mombaque dos |
dc.subject.por.fl_str_mv |
Absenteísmo Custo econômico Ambulatório de atenção psicossocial HUSM |
topic |
Absenteísmo Custo econômico Ambulatório de atenção psicossocial HUSM Absenteeism Economic Cost Psychosocial attention outpatient clinic CNPQ::CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA |
dc.subject.eng.fl_str_mv |
Absenteeism Economic Cost Psychosocial attention outpatient clinic |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA |
description |
Outpatient absenteeism can be considered as the absence of the user to the consultation and / or examination previously scheduled or when the health institution is communicated, however without allowing the communication of a new user to the consultation and / or examination not performed. Considering the limited capacity of care and the scarcity of resources, the health systems have aggravated their conditions due to these situations. This scenario was based on the objective of measuring the economic cost with the outpatient absenteeism of patients from the Psychosocial Care Outpatient Clinic of the University Hospital of Santa Maria (HUSM), in the period 2015-2017. This purpose was met by the use of the absorption cost method. In addition, interviews were conducted with the agents involved in the scheduling and execution of the consultations in order to obtain their perception about outpatient absenteeism and its economic repercussions. In terms of results, from the allocation of these costs, the quantitative data on the economic losses of absenteeism was obtained, which averaged R$396 thousand per year in the triennium analyzed for AAPS / HUSM. Regarding the unit cost per appointment, the results showed that the average cost per scheduled patient was R$202,92 while the average cost per patient served was R$252,95. As determinants of absenteeism, there were mainly those related to users, with emphasis on forgetfulness, lack of awareness and lack of user. Regarding the control of absenteeism and its repercussions on the institution's revenues, although the monitoring is being carried out through reports, the informational level is asymmetrical among the agents involved in the scheduling and execution process. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-06-28 |
dc.date.accessioned.fl_str_mv |
2020-02-04T14:33:49Z |
dc.date.available.fl_str_mv |
2020-02-04T14:33:49Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
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http://repositorio.ufsm.br/handle/1/19479 |
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http://repositorio.ufsm.br/handle/1/19479 |
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por |
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por |
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600200200009 |
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600 |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências Sociais e Humanas |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Gestão de Organizações Públicas |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Administração Pública |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências Sociais e Humanas |
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