Adesão do Hospital Universitário da Universidade Federal de Santa Maria à Ebserh: um estudo dos efeitos da regulação assistencial sobre o absenteísmo ambulatorial
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/30587 |
Resumo: | This study identifIed the effects of the Care Regulation Guidelines (DRA), for outpatient management processes, on outpatient absence rates at the Santa Maria University Hospital (HUSM). We described and compared the implementation of the DRA before and after outpatient management process through qualitative research and analyzes using the content analysis method. Interviews were carried out with the professionals responsible for implementation to analyze the managers’ perception of the implementation. In the quantitative part, data were collected from HUSM statistical reports to analyze the rates of outpatient absence in two periods, before and after the implementation of the DRA using the descriptive statistics technique, horizontal and vertical analysis. Although, the interviewed professionals considered that several improvements were implemented with the DRA, such as improving the quality of information, regulating access and meeting quantitative and qualitative goals contracted with the SUS, the research results demonstrated a general increase in rates of outpatient absence in the specialties selected in the analysis, with a consecutive reduction during the years analyzed, in the rate of outpatient absence only in the specialty Rheumatology, and Ophthalmology stood out as the specialty with the greatest increase and growing rate of outpatient absence Based on these data, it was possible to develop a proposal that contributes to the duties of the unit responsible for outpatient management, to mitigate outpatient absence and rationalize available resources, aiming for more modern and effective management. |
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2023-11-21T13:58:29Z2023-11-21T13:58:29Z2023-11-06http://repositorio.ufsm.br/handle/1/30587This study identifIed the effects of the Care Regulation Guidelines (DRA), for outpatient management processes, on outpatient absence rates at the Santa Maria University Hospital (HUSM). We described and compared the implementation of the DRA before and after outpatient management process through qualitative research and analyzes using the content analysis method. Interviews were carried out with the professionals responsible for implementation to analyze the managers’ perception of the implementation. In the quantitative part, data were collected from HUSM statistical reports to analyze the rates of outpatient absence in two periods, before and after the implementation of the DRA using the descriptive statistics technique, horizontal and vertical analysis. Although, the interviewed professionals considered that several improvements were implemented with the DRA, such as improving the quality of information, regulating access and meeting quantitative and qualitative goals contracted with the SUS, the research results demonstrated a general increase in rates of outpatient absence in the specialties selected in the analysis, with a consecutive reduction during the years analyzed, in the rate of outpatient absence only in the specialty Rheumatology, and Ophthalmology stood out as the specialty with the greatest increase and growing rate of outpatient absence Based on these data, it was possible to develop a proposal that contributes to the duties of the unit responsible for outpatient management, to mitigate outpatient absence and rationalize available resources, aiming for more modern and effective management.Este estudo teve o objetivo de identificar os efeitos das Diretrizes de Regulação Assistencial (DRA), para os processos de gestão ambulatorial, sobre os índices de absenteísmo ambulatorial do Hospital Universitário de Santa Maria (HUSM). Por meio de uma pesquisa qualitativa e analisadas pelo método análise de conteúdo, foram descritos e comparados os processos de gestão ambulatorial antes e após a implementação das DRA. Foram realizadas entrevistas com os profissionais responsáveis pela implementação para análise da percepção dos gestores sobre a implementação. Na parte quantitativa, foram coletados dados de relatórios estatísticos do HUSM para analisar os índices de absenteísmo ambulatorial dos dois períodos, antes e após a implementação das DRA por meio da técnica de estatística descritiva, análise horizontal e vertical. De modo geral, apesar dos profissionais entrevistados considerarem que foram implementadas diversas melhorias com as DRA, como melhoria na qualidade das informações, na regulação do acesso e atendimento de metas quantitativas e qualitativas contratualizadas com o SUS, os resultados da pesquisa demonstram aumento geral das taxas de absenteísmo ambulatorial das especialidades selecionadas na análise, com redução consecutiva durante os anos analisados, da taxa do absenteísmo ambulatorial apenas na especialidade Reumatologia, e destacou-se Oftalmologia como a especialidade de maior aumento e crescente taxa de absenteísmo ambulatorial. A partir desses dados, foi possível desenvolver uma proposta que contribua com as atribuições da unidade responsável pela gestão ambulatorial, de mitigar o absenteísmo ambulatorial e racionalizar os recursos disponíveis, visando uma gestão mais moderna e eficaz.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/openAccessRegulação em saúdeRegulação assistencialAbsenteísmo ambulatorialEbserhHealth regulationCare regulationOutpatient absenceCNPQ::CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICAAdesão do Hospital Universitário da Universidade Federal de Santa Maria à Ebserh: um estudo dos efeitos da regulação assistencial sobre o absenteísmo ambulatorialAdmission of the University Hospital of Federal University of Santa Maria to Ebserh: a study of the effects of care regulation on outpatient absenteeisminfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisCoronel, Daniel Arrudahttp://lattes.cnpq.br/9265604274170933Silva, Rodrigo Abbade daBender Filho, Reisolihttp://lattes.cnpq.br/9327250984029239Cioccari, Daniela Gomes600200200009600600600600600c5f7e145-5c80-4b8f-b8ac-11b990235657cac3ad37-56c2-4b6f-a2fb-02567ed7321760b500b5-3efd-4da2-829c-e8e3fd9c495be990c5b5-255c-4895-85c5-766af8863bafreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGGOP_2023_CIOCCARI_DANIELA.pdfDIS_PPGGOP_2023_CIOCCARI_DANIELA.pdfDissertaçãoapplication/pdf8601162http://repositorio.ufsm.br/bitstream/1/30587/1/DIS_PPGGOP_2023_CIOCCARI_DANIELA.pdf776bcad1c540ae1918c19aada7ed9c6dMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.ufsm.br/bitstream/1/30587/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81956http://repositorio.ufsm.br/bitstream/1/30587/3/license.txt2f0571ecee68693bd5cd3f17c1e075dfMD531/305872023-11-21 10:58:29.853oai:repositorio.ufsm.br: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ório Institucionalhttp://repositorio.ufsm.br/PUBhttp://repositorio.ufsm.br/oai/requestopendoar:39132023-11-21T13:58:29Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.por.fl_str_mv |
Adesão do Hospital Universitário da Universidade Federal de Santa Maria à Ebserh: um estudo dos efeitos da regulação assistencial sobre o absenteísmo ambulatorial |
dc.title.alternative.eng.fl_str_mv |
Admission of the University Hospital of Federal University of Santa Maria to Ebserh: a study of the effects of care regulation on outpatient absenteeism |
title |
Adesão do Hospital Universitário da Universidade Federal de Santa Maria à Ebserh: um estudo dos efeitos da regulação assistencial sobre o absenteísmo ambulatorial |
spellingShingle |
Adesão do Hospital Universitário da Universidade Federal de Santa Maria à Ebserh: um estudo dos efeitos da regulação assistencial sobre o absenteísmo ambulatorial Cioccari, Daniela Gomes Regulação em saúde Regulação assistencial Absenteísmo ambulatorial Ebserh Health regulation Care regulation Outpatient absence CNPQ::CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA |
title_short |
Adesão do Hospital Universitário da Universidade Federal de Santa Maria à Ebserh: um estudo dos efeitos da regulação assistencial sobre o absenteísmo ambulatorial |
title_full |
Adesão do Hospital Universitário da Universidade Federal de Santa Maria à Ebserh: um estudo dos efeitos da regulação assistencial sobre o absenteísmo ambulatorial |
title_fullStr |
Adesão do Hospital Universitário da Universidade Federal de Santa Maria à Ebserh: um estudo dos efeitos da regulação assistencial sobre o absenteísmo ambulatorial |
title_full_unstemmed |
Adesão do Hospital Universitário da Universidade Federal de Santa Maria à Ebserh: um estudo dos efeitos da regulação assistencial sobre o absenteísmo ambulatorial |
title_sort |
Adesão do Hospital Universitário da Universidade Federal de Santa Maria à Ebserh: um estudo dos efeitos da regulação assistencial sobre o absenteísmo ambulatorial |
author |
Cioccari, Daniela Gomes |
author_facet |
Cioccari, Daniela Gomes |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Coronel, Daniel Arruda |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9265604274170933 |
dc.contributor.referee1.fl_str_mv |
Silva, Rodrigo Abbade da |
dc.contributor.referee2.fl_str_mv |
Bender Filho, Reisoli |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9327250984029239 |
dc.contributor.author.fl_str_mv |
Cioccari, Daniela Gomes |
contributor_str_mv |
Coronel, Daniel Arruda Silva, Rodrigo Abbade da Bender Filho, Reisoli |
dc.subject.por.fl_str_mv |
Regulação em saúde Regulação assistencial Absenteísmo ambulatorial Ebserh |
topic |
Regulação em saúde Regulação assistencial Absenteísmo ambulatorial Ebserh Health regulation Care regulation Outpatient absence CNPQ::CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA |
dc.subject.eng.fl_str_mv |
Health regulation Care regulation Outpatient absence |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS SOCIAIS APLICADAS::ADMINISTRACAO::ADMINISTRACAO PUBLICA |
description |
This study identifIed the effects of the Care Regulation Guidelines (DRA), for outpatient management processes, on outpatient absence rates at the Santa Maria University Hospital (HUSM). We described and compared the implementation of the DRA before and after outpatient management process through qualitative research and analyzes using the content analysis method. Interviews were carried out with the professionals responsible for implementation to analyze the managers’ perception of the implementation. In the quantitative part, data were collected from HUSM statistical reports to analyze the rates of outpatient absence in two periods, before and after the implementation of the DRA using the descriptive statistics technique, horizontal and vertical analysis. Although, the interviewed professionals considered that several improvements were implemented with the DRA, such as improving the quality of information, regulating access and meeting quantitative and qualitative goals contracted with the SUS, the research results demonstrated a general increase in rates of outpatient absence in the specialties selected in the analysis, with a consecutive reduction during the years analyzed, in the rate of outpatient absence only in the specialty Rheumatology, and Ophthalmology stood out as the specialty with the greatest increase and growing rate of outpatient absence Based on these data, it was possible to develop a proposal that contributes to the duties of the unit responsible for outpatient management, to mitigate outpatient absence and rationalize available resources, aiming for more modern and effective management. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-11-21T13:58:29Z |
dc.date.available.fl_str_mv |
2023-11-21T13:58:29Z |
dc.date.issued.fl_str_mv |
2023-11-06 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/30587 |
url |
http://repositorio.ufsm.br/handle/1/30587 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.cnpq.fl_str_mv |
600200200009 |
dc.relation.confidence.fl_str_mv |
600 600 600 600 600 |
dc.relation.authority.fl_str_mv |
c5f7e145-5c80-4b8f-b8ac-11b990235657 cac3ad37-56c2-4b6f-a2fb-02567ed73217 60b500b5-3efd-4da2-829c-e8e3fd9c495b e990c5b5-255c-4895-85c5-766af8863baf |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
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 |
dc.source.none.fl_str_mv |
reponame:Manancial - Repositório Digital da UFSM instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
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Universidade Federal de Santa Maria (UFSM) |
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UFSM |
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UFSM |
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