A pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Rim
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://repositorio.unifesp.br/handle/11600/56951 http://dx.doi.org/10.1590/1806-9282.62.07.664 |
Resumo: | The kidney transplant program at Hospital do Rim (hrim) is a unique healthcare model that applies the same principles of repetition of processes used in industrial production. This model, devised by Frederick Taylor, is founded on principles of scientific management that involve planning, rational execution of work, and distribution of responsibilities. The expected result is increased efficiency, improvement of results and optimization of resources. This model, almost completely subsidized by the Unified Health System (SUS, in the Portuguese acronym), has been used at the hrim in more than 11,000 transplants over the last 18 years. The hrim model consists of eight interconnected modules: organ procurement organization, preparation for the transplant, admission for transplant, surgical procedure, post-operative period, outpatient clinic, support units, and coordination and quality control. The flow of medical activities enables organized and systematic care of all patients. The improvement of the activities in each module is constant, with full monitoring of various administrative, health care, and performance indicators. The continuous improvement in clinical results confirms the efficiency of the program. Between 1998 and 2015, an increase was noted in graft survival (77.4 vs. 90.4%, p<0.001) and patient survival (90.5 vs. 95.1%, p=0.001). The high productivity, efficiency, and progressive improvement of the results obtained with this model suggest that it could be applied to other therapeutic areas that require large-scale care, preserving the humanistic characteristic of providing health care activity. |
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Pestana, Jose Osmar Medina [UNIFESP]2020-07-31T12:47:38Z2020-07-31T12:47:38Z2016Revista Da Associacao Medica Brasileira. Sao Paulo, v. 62, n. 7, p. 664-671, 2016.0104-4230https://repositorio.unifesp.br/handle/11600/56951http://dx.doi.org/10.1590/1806-9282.62.07.664S0104-42302016000700664.pdfS0104-4230201600070066410.1590/1806-9282.62.07.664WOS:000390438500012The kidney transplant program at Hospital do Rim (hrim) is a unique healthcare model that applies the same principles of repetition of processes used in industrial production. This model, devised by Frederick Taylor, is founded on principles of scientific management that involve planning, rational execution of work, and distribution of responsibilities. The expected result is increased efficiency, improvement of results and optimization of resources. This model, almost completely subsidized by the Unified Health System (SUS, in the Portuguese acronym), has been used at the hrim in more than 11,000 transplants over the last 18 years. The hrim model consists of eight interconnected modules: organ procurement organization, preparation for the transplant, admission for transplant, surgical procedure, post-operative period, outpatient clinic, support units, and coordination and quality control. The flow of medical activities enables organized and systematic care of all patients. The improvement of the activities in each module is constant, with full monitoring of various administrative, health care, and performance indicators. The continuous improvement in clinical results confirms the efficiency of the program. Between 1998 and 2015, an increase was noted in graft survival (77.4 vs. 90.4%, p<0.001) and patient survival (90.5 vs. 95.1%, p=0.001). The high productivity, efficiency, and progressive improvement of the results obtained with this model suggest that it could be applied to other therapeutic areas that require large-scale care, preserving the humanistic characteristic of providing health care activity.Univ Fed Sao Paulo Unifesp, Hosp Rim, Div Nephrol, Fundacao Oswaldo Ramos, Sao Paulo, SP, BrazilHospital do Rim, Fundação Oswaldo Ramos, Division of Nephrology, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, BrazilWeb of Science664-671engAssoc Medica BrasileiraRevista Da Associacao Medica Brasileirakidney transplantationtissue and organ procurementrenal insufficiencyUnified Health SystemA pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Riminfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleSao Paulo627info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALS0104-42302016000700664.pdfapplication/pdf191177${dspace.ui.url}/bitstream/11600/56951/1/S0104-42302016000700664.pdf1cca2f9d299e56b5c88036eafd97fbb8MD51open accessTEXTS0104-42302016000700664.pdf.txtS0104-42302016000700664.pdf.txtExtracted texttext/plain36875${dspace.ui.url}/bitstream/11600/56951/2/S0104-42302016000700664.pdf.txtb7fdfcbd91f587260c157d4d74fa89bcMD52open accessTHUMBNAILS0104-42302016000700664.pdf.jpgS0104-42302016000700664.pdf.jpgIM Thumbnailimage/jpeg6250${dspace.ui.url}/bitstream/11600/56951/4/S0104-42302016000700664.pdf.jpg34d928a22bb47f280c6f5fd0d0d69423MD54open access11600/569512022-07-31 22:38:01.028open accessoai:repositorio.unifesp.br:11600/56951Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-08-01T01:38:01Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
A pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Rim |
title |
A pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Rim |
spellingShingle |
A pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Rim Pestana, Jose Osmar Medina [UNIFESP] kidney transplantation tissue and organ procurement renal insufficiency Unified Health System |
title_short |
A pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Rim |
title_full |
A pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Rim |
title_fullStr |
A pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Rim |
title_full_unstemmed |
A pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Rim |
title_sort |
A pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Rim |
author |
Pestana, Jose Osmar Medina [UNIFESP] |
author_facet |
Pestana, Jose Osmar Medina [UNIFESP] |
author_role |
author |
dc.contributor.author.fl_str_mv |
Pestana, Jose Osmar Medina [UNIFESP] |
dc.subject.eng.fl_str_mv |
kidney transplantation tissue and organ procurement renal insufficiency Unified Health System |
topic |
kidney transplantation tissue and organ procurement renal insufficiency Unified Health System |
description |
The kidney transplant program at Hospital do Rim (hrim) is a unique healthcare model that applies the same principles of repetition of processes used in industrial production. This model, devised by Frederick Taylor, is founded on principles of scientific management that involve planning, rational execution of work, and distribution of responsibilities. The expected result is increased efficiency, improvement of results and optimization of resources. This model, almost completely subsidized by the Unified Health System (SUS, in the Portuguese acronym), has been used at the hrim in more than 11,000 transplants over the last 18 years. The hrim model consists of eight interconnected modules: organ procurement organization, preparation for the transplant, admission for transplant, surgical procedure, post-operative period, outpatient clinic, support units, and coordination and quality control. The flow of medical activities enables organized and systematic care of all patients. The improvement of the activities in each module is constant, with full monitoring of various administrative, health care, and performance indicators. The continuous improvement in clinical results confirms the efficiency of the program. Between 1998 and 2015, an increase was noted in graft survival (77.4 vs. 90.4%, p<0.001) and patient survival (90.5 vs. 95.1%, p=0.001). The high productivity, efficiency, and progressive improvement of the results obtained with this model suggest that it could be applied to other therapeutic areas that require large-scale care, preserving the humanistic characteristic of providing health care activity. |
publishDate |
2016 |
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2016 |
dc.date.accessioned.fl_str_mv |
2020-07-31T12:47:38Z |
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2020-07-31T12:47:38Z |
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Revista Da Associacao Medica Brasileira. Sao Paulo, v. 62, n. 7, p. 664-671, 2016. |
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https://repositorio.unifesp.br/handle/11600/56951 http://dx.doi.org/10.1590/1806-9282.62.07.664 |
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0104-4230 |
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S0104-42302016000700664.pdf |
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10.1590/1806-9282.62.07.664 |
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WOS:000390438500012 |
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Revista Da Associacao Medica Brasileira. Sao Paulo, v. 62, n. 7, p. 664-671, 2016. 0104-4230 S0104-42302016000700664.pdf S0104-42302016000700664 10.1590/1806-9282.62.07.664 WOS:000390438500012 |
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https://repositorio.unifesp.br/handle/11600/56951 http://dx.doi.org/10.1590/1806-9282.62.07.664 |
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