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: | http://dx.doi.org/10.1590/1806-9282.62.07.664 https://repositorio.unifesp.br/handle/11600/56951 |
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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A pioneering healthcare model applying large-scale production concepts: Principles and performance after more than 11,000 transplants at Hospital do Rimkidney transplantationtissue and organ procurementrenal insufficiencyUnified Health SystemThe 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 ScienceAssoc Medica Brasileira2020-07-31T12:47:38Z2020-07-31T12:47:38Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion664-671application/pdfhttp://dx.doi.org/10.1590/1806-9282.62.07.664Revista Da Associacao Medica Brasileira. Sao Paulo, v. 62, n. 7, p. 664-671, 2016.10.1590/1806-9282.62.07.664S0104-42302016000700664.pdf0104-4230S0104-42302016000700664https://repositorio.unifesp.br/handle/11600/56951WOS:000390438500012engRevista Da Associacao Medica BrasileiraSao Pauloinfo:eu-repo/semantics/openAccessPestana, Jose Osmar Medina [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-03T12:57:40Zoai:repositorio.unifesp.br/:11600/56951Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-03T12:57:40Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.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.por.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 |
dc.date.none.fl_str_mv |
2016 2020-07-31T12:47:38Z 2020-07-31T12:47:38Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1806-9282.62.07.664 Revista Da Associacao Medica Brasileira. Sao Paulo, v. 62, n. 7, p. 664-671, 2016. 10.1590/1806-9282.62.07.664 S0104-42302016000700664.pdf 0104-4230 S0104-42302016000700664 https://repositorio.unifesp.br/handle/11600/56951 WOS:000390438500012 |
url |
http://dx.doi.org/10.1590/1806-9282.62.07.664 https://repositorio.unifesp.br/handle/11600/56951 |
identifier_str_mv |
Revista Da Associacao Medica Brasileira. Sao Paulo, v. 62, n. 7, p. 664-671, 2016. 10.1590/1806-9282.62.07.664 S0104-42302016000700664.pdf 0104-4230 S0104-42302016000700664 WOS:000390438500012 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista Da Associacao Medica Brasileira |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
664-671 application/pdf |
dc.coverage.none.fl_str_mv |
Sao Paulo |
dc.publisher.none.fl_str_mv |
Assoc Medica Brasileira |
publisher.none.fl_str_mv |
Assoc Medica Brasileira |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268309806252032 |