Economic cost of consultation absenteeism: case study in a psychosocial care ambulatory
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/4066 |
Resumo: | Outpatient absenteeism can be conceptualized as the absence of the user to the appointment 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. This scenario supported the objective of measuring the economic cost of outpatient absenteeism of patients from the Psychosocial Care Outpatient Clinic of the University Hospital of Santa Maria (AAPS/HUSM), in the period 2015-2017. This purpose was met by using the cost per absorption method. In addition, interviews were conducted with agents participating in the appointment scheduling and execution process in order to obtain their perception of outpatient absenteeism and its economic repercussions. In terms of results, from the allocation of these costs, we obtained the amount related to the economic losses of absenteeism, which, on average, was R$396.000,00 per year in the three years analyzed for the AAPS/HUSM. Regarding the unit cost per consultation, the results showed that the average cost per scheduled patient was R$202.92 while the average cost per patient attended was R$252.95. As determinants of absenteeism, it was evidenced mainly those related to users, especially forgetfulness, lack of awareness and neglect of the user. As for the control of absenteeism as its repercussions on the institution's revenues, although the monitoring is being performed through reports, the informational level is asymmetric among the agents involved in the scheduling and execution process. |
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Economic cost of consultation absenteeism: case study in a psychosocial care ambulatoryCosto económico del absentismo de consulta: estudio de caso em um ambulatorio de atención psicosocialCusto econômico do absenteísmo de consultas: estudo de caso em um ambulatório de atenção psicossocialAbsenteísmoCusto EconômicoAmbulatório de Atenção PsicossocialHUSM.AbsenteeismEconomic costOutpatient psychosocial careHUSM.AbsentismoCosto económicoAmbulatorio de atención psicossocialHUSM.Outpatient absenteeism can be conceptualized as the absence of the user to the appointment 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. This scenario supported the objective of measuring the economic cost of outpatient absenteeism of patients from the Psychosocial Care Outpatient Clinic of the University Hospital of Santa Maria (AAPS/HUSM), in the period 2015-2017. This purpose was met by using the cost per absorption method. In addition, interviews were conducted with agents participating in the appointment scheduling and execution process in order to obtain their perception of outpatient absenteeism and its economic repercussions. In terms of results, from the allocation of these costs, we obtained the amount related to the economic losses of absenteeism, which, on average, was R$396.000,00 per year in the three years analyzed for the AAPS/HUSM. Regarding the unit cost per consultation, the results showed that the average cost per scheduled patient was R$202.92 while the average cost per patient attended was R$252.95. As determinants of absenteeism, it was evidenced mainly those related to users, especially forgetfulness, lack of awareness and neglect of the user. As for the control of absenteeism as its repercussions on the institution's revenues, although the monitoring is being performed through reports, the informational level is asymmetric among the agents involved in the scheduling and execution process.El ausentismo ambulatorio puede conceptualizarse como la ausencia del usuario a la cita y/o examen previamente programado o cuando se comunica la institución de salud, sin permitir la comunicación de un nuevo usuario a la consulta y/o examen no realizado. Este escenario apoyó el objetivo de medir el costo económico del absentismo ambulatorio de pacientes de la Clínica de atención ambulatoria de atención psicosocial del Hospital Universitario de Santa María (AAPS/HUSM), en el período 2015-2017. Este propósito se cumplió utilizando el método de costo por absorción. Además, se realizaron entrevistas con agentes que participan en el proceso de programación y ejecución de citas para obtener su percepción del absentismo ambulatorio y sus repercusiones económicas. En términos de resultados, a partir de la asignación de estos costos, obtuvimos el monto relacionado con las pérdidas económicas del absentismo, que, en promedio, fue de R$396.000,00 por año en los tres años analizados para el AAPS/HUSM. Con respecto al costo unitario por consulta, los resultados mostraron que el costo promedio por paciente programado fue de R$202,92, mientras que el costo promedio por paciente atendido fue de R$252,95. Como determinantes del absentismo, se evidenciaron principalmente aquellos relacionados con los usuarios, especialmente el olvido, la falta de conciencia y el abandono del usuario. Con respecto al control del absentismo como sus repercusiones en los ingresos de la institución, aunque el monitoreo se realiza a través de informes, el nivel de información es asimétrico entre los agentes involucrados en el proceso de programación y ejecución.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. 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 (AAPS/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$396.000,00 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.Research, Society and Development2020-05-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/406610.33448/rsd-v9i7.4066Research, Society and Development; Vol. 9 No. 7; e417974066Research, Society and Development; Vol. 9 Núm. 7; e417974066Research, Society and Development; v. 9 n. 7; e4179740662525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/4066/3568Copyright (c) 2020 Fabrício Varoni de Oliveira, Reisoli Bender Filho, Kelmara Mendes Vieirainfo:eu-repo/semantics/openAccessOliveira, Fabrício Varoni deBender Filho, ReisoliVieira, Kelmara Mendes2020-08-20T18:05:03Zoai:ojs.pkp.sfu.ca:article/4066Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:28:03.052939Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Economic cost of consultation absenteeism: case study in a psychosocial care ambulatory Costo económico del absentismo de consulta: estudio de caso em um ambulatorio de atención psicosocial Custo econômico do absenteísmo de consultas: estudo de caso em um ambulatório de atenção psicossocial |
title |
Economic cost of consultation absenteeism: case study in a psychosocial care ambulatory |
spellingShingle |
Economic cost of consultation absenteeism: case study in a psychosocial care ambulatory Oliveira, Fabrício Varoni de Absenteísmo Custo Econômico Ambulatório de Atenção Psicossocial HUSM. Absenteeism Economic cost Outpatient psychosocial care HUSM. Absentismo Costo económico Ambulatorio de atención psicossocial HUSM. |
title_short |
Economic cost of consultation absenteeism: case study in a psychosocial care ambulatory |
title_full |
Economic cost of consultation absenteeism: case study in a psychosocial care ambulatory |
title_fullStr |
Economic cost of consultation absenteeism: case study in a psychosocial care ambulatory |
title_full_unstemmed |
Economic cost of consultation absenteeism: case study in a psychosocial care ambulatory |
title_sort |
Economic cost of consultation absenteeism: case study in a psychosocial care ambulatory |
author |
Oliveira, Fabrício Varoni de |
author_facet |
Oliveira, Fabrício Varoni de Bender Filho, Reisoli Vieira, Kelmara Mendes |
author_role |
author |
author2 |
Bender Filho, Reisoli Vieira, Kelmara Mendes |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Oliveira, Fabrício Varoni de Bender Filho, Reisoli Vieira, Kelmara Mendes |
dc.subject.por.fl_str_mv |
Absenteísmo Custo Econômico Ambulatório de Atenção Psicossocial HUSM. Absenteeism Economic cost Outpatient psychosocial care HUSM. Absentismo Costo económico Ambulatorio de atención psicossocial HUSM. |
topic |
Absenteísmo Custo Econômico Ambulatório de Atenção Psicossocial HUSM. Absenteeism Economic cost Outpatient psychosocial care HUSM. Absentismo Costo económico Ambulatorio de atención psicossocial HUSM. |
description |
Outpatient absenteeism can be conceptualized as the absence of the user to the appointment 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. This scenario supported the objective of measuring the economic cost of outpatient absenteeism of patients from the Psychosocial Care Outpatient Clinic of the University Hospital of Santa Maria (AAPS/HUSM), in the period 2015-2017. This purpose was met by using the cost per absorption method. In addition, interviews were conducted with agents participating in the appointment scheduling and execution process in order to obtain their perception of outpatient absenteeism and its economic repercussions. In terms of results, from the allocation of these costs, we obtained the amount related to the economic losses of absenteeism, which, on average, was R$396.000,00 per year in the three years analyzed for the AAPS/HUSM. Regarding the unit cost per consultation, the results showed that the average cost per scheduled patient was R$202.92 while the average cost per patient attended was R$252.95. As determinants of absenteeism, it was evidenced mainly those related to users, especially forgetfulness, lack of awareness and neglect of the user. As for the control of absenteeism as its repercussions on the institution's revenues, although the monitoring is being performed through reports, the informational level is asymmetric among the agents involved in the scheduling and execution process. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-05-20 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/4066 10.33448/rsd-v9i7.4066 |
url |
https://rsdjournal.org/index.php/rsd/article/view/4066 |
identifier_str_mv |
10.33448/rsd-v9i7.4066 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/4066/3568 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Fabrício Varoni de Oliveira, Reisoli Bender Filho, Kelmara Mendes Vieira info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Fabrício Varoni de Oliveira, Reisoli Bender Filho, Kelmara Mendes Vieira |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 9 No. 7; e417974066 Research, Society and Development; Vol. 9 Núm. 7; e417974066 Research, Society and Development; v. 9 n. 7; e417974066 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052778410934272 |