Proposta de um novo modelo de governan??a no setor de quimioterapia
Ano de defesa: | 2016 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de
|
Departamento: |
Administra????o
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/1567 |
Resumo: | Chemotherapy is still a main way to fight cancer and consequently, the demand for its treatment accompanies increased incidence and prevalence of disease. Provided most recommended type of therapy, chemotherapy is responsible for greatest impact on treatment cost. In this sense, this research proposes a method that helps management of chemotherapy schedule, improving issues related to logistics characteristics and time constraints so that treatment becomes more effective. From January 2012 to December 2013, data were collected relating production, costs of major inputs, loss of prepared medicines and chemotherapies relationship conducted with inpatients and outpatients, all related to proposed change in the management model of Oncology sector from a public hospital located at S??o Paulo state. As usual flow consisted of patient medical examination, with treatment prescribed by doctor, the new proposed protocol determined that the schedule no longer take place by the medical action, but by pharmacist, in the sense that he is professional manager, capable to accurately assess variables such as time, cost, competition for resources and optimization of infusion bags. As a result, the study showed increased number of outpatients and decrease number of inpatients, which generates cost savings. There was fourfold increase in total number of patients seen per year, with financial resources invested remaining stable. This study showed that new approaches to follow the flow model proposed here, would optimize resources, serving a larger number of patients, maintaining quality of processes, confidentiality of information, and saving costs and inputs. Furthermore, it was shown to be more effective multi scheduling, in which the physician says the protocol that will be used, the time will be used, and whether the patient is able to use, but with regard to the management of competing facilities as beds, interaction, armchair, chemotherapy or surgical room, a professional liability being with a logistics vision of the whole, in which case, a nurse or pharmacist |
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Ferraz, Renato Ribeiro NogueiraFerraz, Renato Ribeiro NogueiraForones, NoraNovaretti, Marcia Cristina ZagoAkerman, MarcoAssis, S??nia Francisca Monken deMessias, Luis Renato Rotta2017-01-27T12:50:48Z2016-02-12Messias, Luis Renato Rotta. Proposta de um novo modelo de governan??a no setor de quimioterapia. 2016. 60 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/1567Chemotherapy is still a main way to fight cancer and consequently, the demand for its treatment accompanies increased incidence and prevalence of disease. Provided most recommended type of therapy, chemotherapy is responsible for greatest impact on treatment cost. In this sense, this research proposes a method that helps management of chemotherapy schedule, improving issues related to logistics characteristics and time constraints so that treatment becomes more effective. From January 2012 to December 2013, data were collected relating production, costs of major inputs, loss of prepared medicines and chemotherapies relationship conducted with inpatients and outpatients, all related to proposed change in the management model of Oncology sector from a public hospital located at S??o Paulo state. As usual flow consisted of patient medical examination, with treatment prescribed by doctor, the new proposed protocol determined that the schedule no longer take place by the medical action, but by pharmacist, in the sense that he is professional manager, capable to accurately assess variables such as time, cost, competition for resources and optimization of infusion bags. As a result, the study showed increased number of outpatients and decrease number of inpatients, which generates cost savings. There was fourfold increase in total number of patients seen per year, with financial resources invested remaining stable. This study showed that new approaches to follow the flow model proposed here, would optimize resources, serving a larger number of patients, maintaining quality of processes, confidentiality of information, and saving costs and inputs. Furthermore, it was shown to be more effective multi scheduling, in which the physician says the protocol that will be used, the time will be used, and whether the patient is able to use, but with regard to the management of competing facilities as beds, interaction, armchair, chemotherapy or surgical room, a professional liability being with a logistics vision of the whole, in which case, a nurse or pharmacistA quimioterapia ainda ?? a principal forma de combate ao c??ncer e, consequentemente, a demanda por este tipo de tratamento acompanha o aumento da incid??ncia e preval??ncia da doen??a. Na condi????o de modalidade terap??utica mais preconizada, a quimioterapia ?? respons??vel pelo maior impacto no custo do tratamento. Nesse sentido, este trabalho prop??e um m??todo que auxilie a gest??o da agenda de tratamento quimioter??pico, melhorando quest??es relacionadas ??s caracter??sticas log??sticas e ??s limita????es de tempo para que o tratamento se torne mais efetivo. No per??odo de janeiro de 2012 a dezembro de 2013 foram coletados dados relacionados com a produ????o, custo dos insumos mais importantes, perdas de medicamentos preparados e rela????o de quimioterapias realizadas junto a pacientes internados e ambulatoriais, todos relacionados ?? mudan??a no modelo de gest??o do setor de Oncologia de um hospital p??blico do Estado de S??o Paulo. Enquanto o fluxo habitual consistia em o paciente passar em consulta m??dica, cabendo a este profissional a prescri????o do tratamento, o protocolo proposto neste estudo determinou que o agendamento n??o mais ocorreria pela a????o do m??dico, e sim do farmac??utico, pois este ?? gestor, profissional capaz de avaliar com precis??o vari??veis como tempo, custo, competi????o pelos recursos e otimiza????o da gest??o das bolsas de infus??o. Como resultados, o estudo demonstrou aumento do n??mero de pacientes ambulatoriais e diminui????o no n??mero de pacientes internados, o que gera redu????o de custos. Houve aumento de quatro vezes no total de pacientes atendidos por ano, com o valor investido mantendo-se est??vel. O presente estudo demonstrou que novas abordagens que sigam o modelo de fluxo aqui proposto otimizar??o os recursos, atendendo uma maior parcela de pacientes, mantendo a qualidade dos processos, o sigilo das informa????es, e poupando custos e insumos. Al??m disso, evidenciou-se como sendo mais eficaz o agendamento multiprofissional, no qual o m??dico diz o protocolo que vai ser utilizado, o tempo que vai ser utilizado, e se o paciente tem condi????es de utilizar, mas com o que se refere ao gerenciamento dos recursos concorrentes como leitos, intera????o, poltrona, quimioterapia ou sala cir??rgica, sendo de responsabilidade de um profissional com uma vis??o log??stica do todo, sendo, neste caso, um enfermeiro ou farmac??uticoSubmitted by Nadir Basilio (nadirsb@uninove.br) on 2017-01-27T12:50:48Z No. of bitstreams: 1 Luis Renato Rotta Messias.pdf: 317202 bytes, checksum: 67360bd315784a5271d1c8027f6e9183 (MD5)Made available in DSpace on 2017-01-27T12:50:48Z (GMT). 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dc.title.por.fl_str_mv |
Proposta de um novo modelo de governan??a no setor de quimioterapia |
dc.title.alternative.eng.fl_str_mv |
New model in chemotherapy sector |
title |
Proposta de um novo modelo de governan??a no setor de quimioterapia |
spellingShingle |
Proposta de um novo modelo de governan??a no setor de quimioterapia Messias, Luis Renato Rotta gest??o em sa??de governan??a agendamento quimioterapia oncologia health management governance scheduling chemotherapy oncology ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
title_short |
Proposta de um novo modelo de governan??a no setor de quimioterapia |
title_full |
Proposta de um novo modelo de governan??a no setor de quimioterapia |
title_fullStr |
Proposta de um novo modelo de governan??a no setor de quimioterapia |
title_full_unstemmed |
Proposta de um novo modelo de governan??a no setor de quimioterapia |
title_sort |
Proposta de um novo modelo de governan??a no setor de quimioterapia |
author |
Messias, Luis Renato Rotta |
author_facet |
Messias, Luis Renato Rotta |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Ferraz, Renato Ribeiro Nogueira |
dc.contributor.referee1.fl_str_mv |
Ferraz, Renato Ribeiro Nogueira |
dc.contributor.referee2.fl_str_mv |
Forones, Nora |
dc.contributor.referee3.fl_str_mv |
Novaretti, Marcia Cristina Zago |
dc.contributor.referee4.fl_str_mv |
Akerman, Marco |
dc.contributor.referee5.fl_str_mv |
Assis, S??nia Francisca Monken de |
dc.contributor.author.fl_str_mv |
Messias, Luis Renato Rotta |
contributor_str_mv |
Ferraz, Renato Ribeiro Nogueira Ferraz, Renato Ribeiro Nogueira Forones, Nora Novaretti, Marcia Cristina Zago Akerman, Marco Assis, S??nia Francisca Monken de |
dc.subject.por.fl_str_mv |
gest??o em sa??de governan??a agendamento quimioterapia oncologia |
topic |
gest??o em sa??de governan??a agendamento quimioterapia oncologia health management governance scheduling chemotherapy oncology ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
dc.subject.eng.fl_str_mv |
health management governance scheduling chemotherapy oncology |
dc.subject.cnpq.fl_str_mv |
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
description |
Chemotherapy is still a main way to fight cancer and consequently, the demand for its treatment accompanies increased incidence and prevalence of disease. Provided most recommended type of therapy, chemotherapy is responsible for greatest impact on treatment cost. In this sense, this research proposes a method that helps management of chemotherapy schedule, improving issues related to logistics characteristics and time constraints so that treatment becomes more effective. From January 2012 to December 2013, data were collected relating production, costs of major inputs, loss of prepared medicines and chemotherapies relationship conducted with inpatients and outpatients, all related to proposed change in the management model of Oncology sector from a public hospital located at S??o Paulo state. As usual flow consisted of patient medical examination, with treatment prescribed by doctor, the new proposed protocol determined that the schedule no longer take place by the medical action, but by pharmacist, in the sense that he is professional manager, capable to accurately assess variables such as time, cost, competition for resources and optimization of infusion bags. As a result, the study showed increased number of outpatients and decrease number of inpatients, which generates cost savings. There was fourfold increase in total number of patients seen per year, with financial resources invested remaining stable. This study showed that new approaches to follow the flow model proposed here, would optimize resources, serving a larger number of patients, maintaining quality of processes, confidentiality of information, and saving costs and inputs. Furthermore, it was shown to be more effective multi scheduling, in which the physician says the protocol that will be used, the time will be used, and whether the patient is able to use, but with regard to the management of competing facilities as beds, interaction, armchair, chemotherapy or surgical room, a professional liability being with a logistics vision of the whole, in which case, a nurse or pharmacist |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016-02-12 |
dc.date.accessioned.fl_str_mv |
2017-01-27T12:50:48Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
Messias, Luis Renato Rotta. Proposta de um novo modelo de governan??a no setor de quimioterapia. 2016. 60 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/1567 |
identifier_str_mv |
Messias, Luis Renato Rotta. Proposta de um novo modelo de governan??a no setor de quimioterapia. 2016. 60 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo. |
url |
http://bibliotecatede.uninove.br/handle/tede/1567 |
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por |
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por |
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600 |
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openAccess |
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Universidade Nove de Julho |
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UNINOVE |
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Universidade Nove de Julho |
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