Impacto econômico do absenteísmo de enfermagem por doença em um hospital universitário do Rio de Janeiro-RJ

• Ano de defesa: 2012
• Autor(a) principal: Pinheiro, Michely Alexandrino de Souza
• Orientador(a): Mauro, Maria Yvone Chaves
• Banca de defesa: Robazzi, Maria Lucia do Carmo Cruz , Farias, Sheila Nascimento Pereira de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Enfermagem
• Departamento: Centro Biomédico::Faculdade de Enfermagem
• País: BR
• Palavras-chave em Português: Absenteísmo; Economia da saúde; Enfermagem; Gestão em saúde; Saúde do trabalhador; Enfermagem do trabalho; Absenteísmo (Trabalho) - Aspectos econômicos; Saúde e trabalho; Saúde - Administração; Doenças profissionais - Aspectos econômicos
• Palavras-chave em Inglês: Absenteeism; Health economic; Nursing; Health management; Occupational health
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://www.bdtd.uerj.br/handle/1/11272

It is a documentary research, retrospective from secondary source , which adopts a quantitative descriptive- exploratory aprouch. From the observation of high rates of absenteeism in hospital the interest in studying the direct costs of occupational diseases that lead cleareances and their economic impact to the human resources budget of a university hospital in Rio de Janeiro. In this context, it was defined as an object of study the economic impact of sickness absenteeism among nursing and the following objectives: to identify the prevalent causes of absenteeism at the university hospital studied, according to the Internacional Classification of Diseases and Related Health Problems (ICD-10), to estimate the minimum directs costs of the diseases conditions that lead absenteeism to the nursing worker, to estimate the real cost of absenteeism related to one day of work provided by the nursing staff, with projection for one month and one year in operational vision of the Unified Health System (SUS). We used a stratified sample of health professionals records representing nursing staff (nurses and nursing technicians) according to the following inclusion criteria: gazetted professional nursing, with absences in 2010 with medical diagnosis, clearly defined. For data go thing, we used the files the university hospital worker health service and had the appraisal of medical experts for the diagnostic groups studied, according to scripts created by the researcher. Data were analyzed and stored in the program Statistical Package for Social Sciences (SPSS) version 15 and Microsoft excel 2003 in the editor. Among the results obstained, emphasis respectively for diseases of the musculoskeletal system, the factors influencing health status and contact with health services; disorders mental and behavioral disorders, injuries, poisoning and other consequences of external causes, and diseases of the circulatory system, representing an estimated approximate total cost of the R$ 2,6 million. Perceives that the economic impact absenteeism due to the health problems in the studied university hospital humam resources budget was approximately 2,7%. The approximate daily real cost of absenteeism in nursing was valued at R$ 92,50, and monthly forecast of R$2.775,00 and R$ 33.300,00 annually . It is recommended to usually evaluate the absenteeism of professionals to identify the real causes of sickness absenteeism in order to set intervention programs for the health workers and promote participatory management that encourages the evaluation of work process with respect to the health needs and operational workforce, determinants of absenteeism.