Navegando por Assunto "Hospital management"

Agora exibindo 1 - 2 de 2

Acesso aberto (Open Access)
O Financiamento do Sistema Único de Saúde em um hospital universitário no Estado do Pará: análise do faturamento de contratualização
(Universidade Federal do Pará, 2024-10-17) GUTERRES, Helder Luis da Silva; SOUZA, Armando Lírio de; http://lattes.cnpq.br/8782066216945002
This study aims to analyze the billing behavior of highly complex procedures contracted between a University Hospital in the State of Pará and the Unified Health System. We also seek to determine the financial impact of hospital disallowances as it is understood that this is one of the difficulties encountered in hospital management. Regarding the methodology, this is an exploratory study with a descriptive focus and quantitative approach, divided into two phases: in the first, the contractualization instrument and its changes in contract amendments are analyzed; in the second, the evidence recorded in regulatory systems is presented and the SUS Contractualization Policy is extensively analyzed in order to construct a situational diagnosis of billing and hospital disallowances. Graphs, tables and analyzes are also used using summary measures (averages and dispersion) and analysis of relative frequencies and percentages. Finally, it is concluded by proposing a Product, that is, the creation of a teaching material project with guidelines regarding the topic studied to be applied continuously by professionals working in sectors involving financial activities in the HU, whose purpose is contribute to the dissemination of knowledge on this topic and, in this way, promote the training of those who carry out this financial role.
Acesso aberto (Open Access)
Processo de gestão e gerenciamento de órteses, próteses e materiais especiais pelo serviço de farmácia de um hospital público referência em cardiologia, Belém, Pará
(Universidade Federal do Pará, 2023-08-01) RIBEIRO, Saulo Coelho Assis; SOLER, Orenzio; http://lattes.cnpq.br/4041958877867484; https://orcid.org/0000-0003-2246-0019; REIS, Danielle Saraiva Tuma dos; http://lattes.cnpq.br/0078006954066414; https://orcid.org/0000-0003-3966-2901
INTRODUCTION: Orthoses, Prostheses and Special Materials (OPME) are products used in medical, dental and physiotherapy procedures; as well as in the diagnosis, treatment, rehabilitation or monitoring of patients. OBJECTIVE: To investigate the management process of Orthoses, Prostheses and Special Materials (OPME) used by the Hemodynamics Service, aiming to present potential complications for their qualification. METHODOLOGY: This is a cross-sectional, quantitative and retrospective action research (January to December 2021). Based on the Hemodynamics OPME form from the Fundação Hospital de Clínicas Gaspar Vianna (FHCGV) and the Electronic Administrative Process (PAE) of the State of Pará. The proposals with potential interventions were based on the tool Strengths, Weaknesses, Opportunities and Threats - Strengths, Opportunities, Weaknesses and Threats (SWOT/FOFA). RESULT: a record of 18 prosthesis implantation procedures for occlusion of the Interatrial Communication was found, for both sexes, with a cost of R$ 524,995.00. There were 63 endovascular procedures in 2021, and it was found that the average waiting time for patients is approximately 88.6 days. With regard to the processing time of bidding processes, in the internal phase, the longest time identified was in the Permanent Bidding Committee (CPL) sector, totaling five months, referring to endovascular and congenital OPME. In the external phase, both classes of materials also took the longest processing time. Furthermore, there is a difference of R$ 883,153.00 reimbursed to the Hospital through the SIGTAP/SUS table. A low rate of studies that could support the research was noted, however, the Pharmaceutical Assistance (AF) cycle is an essential method for improving the management and management process. It was found that the bidding process in the public service is slow, as it crosses several sectors, generating an impact on the time required to request/acquire this material, also affecting the time to carry out the procedure. CONCLUSION: The OPME topic is complex and little explored by scholars, however, it requires “many hands” to obtain the biggest objective, which is the quality provided to the user. It is believed that interventions to qualify the OPME management process at FHCGV will provide improvements in the management of the OPME sector, as well as the Institution's processes and flows that will provide quality service to the user.