scholarly journals Gestão do agendamento de exames periódicos em um hospital público do estado de São Paulo

2019 ◽  
Vol 19 (74) ◽  
Author(s):  
Eulália Oliveira Bekkers ◽  
Raphael Kaeriyama e Silva ◽  
Ana Cláudia Becker ◽  
Nancy Val y Val Peres da Mota
Keyword(s):  
Occupational Medicine ◽  
Public Hospital ◽  
Descriptive Study ◽  
Sao Paulo ◽  
São Paulo ◽  
High Complexity ◽  
Scheduling System ◽  
Observational Site ◽  
Bibliographical Survey ◽  
Excessive Number

RESUMOObjetivo: Analisar as principais falhas na gestão do agendamento dos exames periódicos de um hospital público de alta complexidade do Estado de São Paulo. Metodologia: Estudo descritivo, com utilização de levantamento bibliográfico, visitas observacionais no local, análise de dados disponibilizados pelo setor e entrevistas com os atores-chaves envolvidos no sistema de agendamento; afim de descrever o cenário, analisar as principais falhas e propor melhorias. Resultados: Foi possível constatar que o modelo de agendamento de exames periódicos que vem sendo utilizado é composto por um número excessivo de profissionais e de processos envolvidos, sendo a maioria destes realizados manualmente; chegando a um resultado final que não é eficiente, uma vez que, até abril deste ano, 48% dos funcionários da instituição apresentavam seus exames periódicos vencidos, a oferta de serviços não supria a demanda e a média de absenteísmo para aqueles que conseguiram marcar os exames foi de 20%. Conclusão: Uma melhor gestão do agendamento permite uma maior agilidade na realização dos exames e consequentemente um aumento da satisfação dos clientes.Palavras-chave: agendamento de exames; exame médico periódico; saúde do trabalhador; medicina do trabalho. ABSTRACTObjective: Analyze the main failures in the management of the periodic exams scheduling of a high complexity public hospital in the State of São Paulo. Methodology: Descriptive study, using a bibliographical survey, observational site visits, analysis of data made available by the sector and interviews with the key actors involved in the scheduling system; in order to describe the scenario, analyze the main failures and propose improvements. Results: It was confirmed that the model of scheduling of periodic exams, is composed by an excessive number of professionals and processes involved, and the majority of these are manuals; reaching an end result that is not efficient, since up to April of this year, 48% of the institution's employees had their periodic exams expired, the service offer did not meet the demand and the average absenteeism was 20% for those who succeed to schedule their periodic exams. Conclusion: A better management of the periodic exams scheduling improves agility in performing the exams and consequently increase the customer satisfaction.Keywords: exams scheduling; periodic medical examination; occupational medicine; occupational health.

scholarly journals Health system financing paradigm in the state of São Paulo

2019 ◽  
Vol 53 ◽  
pp. 39
Author(s):  
Adilson Soares
Keyword(s):  
Public Health ◽  
Health Care ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
High Complexity ◽  
Primary Health ◽  
Capita Spending ◽  
Per Capita ◽  
The City

OBJECTIVE: To analyze the allocation of financial resources in the Brazilian Unified Health System (SUS) in the state of São Paulo by level of care, health region, source of funds and level of government. METHODS: This is an exploratory study based on 2014 data extracted from the Public Health Budget Database, presented in absolute terms, relative terms and per capita. RESULTS: In 2014, R$52.1 bi were spent on public health, 58.0% having corresponded to the expenditures of the municipalities and 42.0% to those of the state government. Regional per capita spending varied from R$561.75 to R$824.85. As for the per capita spending on primary health care, which represented 37.5% of the municipalities’ total expenditure, the lowest value was found in the city of São Paulo and the highest, in Araçatuba. Campinas had the highest per capita expenditure on medium and high complexity care, while Presidente Prudente had the lowest. The highest regional percentage of the current net revenue spent on health was verified in Registro, and the lowest, in the city of São Paulo. CONCLUSIONS: The paradigm of the health sector’s financing in São Paulo revealed that the expenditure on primary health care, level elected by health policy as strategic because it depends on coordination and integral health care in the attention networks, was not considered a priority in relation to the expenditure with the medium and high complexity, exposing the iniquities in the state’s regions.

scholarly journals Nurses in the labor market: professional insertion, competencies and skills

2017 ◽  
Vol 70 (6) ◽  
pp. 1220-1226 ◽  
Author(s):  
Vilanice Alves de Araújo Püschel ◽  
Dafeni Costa ◽  
Priscila Patrício Reis ◽  
Larissa Bertacchini de Oliveira ◽  
Fábio da Costa Carbogim
Keyword(s):  
Labor Market ◽  
Public Hospital ◽  
Sao Paulo ◽  
Health Needs ◽  
São Paulo ◽  
School Of Nursing ◽  
Personal Skills ◽  
The University ◽  
First Job ◽  
Work Method

ABSTRACT Objective: to characterize nurses graduated from the School of Nursing of the University of São Paulo, from 2006 to 2012; verify their entry, facilitating factors and difficulties of these graduates in the labor market and to consider their skills and competences in the world of work. Method: an exploratory, descriptive study with a qualitative approach. Results: out of 505 graduates, 172 (34.1%) participated in the research. Entry into the labor market was mainly via public hospital institutions, in the SE of Brazil, in the caregiving sectors. The greater part remained from one to two years in their first job. Most agreed that they were prepared to meet the health needs of the population. Furthermore, they had been encouraged to seek systematic and continuous improvement in a critical, reflexive and creative way, while combining technical-scientific knowledge and personal skills. Conclusion: the results show that the University of São Paulo has been preparing nurses for work in the labor market, in accordance with the provisions of the National Curricular Guidelines.

scholarly journals The teaching of occupational medicine in the posgraduation course at the Faculty of Medicine of São Paulo

2017 ◽  
Vol 6 (22) ◽  
pp. e11
Author(s):  
Eduardo Costa Sá ◽  
Derica Harada ◽  
Gusmão Alex ◽  
Soares Leonardo ◽  
Rafael Torres ◽  
...  
Keyword(s):  
Occupational Medicine ◽  
Sao Paulo ◽  
São Paulo

scholarly journals Avaliação da assistência de enfermagem em um hospital especializado

2019 ◽  
Vol 9 (28) ◽  
pp. 123-130
Author(s):  
Julia Tavares de Oliveira Prado ◽  
Mariel Tavares de Oliveira Prado Bergamo ◽  
Thais Marchini de Oliveira ◽  
Maria Irene Bachega
Keyword(s):  
Standard Deviation ◽  
Nursing Care ◽  
Public Hospital ◽  
Sao Paulo ◽  
Care Quality ◽  
São Paulo ◽  
Good Level ◽  
Level Of Satisfaction ◽  
Nursing Care Quality

Avaliar a qualidade da assistência em enfermagem por meio do nível de satisfação do usuário de um hospital terciário e público do interior do estado de São Paulo, Brasil. Participaram da pesquisa, 16 pacientes que realizaram cirurgias na área de otorrinolaringologia e que tinham permanecido internados 48 horas ou mais na Unidade de Internação no ano de 2016 em um hospital especializado do interior paulista. Os participantes responderam ao questionário Instrumento de Satisfação do Paciente (ISP). Levando-se em consideração a média total ponderada de todos os domínios estudados (3,9) e seu desvio padrão (0,7), os usuários desse hospital terciário e público possuem um bom nível de satisfação com a assistência de enfermagem, pois o valor está acima da média e o desvio padrão expressou que os dados não estão dispersos. O paciente deste hospital terciário e público possui um bom nível de satisfação com a assistência de enfermagem prestada.Descritores: Satisfação do Paciente, Cuidados de Enfermagem, Qualidade da Assistência à Saúde. Evaluation of nursing care in a specialized hospitalAbstract: To evaluate the quality of nursing care quality through the level of user satisfaction of a tertiary and public hospital in the interior of São Paulo state, Brazil. The study included 16 patients who underwent otorhinolaryngology surgeries and who had been hospitalized for 48 hours or more at the Care Unit in 2016 at a specialized hospital in the interior of São Paulo. Participants answered the Patient Satisfaction Instrument (PSI) questionnaire. Considering the total weighted average of all domains studied (3.9) and their standard deviation (0.7), the users of this tertiary and public hospital had a good level of satisfaction with nursing care because the value is above average, and the standard deviation expressed that the data is not dispersed. The patient of this tertiary and public hospital has a good level of satisfaction with the nursing care provided.Descriptors: Patiente Satisfaction, Nursing Care, Quality of Health Care. Evaluación de la atención de enfermería en un hospital especializadoResumen: Evaluar la calidad de la atención de enfermería a través del nivel de satisfacción del usuario de un hospital terciario y público en el interior del estado de São Paulo, Brasil. El estudio incluyó a 16 pacientes que se sometieron a cirugía en el área de otorrinolaringología y que habían sido hospitalizados durante 48 horas o más en la unidad de pacientes hospitalizados en 2016 en un hospital especializado en el interior de São Paulo. Los participantes respondieron el cuestionario del Instrumento de Satisfacción del Paciente (ISP). Considerando el promedio total ponderado de todos los dominios estudiados (3.9) y su desviación estándar (0.7), los usuarios de este hospital terciario y público tienen un buen nivel de satisfacción con la atención de enfermería, ya que Este valor está por encima del promedio y la desviación estándar expresó que los datos no están dispersos. El paciente de este hospital terciario y público tiene un buen nivel de satisfacción con la atención de enfermería brindada.Descriptores: Satisfacción del Paciente, Atención de Enfermería, Calidad de la Atención Médica.

scholarly journals Factors leading to increased operational costs in a public hospital in São Paulo, Brazil

2020 ◽  
Vol 12 (3) ◽  
pp. 206-212
Author(s):  
Janaína Souza ◽  
◽  
Adriano Pereira ◽  
Eliezer Silva ◽  
◽  
...  
Keyword(s):  
Public Hospital ◽  
Operating Cost ◽  
Tertiary Hospital ◽  
Sao Paulo ◽  
São Paulo ◽  
Municipal Hospital ◽  
Santa Catarina ◽  
Transplant Patients ◽  
Operational Costs ◽  
The Cost

Objectives: To quantify the operational costs of a municipal public hospital in the city of São Paulo (Brazil) and to identify factors that led to cost increases during the year of 2016 using the absorption method. Methods: This was a retrospective study conducted between January and December of 2016 at Vila Santa Catarina Municipal Hospital, a public tertiary hospital in São Paulo, Brazil. Results: We identified and analyzed a total of 8702 inpatient data. Average day cost per patient was US$ 949, with a median of US$ 1,825, and a total operating cost of US$ 48,743,847. Transplant patients showed the highest median costs, while pregnant women had the lowest median costs, 69.9% of the 8,702 hospitalized patients was above the mean cost of US$ 3,068 registered for 2016. Age was associated with a 6.6% increase in cost for each one-year increase in age, while the cost associated with female patients was 1.1 times that of men. Patients who died in the hospital were 8 times more likely to cost more than patients who were discharged from the hospital. Oncology, transplant, and clinical-surgical patients had 18.8 times the cost of patients in the maternity unit, respectively. Conclusion: We identify the operating costs of the Vila Santa Catarina Municipal Hospital, where the average cost for the operation of the unit was US$ 133.179. The cost per patient was US$ 1,825.91. We also concluded as to the second objective that the cost increase factors were age and death.

scholarly journals 1780. Results of a Successful Implementation of a Antimicrobial Stewardship Program in a Public Hospital in São Paulo, Brazil

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S504-S504 ◽  
Author(s):  
Filipe Piastrelli ◽  
Giovanna Sapienza ◽  
Karina Borges ◽  
Fernando Rodrigues ◽  
Carolline Borba ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Public Hospital ◽  
Sao Paulo ◽  
Successful Implementation ◽  
Antimicrobial Stewardship Program ◽  
São Paulo ◽  
Stewardship Program

Acidentes de trabalho entre mulheres brasileiras atendidas em uma unidade de emergência

2009 ◽  
Vol 3 (4) ◽  
pp. 908
Author(s):  
Cristiane Aparecida Silveira ◽  
Maria Lúcia Carmo Cruz Robazzi ◽  
Liliana Amorim Alves ◽  
Sandra Verônica Valenzuela Suazo
Keyword(s):  
Data Collection ◽  
Occupational Health ◽  
Health Professionals ◽  
Descriptive Study ◽  
Ethics Committee ◽  
Sao Paulo ◽  
Occupational Accidents ◽  
São Paulo ◽  
Emergency Unit ◽  
Paulo State

Objective: to identify the occurrence of Occupational Accidents among women attended in a hospital in São Paulo city, characterizing them. Methods: observational, non-experimental and descriptive study, from quantitative approach. An instrument has been validated by experts for data collection; it were studied the patients’ charts from 2002 to 2003, in an Emergency Unit of a teaching hospital of the Sao Paulo State, Brazil. The study has been approved by the Research Ethics Committee of Clinics Hospital of the Faculty of Medicine University of São Paulo (4799/2004). Results: 82 women were victims of 117 Occupational Accidents. Most of the 82 female Occupational Accidents victims were between 25-40 years old (52.78%); 47.56% were married. Most of the women were nursing technicians and aides (29,27% each). Most of the Occupational Accidents (32.93%) were caused by falls.  Conclusions: suggestions are presented to minimize these events, in terms of protecting women’s work and train health professionals to enable them to offer better care to these accident victims. Descriptors: occupational health; female work; emergency medical services.

scholarly journals NEWSPAPERS FOLHA DE SÃO PAULO E CORREIO BRAZILIENSE: WHAT THEY SAY ABOUT THE PROGRAM MORE DOCTORS?

2014 ◽  
Vol 48 (spe2) ◽  
pp. 107-115 ◽  
Author(s):  
Indyara Morais ◽  
Dábyla Alkmin ◽  
Jéssica Lopes ◽  
Marina Santos ◽  
Mariane Leonel ◽  
...  
Keyword(s):  
Descriptive Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Quantitative Methodology ◽  
Related Data ◽  
Medical Program ◽  
The Media ◽  
The Impact

Analyzes publications related More Medical Program from July to September of 2013 and its impact on Correio Braziliense and Folha de São Paulo. This is a descriptive study using a qualitative-quantitative methodology. The analyzed and related data represent what the program takes in print. 363 publications were found, 262 in Folha de São Paulo and 101 in Correio. The word "Doctor" appeared in more titles, and Folha de São Paulo were 110 negative titles; to Correio neutral character was in 50 publications. In the character of news, 178 of these are pessimistic. The "neutral" and 101 representing "optimistic" 83. Was found that the media is critical to the impact of the program, but the truth is not apparent, but the opinion of journalists who wrote the stories related to the theme.

scholarly journals Hygiene and motivation factors of nursing work in a cardiology ward

2014 ◽  
Vol 35 (3) ◽  
pp. 82-89 ◽  
Author(s):  
Carolina Bueno Somense ◽  
Erika Christiane Marocco Duran
Keyword(s):  
Institutional Support ◽  
Descriptive Study ◽  
Sao Paulo ◽  
The State ◽  
Motivational Factors ◽  
Job Dissatisfaction ◽  
São Paulo ◽  
Professional Satisfaction ◽  
Motivation Factors ◽  
Career Growth

The present study aimed to identify hygienic and motivational factors in the nursing work according to the Two-Factor Theory, as well as their relation with professional satisfaction/dissatisfaction. This exploratory-descriptive study involved nine nurses from the cardiology ward of a hospital in the interior of the State of São Paulo, between August and September 2013. A self-applied questionnaire was used, including open and closed questions. The data were categorized as hygienic and motivational. Results show the nurses' satisfaction with autonomy, work itself and teamwork, duties, content and responsibilities of the job. Dissatisfaction is related to career growth possibilities; work, political and administrative conditions at the institution, supervision and lack of institutional support. Satisfaction and dissatisfaction factors include relationships, acknowledgements and remuneration. Nurses' satisfaction is determined by multiple and often controversial factors.

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