Planejamento e coordenação de operações em hospitais de atendimento eletivo: uma revisão da literatura sobre gestão de lista de espera

Maria Clara Lippi, Raquel Gonçalves Coimbra Flexa, Guido Vaz Silva, Leonardo Luiz Lima Navarro

Resumo


Este artigo realizou uma revisão da literatura sobre artefatos de gestão pertinentes ao planejamento e coordenação de operações para serviços hospitalares eletivos e, mais especificamente, para gestão de suas listas de espera. O estudo sobre a gestão dessas listas justifica-se em função das exigências por mais eficiência e qualidade nesse atendimento, além da tensão entre capacidades de atendimento e níveis crescentes de demanda por tais serviços. Inicialmente, a revisão resultou em quatro classes temáticas: gestão de lista de espera; admissão e alta hospitalar; gestão de leitos; e, sequenciamento do acionamento de recursos críticos. Em seguida, esse trabalho teve prosseguimento com o enfoque na classe gestão de lista de espera, que, por sua vez, apresentou seus aspectos relevantes agrupados em quatro temas: mensuração dos tempos de espera; causas de variação dos tempos; impactos dos tempos de espera; e, soluções para a gestão de filas e tempo de espera. Por fim, o artigo discute e estabelece pontes entre esses temas com vistas a contribuir para o arcabouço conceitual sobre serviços hospitalares eletivos.


Palavras-chave


Gestão em Saúde; Administração de Serviços de Saúde; Administração Hospitalar; Listas de Espera; Procedimentos Cirúrgicos Eletivos

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Referências


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DOI: http://dx.doi.org/10.18673/gs.v9i1.27238

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Revista Gestão & Saúde (ISSN 19824785)

Revista coordenada pelo Nucleo de Estudos em Educação, Promoção da Saúde e Projetos Inclusivos (NESPROM), do Centro de Estudos Avançados Multidiciplinares (CEAM), da Universidade de Brasília (UnB).

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