PLANEJAMENTO E COORDENAÇÃO DE OPERAÇÕES EM HOSPITAIS DE ATENDIMENTO ELETIVO: UMA REVISÃO DA LITERATURA SOBRE GESTÃO DE LISTA DE ESPERA
DOI:
https://doi.org/10.18673/gs.v9i1.27238Palavras-chave:
Artigos de RevisãoResumo
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.
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Referências
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Hopp W, Lovejoy W. Hospital operations: principles of high efficiency healthcare. 1st ed. Pearson FT Press; 2012.
Neto GV, Malik AM. Gestão em Saúde. Reimpressã. Rio de Janeiro: Guanabara Koogan; 2012.
Pedroso MC, Malik AM. As quatro dimensões competitivas da saúde. Harv Bus Rev. 2011;89:59”“67.
La Forgia GM, Couttolenc BF. Desempenho Hospitalar no Brasil: em busca da excelência. Banco Mundial. São Paulo: Editora Singular; 2008. 4 p.
Dotti E. Modelo de planejamento hospitalar eletivo via programação dinâmica aproximada [Internet]. Instituto Tecnológico de Aeronáutica; 2010. Available from: https://goo.gl/S8jbdS
Laselva C. Gestão do fluxo do paciente internado e seus impactos : qualidade , segurança e sustentabilidade. In: I Congresso Internacional sobre Segurança do Paciente [Internet]. Ouro Preto - MG: Instituto para Práticas Seguras no Uso dos Medicamentos (ISMP Brasil); 2014. Available from: https://goo.gl/s5a4Mu
Moser A, Korstjens I, van der Weijden T, Tange H. Themes affecting health-care consumers’ choice of a hospital for elective surgery when receiving web-based comparative consumer information. Patient Educ Couns [Internet]. 2010;78(3):365”“71. Available from: http://dx.doi.org/10.1016/j.pec.2009.10.027
Jeang A, Chiang AJ. Economic and quality scheduling for effective utilization of operating rooms. J Med Syst [Internet]. 2012;36(3):1205”“22. Available from: https://goo.gl/Fj5PVN
Marcinko DE, Hetico HR. Hospitals & Health Care Organizations: Management Strategies, Operational Techniques, Tools, Templates, and Case Studies. 1st ed. CRC Press: Taylor & Francis Group; 2013. 413 p.
Contreras-Loya D, Gómez-Dantés O, Puentes E, Garrido-Latorre F, Castro Tinoco M, Fajardo-Dolci G. Waiting times for surgical and diagnostic procedures in public hospitals in México. Salud Publica Mex [Internet]. 2015;57(1):29”“37. Available from: https://goo.gl/mT4CE9
Erdmann AL, Mello ALSF De, Meirelles BHS, Marino SRDA. As organizações de saúde na perspectiva da complexidade dos sistemas de cuidado. Rev Bras Enferm [Internet]. 2004;57(4):467”“71. Available from: https://goo.gl/P3eAs8
Santibáñez P, Begen M, Atkins D. Surgical block scheduling in a system of hospitals: An application to resource and wait list management in a British Columbia health authority. Health Care Manag Sci [Internet]. 2007;10(3):269”“82. Available from: https://goo.gl/XKLWcD
Rouse WB. Health Care as a Complex Adaptive System: Implications for Design and Management. In: Bugliarello G, editor. The Bridge: linking engineering and society. Washington DC: National Academy of Sciences.; 2008. p. 68.
Lippi MC, Silva GV. GESTÃO PÚBLICA EM MOVIMENTO: reorientação de políticas e serviços públicos de saúde. Perspect em Políticas Públicas [Internet]. 2016;IX(18):79”“120. Available from: https://goo.gl/j2ADn4
Lewis R, Dixon J. Rethinking management of chronic diseases. BMJ Br Med J [Internet]. 2004;328(7433):220”“2. Available from: https://goo.gl/f9gojT
Chauhan M, Bankart MJ, Labeit A, Baker R. Characteristics of general practices associated with numbers of elective admissions. J Public Heal (United Kingdom) [Internet]. 2012;34(4):584”“90. Available from: https://goo.gl/TuaLRQ
Sena AC de, Nascimento ERP do, Maia ARCR. Prática do enfermeiro no cuidado ao paciente no pré-operatório imediato de cirurgia eletiva. Rev gaúcha Enferm [Internet]. 2013;34(3):132”“7. Available from: https://goo.gl/tHaEKo
Mantoani CC. A transfusão sanguínea no perioperatório e a ocorrência da infecção de sítio cirúrgico [Internet]. Universidade de São Paulo; 2012. Available from: https://goo.gl/ggedu4
Ministry of Health of New Zeland. Targeting more elective operations: Improved access to elective surgery [Internet]. Wellington: Ministry of Health of New Zeland; 2011. p. 1”“12. Available from: https://goo.gl/D6HwQ4
Mervin MC, Jackson S. How can we improve waiting time for elective surgery in Australian public hospitals? [Internet]. St Lucia, Brisbane; 2009. Available from: https://goo.gl/38YjgL
Ward PR, Rokkas P, Cenko C, Pulvirenti M, Dean N, Carney AS, et al. “Waiting for” and “waiting in” public and private hospitals: a qualitative study of patient trust in South Australia. BMC Health Serv Res [Internet]. 2017;17(1):333. Available from: https://goo.gl/4x9YUu
Lodge A, Bamford D. Leadership in Health Services Health service improvement through diagnostic waiting list management. Leadersh Heal Serv Leadersh Heal Serv Iss Int J Heal Care Qual Assur [Internet]. 2007;20(3):254”“65. Available from: http://dx.doi.org/10.1108/17511870710829364
Johar M, Jones G, Keane M, Savage E, Stavrunova1 O. The demand for private health insurance: do waiting lists or waiting times matter? [Internet]. Sydney; 2010. Available from: https://goo.gl/imVG1W
Escobar A, Quintana JM, González M, Bilbao A, Ibañez B. Waiting list management: Priority criteria or first-in first-out? A case for total joint replacement. J Eval Clin Pract [Internet]. 2009;15(4):595”“601. Available from: https://goo.gl/suwZbe
Thompson J. Waiting Times for Elective Care [Internet]. Belfast: Research and Information Service - Northern Ireland Assembly; 2013. Available from: https://goo.gl/kXBcPA
Siciliani L, Moran V, Borowitz M. Measuring and comparing health care waiting times in OECD countries. Health Policy (New York) [Internet]. 2014;118(3):292”“303. Available from: http://dx.doi.org/10.1016/j.healthpol.2014.08.011
Bowers JA. Simulating waiting list management. Health Care Manag Sci [Internet]. 2011;14(3):292”“8. Available from: https://goo.gl/opxLhc
Letelier A, Cifuentes Rivas G. Waiting list in a public health facility in Santiago, Chile. Medwave [Internet]. 2014;14(6):e6000. Available from: https://goo.gl/AKW5Am
Carvalho TC de, Gianini RJ. Eqüidade no tempo de espera para determinadas cirurgias eletivas segundo o tipo de hospital em Sorocaba , SP. Rev Bras Epidemiol [Internet]. 2008;11(3):473”“83. Available from: https://goo.gl/kS1W6U
Government Department Strategy of New Zeland. Reduced Waiting Times for Public Hospital Elective Services [Internet]. 2000. Available from: https://goo.gl/QSsRNR
Pandit JJ, Pandit M, Reynard JM. Understanding waiting lists as the matching of surgical capacity to demand: Are we wasting enough surgical time? Anaesthesia. 2010;65(6):625”“40.
Patrick J, Puterman ML. Improving resource utilization for diagnostic services through flexible inpatient scheduling: A method for improving resource utilization. J Oper Res Soc [Internet]. 2006;58(2):235”“45. Available from: https://goo.gl/rNpFRS
Patrick J, Puterman ML. Reducing Wait Times through Operations Research: Optimizing the Use of Surge Capacity. Healthc Policy [Internet]. 2008;3(3):75”“88. Available from: https://goo.gl/fUU5N3
Curtis AJ, Russell COH, Stoelwinder JU, McNeil JJ. Waiting lists and elective surgery: Ordering the queue. Med J Aust [Internet]. 2010;192(4):217”“20. Available from: https://goo.gl/NW5wFb
Goddard J, Tavakoli M. Efficiency and welfare implications of managed public sector hospital waiting lists. Eur J Oper Res [Internet]. 2008;184(2):778”“92. Available from: https://goo.gl/PH1Ast
Pandit JJ, Carey A. Estimating the duration of common elective operations: Implications for operating list management. Anaesthesia. 2006;61(8):768”“76.
Buhaug H. Long waiting lists in hospitals. BMJ [Internet]. 2002;324(February):252”“3. Available from: https://goo.gl/jEHGq2
Hamlin L, Hale M. Managing Waiting Lists: An Australian Case Study. AORN J [Internet]. 2011;93(5):607”“13. Available from: http://dx.doi.org/10.1016/j.aorn.2011.01.009
Johar M, Jones GS, Savage E. Emergency admissions and elective surgery waiting times. Heal Econ (United Kingdom) [Internet]. 2013;22(6):749”“56. Available from: https://goo.gl/9A7qSd
Pope C. Cutting queues or cutting corners: waiting lists and the 1990 NHS Reforms. Br Med J [Internet]. 1992;305(6853):577”“9. Available from: https://goo.gl/jAS5G2
Lima DMG de, Ventura LO, Brandt CT. Barreiras para o acesso ao tratamento da catarata senil na Fundação Altino Ventura. Arq Bras Oftalmol [Internet]. 2005;68(3):357”“62. Available from: https://goo.gl/jkXZu8
Breton M, Brousselle A, Boivin A, Loignon C, Touati N, Dubois C-A, et al. Evaluation of the implementation of centralized waiting lists for patients without a family physician and their effects across the province of Quebec. Implement Sci [Internet]. 2014;9(1):117. Available from: https://goo.gl/HX655x
Viberg N, Forsberg BC, Borowitz M, Molin R. International comparisons of waiting times in health care - Limitations and prospects. Health Policy (New York) [Internet]. 2013;112(1”“2):53”“61. Available from: http://dx.doi.org/10.1016/j.healthpol.2013.06.013
Calnan MW, Sanford E. Topic collections Public trust in health care: the system or the doctor? Qual Saf Heal Care [Internet]. 2004;13:92”“7. Available from: http://qualitysafety.bmj.com/
Kreindler SA. Policy strategies to reduce waits for elective care: A synthesis of international evidence. Br Med Bull [Internet]. 2010;95(1):7”“32. Available from: https://goo.gl/9g52yj
Hurst J, Siciliani L. Tackling Excessive Waiting Times for Elective Surgery: A Comparison of Policies in Twelve OECD Countries. OECD Heal Work Pap [Internet]. 2003; Available from: https://goo.gl/9B9Ghj
Iversen T. Potential effect of internal markets on hospitals’ waiting time. Eur J Oper Res [Internet]. 2000;121(3):467”“75. Available from: https://doi.org/10.1016/S0377-2217(99)00044-2
Iversen T. The effect of a private sector on the waiting time of a national health service. J Health Econ [Internet]. 1997;16:381”“96. Available from: https://doi.org/10.1016/S0167-6296(96)00518-8
BCMA’s Council on Health Economics & Policy. Waiting Too Long: Reducing and Better Managing Wait Times in BC [Internet]. 2006. Available from: https://goo.gl/5a4efP
Poksinska B. The current state of Lean implementation in health care : literature review. Qual Manag Health Care [Internet]. 2010;4(19):319”“29. Available from: https://goo.gl/bZKjbr
Hopp W, Lovejoy W. Hospital operations: principles of high efficiency healthcare. 1st ed. Pearson FT Press; 2012.
Neto GV, Malik AM. Gestão em Saúde. Reimpressã. Rio de Janeiro: Guanabara Koogan; 2012.
Pedroso MC, Malik AM. As quatro dimensões competitivas da saúde. Harv Bus Rev. 2011;89:59”“67.
La Forgia GM, Couttolenc BF. Desempenho Hospitalar no Brasil: em busca da excelência. Banco Mundial. São Paulo: Editora Singular; 2008. 4 p.
Dotti E. Modelo de planejamento hospitalar eletivo via programação dinâmica aproximada [Internet]. Instituto Tecnológico de Aeronáutica; 2010. Available from: https://goo.gl/S8jbdS
Laselva C. Gestão do fluxo do paciente internado e seus impactos : qualidade , segurança e sustentabilidade. In: I Congresso Internacional sobre Segurança do Paciente [Internet]. Ouro Preto - MG: Instituto para Práticas Seguras no Uso dos Medicamentos (ISMP Brasil); 2014. Available from: https://goo.gl/s5a4Mu
Moser A, Korstjens I, van der Weijden T, Tange H. Themes affecting health-care consumers’ choice of a hospital for elective surgery when receiving web-based comparative consumer information. Patient Educ Couns [Internet]. 2010;78(3):365”“71. Available from: http://dx.doi.org/10.1016/j.pec.2009.10.027
Jeang A, Chiang AJ. Economic and quality scheduling for effective utilization of operating rooms. J Med Syst [Internet]. 2012;36(3):1205”“22. Available from: https://goo.gl/Fj5PVN
Marcinko DE, Hetico HR. Hospitals & Health Care Organizations: Management Strategies, Operational Techniques, Tools, Templates, and Case Studies. 1st ed. CRC Press: Taylor & Francis Group; 2013. 413 p.
Contreras-Loya D, Gómez-Dantés O, Puentes E, Garrido-Latorre F, Castro Tinoco M, Fajardo-Dolci G. Waiting times for surgical and diagnostic procedures in public hospitals in México. Salud Publica Mex [Internet]. 2015;57(1):29”“37. Available from: https://goo.gl/mT4CE9
Erdmann AL, Mello ALSF De, Meirelles BHS, Marino SRDA. As organizações de saúde na perspectiva da complexidade dos sistemas de cuidado. Rev Bras Enferm [Internet]. 2004;57(4):467”“71. Available from: https://goo.gl/P3eAs8
Santibáñez P, Begen M, Atkins D. Surgical block scheduling in a system of hospitals: An application to resource and wait list management in a British Columbia health authority. Health Care Manag Sci [Internet]. 2007;10(3):269”“82. Available from: https://goo.gl/XKLWcD
Rouse WB. Health Care as a Complex Adaptive System: Implications for Design and Management. In: Bugliarello G, editor. The Bridge: linking engineering and society. Washington DC: National Academy of Sciences.; 2008. p. 68.
Lippi MC, Silva GV. GESTÃO PÚBLICA EM MOVIMENTO: reorientação de políticas e serviços públicos de saúde. Perspect em Políticas Públicas [Internet]. 2016;IX(18):79”“120. Available from: https://goo.gl/j2ADn4
Lewis R, Dixon J. Rethinking management of chronic diseases. BMJ Br Med J [Internet]. 2004;328(7433):220”“2. Available from: https://goo.gl/f9gojT
Chauhan M, Bankart MJ, Labeit A, Baker R. Characteristics of general practices associated with numbers of elective admissions. J Public Heal (United Kingdom) [Internet]. 2012;34(4):584”“90. Available from: https://goo.gl/TuaLRQ
Sena AC de, Nascimento ERP do, Maia ARCR. Prática do enfermeiro no cuidado ao paciente no pré-operatório imediato de cirurgia eletiva. Rev gaúcha Enferm [Internet]. 2013;34(3):132”“7. Available from: https://goo.gl/tHaEKo
Mantoani CC. A transfusão sanguínea no perioperatório e a ocorrência da infecção de sítio cirúrgico [Internet]. Universidade de São Paulo; 2012. Available from: https://goo.gl/ggedu4
Ministry of Health of New Zeland. Targeting more elective operations: Improved access to elective surgery [Internet]. Wellington: Ministry of Health of New Zeland; 2011. p. 1”“12. Available from: https://goo.gl/D6HwQ4
Mervin MC, Jackson S. How can we improve waiting time for elective surgery in Australian public hospitals? [Internet]. St Lucia, Brisbane; 2009. Available from: https://goo.gl/38YjgL
Ward PR, Rokkas P, Cenko C, Pulvirenti M, Dean N, Carney AS, et al. “Waiting for” and “waiting in” public and private hospitals: a qualitative study of patient trust in South Australia. BMC Health Serv Res [Internet]. 2017;17(1):333. Available from: https://goo.gl/4x9YUu
Lodge A, Bamford D. Leadership in Health Services Health service improvement through diagnostic waiting list management. Leadersh Heal Serv Leadersh Heal Serv Iss Int J Heal Care Qual Assur [Internet]. 2007;20(3):254”“65. Available from: http://dx.doi.org/10.1108/17511870710829364
Johar M, Jones G, Keane M, Savage E, Stavrunova1 O. The demand for private health insurance: do waiting lists or waiting times matter? [Internet]. Sydney; 2010. Available from: https://goo.gl/imVG1W
Escobar A, Quintana JM, González M, Bilbao A, Ibañez B. Waiting list management: Priority criteria or first-in first-out? A case for total joint replacement. J Eval Clin Pract [Internet]. 2009;15(4):595”“601. Available from: https://goo.gl/suwZbe
Thompson J. Waiting Times for Elective Care [Internet]. Belfast: Research and Information Service - Northern Ireland Assembly; 2013. Available from: https://goo.gl/kXBcPA
Siciliani L, Moran V, Borowitz M. Measuring and comparing health care waiting times in OECD countries. Health Policy (New York) [Internet]. 2014;118(3):292”“303. Available from: http://dx.doi.org/10.1016/j.healthpol.2014.08.011
Bowers JA. Simulating waiting list management. Health Care Manag Sci [Internet]. 2011;14(3):292”“8. Available from: https://goo.gl/opxLhc
Letelier A, Cifuentes Rivas G. Waiting list in a public health facility in Santiago, Chile. Medwave [Internet]. 2014;14(6):e6000. Available from: https://goo.gl/AKW5Am
Carvalho TC de, Gianini RJ. Eqüidade no tempo de espera para determinadas cirurgias eletivas segundo o tipo de hospital em Sorocaba , SP. Rev Bras Epidemiol [Internet]. 2008;11(3):473”“83. Available from: https://goo.gl/kS1W6U
Government Department Strategy of New Zeland. Reduced Waiting Times for Public Hospital Elective Services [Internet]. 2000. Available from: https://goo.gl/QSsRNR
Pandit JJ, Pandit M, Reynard JM. Understanding waiting lists as the matching of surgical capacity to demand: Are we wasting enough surgical time? Anaesthesia. 2010;65(6):625”“40.
Patrick J, Puterman ML. Improving resource utilization for diagnostic services through flexible inpatient scheduling: A method for improving resource utilization. J Oper Res Soc [Internet]. 2006;58(2):235”“45. Available from: https://goo.gl/rNpFRS
Patrick J, Puterman ML. Reducing Wait Times through Operations Research: Optimizing the Use of Surge Capacity. Healthc Policy [Internet]. 2008;3(3):75”“88. Available from: https://goo.gl/fUU5N3
Curtis AJ, Russell COH, Stoelwinder JU, McNeil JJ. Waiting lists and elective surgery: Ordering the queue. Med J Aust [Internet]. 2010;192(4):217”“20. Available from: https://goo.gl/NW5wFb
Goddard J, Tavakoli M. Efficiency and welfare implications of managed public sector hospital waiting lists. Eur J Oper Res [Internet]. 2008;184(2):778”“92. Available from: https://goo.gl/PH1Ast
Pandit JJ, Carey A. Estimating the duration of common elective operations: Implications for operating list management. Anaesthesia. 2006;61(8):768”“76.
Buhaug H. Long waiting lists in hospitals. BMJ [Internet]. 2002;324(February):252”“3. Available from: https://goo.gl/jEHGq2
Hamlin L, Hale M. Managing Waiting Lists: An Australian Case Study. AORN J [Internet]. 2011;93(5):607”“13. Available from: http://dx.doi.org/10.1016/j.aorn.2011.01.009
Johar M, Jones GS, Savage E. Emergency admissions and elective surgery waiting times. Heal Econ (United Kingdom) [Internet]. 2013;22(6):749”“56. Available from: https://goo.gl/9A7qSd
Pope C. Cutting queues or cutting corners: waiting lists and the 1990 NHS Reforms. Br Med J [Internet]. 1992;305(6853):577”“9. Available from: https://goo.gl/jAS5G2
Lima DMG de, Ventura LO, Brandt CT. Barreiras para o acesso ao tratamento da catarata senil na Fundação Altino Ventura. Arq Bras Oftalmol [Internet]. 2005;68(3):357”“62. Available from: https://goo.gl/jkXZu8
Breton M, Brousselle A, Boivin A, Loignon C, Touati N, Dubois C-A, et al. Evaluation of the implementation of centralized waiting lists for patients without a family physician and their effects across the province of Quebec. Implement Sci [Internet]. 2014;9(1):117. Available from: https://goo.gl/HX655x
Viberg N, Forsberg BC, Borowitz M, Molin R. International comparisons of waiting times in health care - Limitations and prospects. Health Policy (New York) [Internet]. 2013;112(1”“2):53”“61. Available from: http://dx.doi.org/10.1016/j.healthpol.2013.06.013
Calnan MW, Sanford E. Topic collections Public trust in health care: the system or the doctor? Qual Saf Heal Care [Internet]. 2004;13:92”“7. Available from: http://qualitysafety.bmj.com/
Kreindler SA. Policy strategies to reduce waits for elective care: A synthesis of international evidence. Br Med Bull [Internet]. 2010;95(1):7”“32. Available from: https://goo.gl/9g52yj
Hurst J, Siciliani L. Tackling Excessive Waiting Times for Elective Surgery: A Comparison of Policies in Twelve OECD Countries. OECD Heal Work Pap [Internet]. 2003; Available from: https://goo.gl/9B9Ghj
Iversen T. Potential effect of internal markets on hospitals’ waiting time. Eur J Oper Res [Internet]. 2000;121(3):467”“75. Available from: https://doi.org/10.1016/S0377-2217(99)00044-2
Iversen T. The effect of a private sector on the waiting time of a national health service. J Health Econ [Internet]. 1997;16:381”“96. Available from: https://doi.org/10.1016/S0167-6296(96)00518-8
BCMA’s Council on Health Economics & Policy. Waiting Too Long: Reducing and Better Managing Wait Times in BC [Internet]. 2006. Available from: https://goo.gl/5a4efP
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30-01-2018
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Clara Lippi M, Gonçalves Coimbra Flexa R, Vaz Silva G, Luiz Lima Navarro L. PLANEJAMENTO E COORDENAÇÃO DE OPERAÇÕES EM HOSPITAIS DE ATENDIMENTO ELETIVO: UMA REVISÃO DA LITERATURA SOBRE GESTÃO DE LISTA DE ESPERA. Rev. G&S [Internet]. 30º de janeiro de 2018 [citado 4º de novembro de 2024];9(1):159-77. Disponível em: https://periodicos.unb.br/index.php/rgs/article/view/10448
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Declaro que o presente artigo é original, não tendo sido submetido à publicação em qualquer outro periódico nacional ou internacional, quer seja em parte ou em sua totalidade. Declaro, ainda, que uma vez publicado na Revista Gestão & Saúde editada pela Universidade de Brasília, o mesmo jamais será submetido por mim ou por qualquer um dos demais coautores a qualquer outro meio de divulgação científica.
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