Modelo de decisão multicritério para auxiliar a priorização de vítimas no atendimento pré-hospitalar de emergência: o caso do SAMU/192
Decisions about prioritizing victims in pre-hospital emergency care take place in a scenario of scarcity of resources, changes in patient demographics and professional development, making it difficult to make decisions in the Emergency Medical Services, SAMU/192. Making a decision without conside...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/30837 |
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| Resumo: | Decisions about prioritizing victims in pre-hospital emergency care take place in a scenario of
scarcity of resources, changes in patient demographics and professional development, making it
difficult to make decisions in the Emergency Medical Services, SAMU/192. Making a decision
without considering certain criteria can compromise the victim’s safety, access and quality of
health. Therefore, it is necessary to find techniques and tools that include the criteria that guide
and influence decisions, in order to reduce errors.In this environment, Multicriteria Decision
Analysis is a tool to support decisions, and its use as a method to support the definition of
priorities in health care has been growing in recent decades. Therefore, this research proposed and
developed a multicriteria decision model to help prioritize victims, in the context of SAMU/192.
For that, a systematic literature review was made, defining the limits of the problem, raising the
evaluation criteria, and the FiTradeoff method was used to prioritize victims in SAMU/NatalRN. A survey of SAMU representatives from the Northeastern States revealed 25 criteria that
guide the decision of the regulator, 10 were selected to choose a victim, among 4 calls at
the SAMU/Natal-RN Regulation Center. This work contributed significantly to the rational,
transparent and impartial practice of prioritizing victims of SAMU/192, using the multicriteria
methodology to support the decision. Selecting and weighing the criteria in this study indicated
that the protocols that guide regulatory physicians do not take into account all criteria for
prioritizing victims in an environment of scarcity of resources. The model developed will support
the SAMU/192’s regulator to direct resources to victims who most need support, and can be
used in other pre-hospital emergency care units in other cities. |
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