Modelo de análise de decisão multicritério aplicado ao gerenciamento de filas de pacientes de cirurgias urológicas: estudo de caso em um hospital universitário
Urology is a surgical specialty of medicine that acts on the urinary tract of men and women and on the male reproductive system. There are several types of surgeries involving this specialty, from the simplest such as vasectomy to the most complex, such as tumor removal and organ transplants. For ur...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/45591 |
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| Resumo: | Urology is a surgical specialty of medicine that acts on the urinary tract of men and women and
on the male reproductive system. There are several types of surgeries involving this specialty,
from the simplest such as vasectomy to the most complex, such as tumor removal and organ
transplants. For urological surgeries, within the scope of the Unified Health System - SUS, there
are lines to perform the procedures, generating patient apprehension and even the evolution of the
disease picture due to the delay in the surgery. In this context, hospital managers must seek the
efficient use of resources and patient satisfaction at the lowest cost. Among these concerns, the
topic of surgical interventions is of particular importance due to its representativeness in hospital
operating costs. In addition, queues at public hospitals in Brazil are not uncommon, with a large
concentration of patients and prohibitive waiting times in various sectors, including surgical
centers. In elective surgeries, when an urgency and emergency procedure is not necessary,
queuing also occurs. In these lines, a patient with a less severe condition can wait for the
procedure for several years, and may have complications in their health condition. This situation
worsened with the suspension of elective surgeries during the COVID-19 pandemic period. Thus,
the present study aims to develop a multicriteria decision analysis model for the management
of urological surgery queues at a university hospital. As an investigation method, an applied,
descriptive study of documentary research and a case study was carried out. The study started by
analyzing cases in the literature of application of multicriteria decision analysis techniques in
surgical environments for patient selection, followed by a survey of the criteria currently used
in the hospital and identification of the actors in the process for structuring the problem. The
selection of the most appropriate method was carried out after the problem was structured and
the decision maker was identified. At the end of the study, a model was developed to support
decision makers in optimizing the queue of urological surgeries. The model was validated by the
decision maker and could be implemented to optimize the waiting time of patients. |
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