Reis Augusto da Cunha, Oliveira Renata Pereira, Ferreira Letícia Ali Figueiredo, Gomes de Souza Cristina
Federal Center for Technological Education Celso Suckow da Fonseca, Rio de Janeiro 20271-110, Brazil.
Healthcare (Basel). 2021 Mar 8;9(3):297. doi: 10.3390/healthcare9030297.
Brazilian public hospitals face several operational problems not only related to poor public management practices and their complex nature, but also the economic, and social contexts. Considering this scenario and the fact that efforts in supply management might affect a hospital organization's excellence, this research aims to identify improvements in the logistic operations at the surgical center satellite warehouse of a Public Hospital located in Brazil. A case study based on an exploratory and qualitative approach was conducted by employing document analysis, semi-structured interviews, and on-site observations. Seven major problems concerning lack of surgical material, the non-definition of crucial logistic parameters, low information flow, surgical supply control, and management problems were pointed and addressed by seven independent but complementary actions that considered the Brazilian healthcare system's particularities. Given the nature of exploratory research, the results are not exhaustive and cannot be generalized to different contexts. However, they help understand that reducing the waste of the logistics processes makes it possible to improve the attention to the local population that uses public health services.
巴西公立医院面临着诸多运营问题，这些问题不仅与糟糕的公共管理实践及其复杂性质有关，还与经济和社会背景相关。考虑到这种情况，以及供应管理方面的努力可能会影响医院组织的卓越性这一事实，本研究旨在确定位于巴西的一家公立医院手术中心卫星仓库物流运营方面的改进措施。通过采用文献分析、半结构化访谈和现场观察的方式，开展了一项基于探索性和定性方法的案例研究。指出了与手术材料短缺、关键物流参数未明确、信息流不畅、手术用品控制以及管理问题有关的七个主要问题，并通过考虑巴西医疗系统特殊性的七个独立但相互补充的行动来加以解决。鉴于探索性研究的性质，结果并不详尽，也不能推广到不同的背景中。然而，它们有助于理解减少物流过程中的浪费能够提高对使用公共卫生服务的当地居民的关注度。
