Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-graduação em Gerenciamento em Enfermagem, São Paulo, SP, Brazil.
Universidade de São Paulo, Escola de Enfermagem, Departamento de Orientação Profissional, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2022 May 6;56:e20210333. doi: 10.1590/1980-220X-REEUSP-2021-0333en. eCollection 2022.
The limited resources allocated to the health area and the growing demands require leaders' qualified and committed performance in hospital management. In this perspective, the objective of this study is to reflect on the management practices that can be applied to hospital facilities to achieve better care and financial results. Among them, process-based management proposes an approach for continuous process improvement to achieve desired results; the method Lean Six Sigma allows identifying and eliminating waste in production processes; the continuous improvement model combines practical knowledge with the knowledge of how the system to be improved works, through observations and changes that allow its results measurement; and cost management and value-based healthcare provides for care mapping, from beginning to end, to assess what actually adds value to patients. The contributions of implementing these practices are recognized worldwide; using them, processes can be increased, improving efficiency, reducing waste, adding value to the business, increasing its revenue, and resulting in savings that can be passed on to the consumer, by improving quality.
分配给卫生领域的有限资源和不断增长的需求要求领导者在医院管理方面具备合格和坚定的执行力。从这个角度来看，本研究的目的是反思可以应用于医院设施的管理实践，以实现更好的护理和财务成果。其中，基于流程的管理为实现预期成果提出了一种持续改进流程的方法；精益六西格玛方法允许识别和消除生产过程中的浪费；持续改进模型将实践知识与如何改进系统的知识相结合，通过观察和更改来衡量其结果；成本管理和基于价值的医疗保健提供了从开始到结束的护理映射，以评估对患者实际有价值的内容。在全球范围内，人们认识到实施这些实践的贡献；通过使用这些实践，可以增加流程，提高效率，减少浪费，为企业增加价值，增加收入，并通过提高质量将节省下来的成本转嫁给消费者。
