A gestão do atendimento aos pacientes em tratamento de tuberculose pulmonar : a situação em duas unidades hospitalares de Maceió/AL
Miniatura indisponível
Data
2017
Autores
Título da revista
ISSN da revista
Título do Volume
Editora
Resumo
A gestão em geral é entendida como um fator primordial, de uma empresa, a instituição só funciona bem se tiver um gestou atuante, que veja a lógica da racionalidade, a capacidade analítica e o domínio da técnica, incorporando dimensões de criação, e a equipe multidisciplinar deve ser empreendedora e, sobretudo trabalhar com ética, voltada para os objetivos da empresa. Esta pesquisa tem como foco a gestão em atendimento, o qual requer uma abordagem total da parte do gestor, onde se faz necessário uma gestão bem elaborada, para então atender aos pacientes portadores com tuberculose pulmonar, com eficiência e humanização. Trata-se de um estudo que buscou descrever e analisar a percepção dos profissionais da equipe multiprofissional e gestores no atendimento aos pacientes portadores de tuberculose pulmonar. Na abordagem de investigação foi utilizado o método da pesquisa qualitativa e quantitativa. O instrumento utilizado foi questionário e entrevista. Sendo um voltado aos pacientes, o qual contém 8 questões e um outro aos profissionais de saúde da área estudada, contendo 14 questões. Os questionários foram aplicados em duas unidades hospitalares de Maceió, unidades essa que têm grande fluxo de atendimento a pacientes com essa patologia. Percebeu-se que a quantidade de unidades de isolamento é precária, há deficiência nos exames, uma vez que há um grande período de espera pelo diagnóstico, impactando na tomada de decisão de forma imediata. Por fim, entende-se que essa morosidade faz com que muitos pacientes abandonem o tratamento, aumentando ainda mais a quantidade de indivíduos portadores da doença. Ademais, as instituições estudadas devem ter como ponto de partida, a busca das técnicas de gestão em atendimento, agindo como facilitadora da busca de resultados dos seus clientes, e os mesmos alcançarem respostas satisfatória, para que isso seja possível, deve-se ter um trabalho em equipe e todos com vista a um trabalho mais articulado, integrado e qualificado. Foram aplicados questionários (avaliação qualitativa) em 1 gestor, 2 médicos, 1 psicólogo,1 assistente social, 3 enfermeiros, 1 nutricionista, 1 fisioterapeuta, cujas respostas às perguntas realizadas estão na seção 4 (análise e discussão dos resultados). Além destes profissionais, 34 técnicos de enfermagem que trabalham no tratamento da tuberculose nos 2 hospitais em estudo, Hospital Universitário Professor Alberto Antunes (HUPAA) e o Hospital Sanatório, também responderam aos questionários. Em relação à estrutura física, 16 técnicos (47,06%) a consideram suficiente. No atendimento médico, 15 (44,12%) entendem que é insuficiente, enquanto 10 (29,41%) responderam que a atendimento médico regular. Para o atendimento diagnóstico, 22 (64, 71%) responderam que é regular. Quando questionados sobre os métodos utilizados no atendimento, 21 (63,64%) entendem que são insuficientes para atender as necessidades da demanda atual. Também foram entrevistados 12 pacientes do HUPAA e 9 pacientes do Hospital Sanatório. Como resultados, em relação à estrutura física no HUPAA, 6 (50%) pacientes respondem que é regular, ao passo que 4 (33,33%) responderam suficiente, sendo que no Hospital Sanatório, os 9 pacientes (100%) responderam que a estrutura física é suficiente. Para o atendimento, 9 pacientes (75%) o consideram regular no HUPAA, e 6 (66,67%) suficiente no Hospital Sanatório. Na avaliação do atendimento diagnóstico, 75% dos pacientes consideram regular no HUPAA, ao passo que no Hospital Sanatório houve uma divisão, com 33,33 % suficiente, 33,33% insuficiente, e 33,33% regular. Por fim, nos métodos utilizados no atendimento, 66,67% responderam regular no HUPAA, e no Hospital Sanatório, 66,67% dos pacientes responderam que os métodos são suficientes.
General management is seen as a key factor in a company, institution only works well if you have a nurtured active, I see the logic of rationality, analytical skills and mastery of technique, incorporating creating dimensions, and the team multidisciplinary should be enterprising and above all work with ethics, focused on the company's goals. This research focuses on the management service, which requires a comprehensive approach on the part of the manager, where elaborate management one is needed, and then meet the patients with pulmonary tuberculosis, with efficiency and humanization. It is a study that sought to describe and analyze the perception of professional health staff and managers in serving patients with pulmonary tuberculosis. In the research approach was used the method of qualitative and quantitative research. The instrument used was questionnaire and interview. It is one facing patients, which contains 8 questions and other healthcare professionals in the study area, containing 14 questions. The questionnaires were administered in two hospitals in Maceió, units that have this large flow of care for patients with this pathology. It was noticed that the amount of isolation units is precarious, there is deficiency in the exams, since there is a long period of waiting for the diagnosis, impacting decision making immediately. Finally, it is understood that this length means that many patients discontinue treatment, further increasing the amount of individuals with disease. In addition, the study institutions must take as its starting point, the pursuit of management techniques in service, acting as a facilitator of the search results of their clients, and they achieve satisfactory answers, for this to be possible, you should have a teamwork and all with a view to a more coordinated work, integrated and qualified. Questionnaires (qualitative evaluation) were applied to 1 manager, 2 physicians, 1 psychologist, 1 social worker, 3 nurses, 1 nutritionist, 1 physiotherapist, whose answers to the questions asked are in section 4 (analysis and discussion of results). In addition to these professionals, 34 nursing technicians working in the treatment of tuberculosis in the two hospitals under study, Professor Alberto Antunes University Hospital (HUPAA) and Hospital Sanatorio also answered the questionnaires. Regarding the physical structure, 16 technicians (47.06%) consider it sufficient. In medical care, 15 (44.12%) understood that it was insufficient, while 10 (29.41%) answered that regular medical care. For the diagnosis, 22 (64, 71%) answered that it is regular. When questioned about the methods used in care, 21 (63.64%) understand that they are insufficient to meet the needs of current demand. We also interviewed 12 HUPAA patients and 9 patients from the Sanatorio Hospital. As a result, in relation to the physical structure in HUPAA, 6 (50%) patients respond that it is regular, whereas 4 (33.33%) responded enough, and in the Hospital Sanatorio, the 9 patients (100%) answered that the physical structure is sufficient. For the care, 9 patients (75%) consider it regular in the HUPAA, and 6 (66.67%) sufficient in the Sanatorium Hospital. In the evaluation of diagnostic care, 75% of the patients considered regular in the HUPAA, whereas in the Hospital Sanatorio there was a division, with 33.33% sufficient, 33.33% insufficient, and 33.33% regular. Finally, in the methods used in the care, 66.67% responded regularly in the HUPAA, and in the Sanatorium Hospital, 66.67% of the patients answered that the methods are sufficient.
General management is seen as a key factor in a company, institution only works well if you have a nurtured active, I see the logic of rationality, analytical skills and mastery of technique, incorporating creating dimensions, and the team multidisciplinary should be enterprising and above all work with ethics, focused on the company's goals. This research focuses on the management service, which requires a comprehensive approach on the part of the manager, where elaborate management one is needed, and then meet the patients with pulmonary tuberculosis, with efficiency and humanization. It is a study that sought to describe and analyze the perception of professional health staff and managers in serving patients with pulmonary tuberculosis. In the research approach was used the method of qualitative and quantitative research. The instrument used was questionnaire and interview. It is one facing patients, which contains 8 questions and other healthcare professionals in the study area, containing 14 questions. The questionnaires were administered in two hospitals in Maceió, units that have this large flow of care for patients with this pathology. It was noticed that the amount of isolation units is precarious, there is deficiency in the exams, since there is a long period of waiting for the diagnosis, impacting decision making immediately. Finally, it is understood that this length means that many patients discontinue treatment, further increasing the amount of individuals with disease. In addition, the study institutions must take as its starting point, the pursuit of management techniques in service, acting as a facilitator of the search results of their clients, and they achieve satisfactory answers, for this to be possible, you should have a teamwork and all with a view to a more coordinated work, integrated and qualified. Questionnaires (qualitative evaluation) were applied to 1 manager, 2 physicians, 1 psychologist, 1 social worker, 3 nurses, 1 nutritionist, 1 physiotherapist, whose answers to the questions asked are in section 4 (analysis and discussion of results). In addition to these professionals, 34 nursing technicians working in the treatment of tuberculosis in the two hospitals under study, Professor Alberto Antunes University Hospital (HUPAA) and Hospital Sanatorio also answered the questionnaires. Regarding the physical structure, 16 technicians (47.06%) consider it sufficient. In medical care, 15 (44.12%) understood that it was insufficient, while 10 (29.41%) answered that regular medical care. For the diagnosis, 22 (64, 71%) answered that it is regular. When questioned about the methods used in care, 21 (63.64%) understand that they are insufficient to meet the needs of current demand. We also interviewed 12 HUPAA patients and 9 patients from the Sanatorio Hospital. As a result, in relation to the physical structure in HUPAA, 6 (50%) patients respond that it is regular, whereas 4 (33.33%) responded enough, and in the Hospital Sanatorio, the 9 patients (100%) answered that the physical structure is sufficient. For the care, 9 patients (75%) consider it regular in the HUPAA, and 6 (66.67%) sufficient in the Sanatorium Hospital. In the evaluation of diagnostic care, 75% of the patients considered regular in the HUPAA, whereas in the Hospital Sanatorio there was a division, with 33.33% sufficient, 33.33% insufficient, and 33.33% regular. Finally, in the methods used in the care, 66.67% responded regularly in the HUPAA, and in the Sanatorium Hospital, 66.67% of the patients answered that the methods are sufficient.
Descrição
Orientação: António Augusto Teixeira da Costa
Palavras-chave
MESTRADO EM GESTÃO DE EMPRESAS, GESTÃO, GESTÃO DE EMPRESAS, GESTÃO DA SAÚDE, DOENTES, GESTÃO DE DOENTES, MANAGEMENT, BUSINESS MANAGEMENT, HEALTH MANAGEMENT, PATIENTS, PATIENT CARE MANAGEMENT, BRASIL, BRAZIL