Thesis (M. Tech. (Public Management)) -- Central University of Technology, free State, [2014] / The primary aim of the proposed study is to investigate the technical problems affecting the efficiency and effectiveness of District Hospitals in the Free State Province. The proposed research therefore stands to contribute to the existing body of evidence on the efficiency and effectiveness of health care services, with regard to the existing problems in the health sector such as high staff turnover, facilities with lack of appropriate equipment, unmanageable workload, lack of appropriate infrastructure, a high absenteeism rate and low morale of the employees in the public health institutions. Therefore the study will identify potential shortcomings that are compromising the efficiency and effectiveness of the district hospitals. The findings of the study will be used to address some of the identified problems and also to describe how progress can be measured. The outcomes of this study are intended to raise important issues and to assist management of the Free State Department of Health to address the challenges that are affecting the functioning of the district hospitals. The findings will also assist the relevant managers in planning and implementation of policies that will address inequalities and problems as highlighted in the study. It will also create opportunities for shared responsibilities that management and the staff need to resolve jointly.

Os equipamentos médicos, sob regime da Vigilância Sanitária, compreendem todos os equipamentos de uso em saúde com finalidade médica, odontológica, laboratorial ou fisioterápica, utilizados direta ou indiretamente para diagnóstico, terapia, reabilitação ou monitorização de seres humanos. A manutenção desses equipamentos é atribuída a área de engenharia clínica. A engenharia clínica atua no desenvolvimento, gerenciamento, manutenção, incorporação e capacitação dos equipamentos médicos-hospitalares (EMH) dentro do hospital, visando contribuir com a qualidade de vida dos pacientes. Para melhorar a gestão destes equipamentos, aliou-se a informática, por meio dos sistemas de informação à área de manutenção. Os softwares destinados à área hospitalar existentes, são na maioria comerciais, caros e estão voltados à gestão dos pacientes, gestão de leitos e prontuários. A existência dos sistemas de informatização com a finalidade de auxiliar na manutenção, pode reduzir o tempo e o custo destinado a esta atividade. O objetivo deste estudo é analisar e implementar um sistema de informação para gerenciamento de manutenção de EMH. Este sistema é 100% Web, multiplataforma, que usa um método de priorização para manutenções preventiva e corretivas. Foram criados formulários personalizados para cada EMH visando a padronização de como serão armazenadas as soluções de cada manutenção. Para o desenvolvimento do sistema, foi aplicada a Análise Orientada a Objetos, por meio de técnicas da engenharia de software. O código do sistema foi desenvolvido usando a linguagem de programação PHP, utilizando um framework frontend Bootstrap e um banco de dados PostgreSQL. Com o sistema pronto foram criados métodos de testes de software disponibilizando roteiros para testar a usabilidade do software. Comparando o SIGEMH e outros softwares disponíveis no mercado, foi constatado que a maioria contempla os aspectos gerenciais de EMH, enquanto que o SIGEMH tem como meta a priorização e a padronização de formulários referentes às manutenções. Algumas funcionalidades existentes no outros softwares não foram desenvolvidas, mas implementou-se novas funcionalidades, tais como: o armazenamento de normas técnicas e manuais para pesquisas on-line, a padronização dos formulários pós manutenção e o método de priorização que define as ordens dos equipamentos para a realização dos serviços. / The medical equipment, under sanitary vigilance rules, comprehend all equipment in use in the health field with medical, odontological, laboratorial or physiotherapeutic purpose, which are used either directly or indirectly for diagnosis, therapy, rehabilitation, or monitoring of human beings. The maintenance of these equipment is attributed to the clinical engineering area. The clinical engineering acts on development, management, maintenance and capacitation of medical-hospital equipment (MHE), within the hospital, aiming to contribute to the patients? quality of life. In order to improve the management of these equipment, it has allied with informatics, by means of information systems in the maintenance field. Most of the existing softwares for the hospital area are commercial, expensive and are meant to patients, beds and medical records managing. The existence of informatization systems with the aim of helping maintenance may cut down the time and the cost for this activity. The purpose of this study is to analyze and to implement an information system for managing the maintenance of MHE. This system is 100% Web, multiplatform, and uses a prioritizing method for preventive and corrective maintenance. Customized forms were created for each MHE, aiming the standardization of storage of solutions for each maintenance. For the developing of the system, the Object Oriented Analysis was applied, with techniques of software engineering. The system code was developed using PHP programming language, using a Bootstrap frontend framework and a PostgreSQL database. When the system was ready, software testing methods were created, providing itineraries to test the software?s usability. Comparing to SIGEMH and other softwares on the market, it was found that the majority regards the managing aspects of MHE, while SIGEMH aims the prioritization and standardization of forms relative to maintenance. Some functionalities present in other softwares were not developed, but new functionalities were implemented, such as: storage of technical rules and manuals for online searching, standardization of post-maintenance forms and the method which defines the order of equipment for service execution.