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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Modelos de gest?o de hospitais estaduais do SUS sob administra??o direta

Pereira, Samantha Souza da Costa 20 April 2016 (has links)
Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2018-01-25T23:24:08Z No. of bitstreams: 1 DISSERTA??O - Samantha Souza da Costa Pereira.pdf: 2895480 bytes, checksum: 36fd7df7a9b24c33058c77c93d524818 (MD5) / Made available in DSpace on 2018-01-25T23:24:08Z (GMT). No. of bitstreams: 1 DISSERTA??O - Samantha Souza da Costa Pereira.pdf: 2895480 bytes, checksum: 36fd7df7a9b24c33058c77c93d524818 (MD5) Previous issue date: 2016-04-20 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Hospitals are very complex structures and represent the most traditional way of organization in the health sector. Managing these organizations is a very challenging and equally difficult task. The Unified Health System (SUS) is endowed with an agreed hospital network and another own network, which may be administered directly by the State (Direct Administration) or by third parties (Indirect Administration). Direct Administration, here discussed, involves different management models. In this study, three paradigms of public administration, present in SUS hospitals are discussed: Patrimonialist, Bureaucratic and New Public Management. Composing intrinsically the management apparatus, there is the decision-making process, which constitutes an extremely relevant instrument in the administrative area. Thus, this research has as a general objective: to analyze the model of hospital management of the State Health Secretariat of Bahia (SESAB), under direct administration. To do so, a qualitative investigation was carried out through a case study, conducted in three large state hospitals under Direct Administration. Senior managers from the hospitals participated in this study, as well as a director of SESAB, who were submitted to the semi-structured interview. Other primary and secondary data sources were used, consisting of freely accessible documents. The data were analyzed in light of the Content Analysis, observing all the ethical principles contained in Resolution 466/12. As results, it was verified that the sociodemographic profile of the managers follows an expected pattern: majority of white men, with average age of 48 years, medical doctors, with specialization in hospital administration and having past experience. The perception of these managers about their management units pointed to serious demand problems. The management model characterized by the managers aggregates characteristics of the three management paradigms, with predominance of the Bureaucratic Model. When mentioning that the management model present in their action unit is ?Participative?, managers approached the ideology advocated by the SUS, however, the organizational design of two of the hospitals studied indicates the existence of a still rigid structure. The decision-making process still followed a centralized practice. Thus, it is assumed that the adoption of a collegiate management model would be an alternative to democratize it, as it also is with the establishment of participatory decision-making processes. This study revealed that there is still a gap in the study of the management model present in hospitals administered by the State. Therefore, it is suggested that further studies should be carried out in this regard, as their results may lead to improvements in state administrative structures and contribute to the State?s ability to take over the management of the public machine. / Os hospitais s?o estruturas hipercomplexas e representam a forma mais tradicional de organiza??o no setor de sa?de. Administrar estas organiza??es constitui-se numa tarefa deveras desafiadora e igualmente dif?cil. O Sistema ?nico de Sa?de (SUS) ? dotado de uma rede hospitalar conveniada e outra pr?pria, podendo esta ?ltima ser administrada diretamente pelo Estado (Administra??o Direta) ou por terceiros (Administra??o Indireta). A Administra??o Direta, aqui abordada, comporta diferentes modelos de gest?o. Neste estudo, s?o discutidos tr?s paradigmas da administra??o p?blica, presentes em hospitais do SUS: Patrimonialista, Burocr?tica e Gerencial. Compondo de forma intr?nseca o aparato da gest?o, tem-se o processo decis?rio, que se constitui num instrumento extremamente relevante na seara administrativa. Desse modo, essa investiga??o tem como objetivo geral: analisar o modelo de gest?o de hospitais da Secretaria Estadual de Sa?de da Bahia (SESAB), sob administra??o direta. Para tanto, procedeu-se a uma investiga??o qualitativa, por meio de um estudo de caso, realizado em tr?s hospitais estaduais, de grande porte e sob Administra??o Direta. Participaram desse estudo gestores da alta dire??o dos hospitais, al?m de um diretor da SESAB, os quais foram submetidos ? entrevista semiestruturada. Foram utilizadas outras fontes prim?rias e secund?rias de dados, que s?o documentos de livre acesso. Os dados foram analisados ? luz da An?lise de Conte?do, observando-se todos os princ?pios ?ticos contidos na Resolu??o 466/12. Como resultados, verificou-se que o perfil sociodemogr?fico dos gestores segue um padr?o esperado: maioria de homens brancos, com idade m?dia de 48 anos, m?dicos, com especializa??o em administra??o hospitalar e dotados de experi?ncia pret?rita. A percep??o desses gestores acerca das suas unidades de gest?o apontou s?rios problemas de demanda. O modelo de gest?o caracterizado pelos gestores agrega caracter?sticas dos tr?s paradigmas de gest?o, com predomin?ncia do Modelo Burocr?tico. Ao referirem que o modelo de gest?o presente em sua unidade de atua??o ? ?Participativo?, os gestores se aproximaram do ide?rio preconizado pelo SUS, entretanto, o desenho organizacional de dois dos hospitais estudados sinaliza a exist?ncia de uma estrutura ainda r?gida. O processo decis?rio ainda seguia uma pr?tica centralizada. Sendo assim, tem-se que a ado??o de um modelo de gest?o colegiada seria uma alternativa para democratizar a gest?o. De igual modo, a instaura??o de processos decis?rios participativos. Este trabalho revelou que ainda h? uma lacuna no que se refere ao estudo do modelo de gest?o presente nos hospitais administrados pelo Estado. Portanto, sugere-se que mais estudos sejam realizados neste aspecto, uma vez que os resultados deles advindos podem redundar em aperfei?oamento das estruturas administrativas estatais, e contribuir para que o Estado assuma com compet?ncia a gest?o da m?quina p?blica.
2

Gest?o ecol?gica da informa??o: um estudo aplicado ? Pr?-Reitoria de Gradua??o da Universidade Federal do Rio Grande do Norte

Santana, Sandra Cristina de 24 August 2017 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-03-02T20:37:27Z No. of bitstreams: 1 SandraCristinaDeSantana_DISSERT.pdf: 3027230 bytes, checksum: 45366fa63aaeb00c412b9fa0b5087bfb (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-03-02T20:47:53Z (GMT) No. of bitstreams: 1 SandraCristinaDeSantana_DISSERT.pdf: 3027230 bytes, checksum: 45366fa63aaeb00c412b9fa0b5087bfb (MD5) / Made available in DSpace on 2018-03-02T20:47:53Z (GMT). No. of bitstreams: 1 SandraCristinaDeSantana_DISSERT.pdf: 3027230 bytes, checksum: 45366fa63aaeb00c412b9fa0b5087bfb (MD5) Previous issue date: 2017-08-24 / A gest?o da informa??o (GI) tem um papel de destaque em todos os tipos de organiza??es, incluindo as institui??es de ensino superior. Esse destaque ? oriundo da percep??o da informa??o como recurso estrat?gico que resultou em mudan?as significativas no comportamento informacional dos colaboradores e nas estruturas das organiza??es. Outros fatores contribuem para o uso da GI nas universidades, sobretudo quando se observa o crescimento e expans?o das institui??es de ensino superior federais, principalmente em decorr?ncia da implanta??o do Plano de Reestrutura??o e Expans?o das Universidades Federais (REUNI), o que resultou em impactos significativos em suas demandas, principalmente no gerenciamento de atividades administrativas e da sobrecarga de informa??es. Tais demandas exigem que as universidades utilizem ferramentas que melhor gerenciem a busca, a sele??o, o tratamento, o armazenamento, o compartilhamento e o uso das informa??es, evidenciando pr?ticas da gest?o da informa??o com maior relev?ncia. A situa??o-problema identificada na Pr?-Reitoria de Gradua??o da Universidade Federal do Rio Grande do Norte (PROGRAD/UFRN) foi como otimizar a gest?o da informa??o do processo de cadastramento de ingressantes na unidade fazendo o uso da ferramenta eletr?nica dispon?vel? Este estudo justifica-se pela import?ncia que a PROGRAD/UFRN tem para a institui??o, em termos de n?mero de usu?rios de seus servi?os, volume de processos, atividades e documentos circulando em seu interior. Assim, objetiva-se, de modo geral, propor a otimiza??o da gest?o da informa??o de um processo estrat?gico da PROGRAD/UFRN. Especificamente objetiva-se: a) identificar pesquisas sobre modelos de GI aplicados em outras IES; b) caracterizar a gest?o da informa??o na PROGRAD/UFRN, com base na abordagem ecol?gica da informa??o; c) mapear um processo estrat?gico existente na PROGRAD/UFRN com o prop?sito de otimiz?-lo. Para alcan?ar tais objetivos desenvolveu-se um estudo de car?ter qualitativo, de natureza aplicada, descritiva, tendo como estrat?gia de pesquisa, a pesquisa-a??o. A pesquisa foi dividida em quatro etapas: diagn?stico da situa??o-problema, planejamento do estudo, interven??o e avalia??o. Para obten??o de dados foram realizadas pesquisa bibliogr?fica, an?lise documental, aplicados question?rios estruturados, realizadas entrevistas individuais semiestruturadas, organizados grupos focais e realizada observa??o participante. Os resultados obtidos indicam que a PROGRAD/UFRN vem empregando parcialmente os princ?pios da Ecologia da Informa??o em rela??o aos ambientes externo, organizacional e informacional, portanto a gest?o da informa??o ainda n?o ? integrada. Para otimizar a gest?o da informa??o na unidade se faz necess?rio que as pessoas, sejam melhor consideradas quanto ? produ??o, ao uso e ao compartilhamento das informa??es. A proposta de interven??o foi constru?da de forma colaborativa, implementada e avaliada, que subsidiou uma proposi??o mais consistente e ampla para a sua aplica??o. Entende-se que o aprimoramento do processo estrat?gico de cadastramento de discentes ingressantes na institui??o, fazendo uso da funcionalidade dispon?vel no sistema acad?mico ainda perpassa por alguns ?bices. Por fim, recomenda-se outros estudos que possam dar continuidade ?s pesquisas de ferramentas que possibilitem que a gest?o da informa??o em organiza??es p?blicas, como na UFRN, torne-se um recurso estrat?gico para o alcance pleno da sua miss?o e de seus objetivos. / Information management (IM) has a prominent role in all types of organizations, including the higher education institutions. This highlighted role is derived from the perception of information as a strategical resource that resulted in significant changes in the informational behavior of the associates and in the structures of the organizations. Other factors contribute to the use of IM in universities, mainly when it is observed the growth and expansion of federal higher education institutions, especially due to the employment of the Plan of Restructuring and Expansion of Federal Universities (REUNI), that resulted in significant impacts on their demands, mostly in the management of the administrative activities and the overload of information. Such demands require that universities use tools that better manage searching, selecting, processing, storing, sharing and using information, highlighting practices of information management with more relevance. The problem?s context identified in the Undergraduate Program?s Office of the Federal University of Rio Grande do Norte (PROGRAD/UFRN) was to optimize the information management in the process of registering the incoming students utilizing the available electronic tool? This study is justified for the importance that PROGRAD/UFRN has in the institution when it comes to the number of users of its services, volume of processes, activities and documents processing through. Thus, the objective is to propose the optimization in the information management of a strategical process of PROGRAD/UFRN. The specific objectives are: a) identify research on models of IM applied to other HEI; b) characterizing the information management of PROGRAD/UFRN, with basis on the information ecological approach; c) mapping an existing strategical process in PROGRAD/UFRN with the purpose to optimize it. To fulfill such objectives a qualitative, descriptive and applied study was developed, having the research-action as a strategy. The study was divided in four phases: diagnosing the problem?s context, planning the study, intervention and evaluation. To acquire the data, it was conducted a literature review, documental analysis, structured surveys applied, semi-structured interviews, focal groups organized and performed the participant observation. The results obtained indicate that PROGRA/UFRN has been employing partially the principals of Information Ecology regarding the external environments, organizational and informational, thus the information management is not integrated yet. To optimize the information management in this institution it is necessary that the people are taken into account when it comes to productivity, the use and sharing of information. The intervention proposal was built in a collaborative, implemented and evaluated manner that subsidized a more consistent and broad proposition for its use. It is understood that the enhancement of the strategical process of registering incoming students in the institution, utilizing the available functionality in the academic system still faces some obstacles. Finally, it is recommended that other studies are continued for the research of tools that make it possible the information management in public organizations, such as UFRN, become a strategical resource to reach its complete mission and objectives.

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