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Previous issue date: 2016-06-30 / Estudo realizado acerca da Cadeia de Valor em uma unidade de pronto-socorro, na condi??o cl?nica Infarto Agudo do Mioc?rdio (IAM), utilizando como fundamento os pressupostos te?rico-metodol?gicos contidos no modelo de assist?ncia ? sa?de elaborado por Michael Porter. A pesquisa teve como objetivo geral analisar, por meio da Cadeia de Valor, a entrega de cuidados a pacientes em um servi?o de pronto-socorro de uma institui??o hospitalar de Natal/RN, na condi??o cl?nica IAM, considerando-se os aspectos relevantes para a obten??o de vantagem competitiva. Os objetivos espec?ficos foram: i) mapear a Cadeia de Valor na Institui??o estudada, utilizando como condi??o cl?nica o IAM; ii) determinar se os objetivos de cada fase da Cadeia de Valor est?o sendo atingidos. O estudo, de natureza descritiva e anal?tica, faz uso de pesquisa de campo com an?lise qualitativa e quantitativa de dados, por meio da aplica??o de entrevistas e question?rios a 14 m?dicos, 30 profissionais t?cnico-administrativos, um diretor e um administrador da Institui??o. Utilizou ainda a t?cnica de An?lise de Conte?do, cuja aplica??o ?s entrevistas originou o mapeamento da Cadeia de Valor. Igualmente, utilizou a Escala de Likert, com o intuito de determinar um escore que pudesse espelhar o grau de atingimento dos objetivos e fun??es de cada fase da Cadeia de Valor. Os resultados permitiram o mapeamento da Cadeia de Valor do IAM na institui??o estudada e constataram que os diversos fatores que comp?em as referidas fases foram avaliados como satisfat?rios na opini?o dos entrevistados, o que foi atestado pelo percentual de 68,3% obtidos num quantitativo de 430 quest?es, verificadas dentro da faixa de concord?ncia parcial ou completa com as afirmativas. Pela pesquisa, as fases que melhor cumprem seus objetivos privilegiam o Diagn?stico, o Tratamento e a Orienta??o de alta. Observando-se, ainda, em conjunto, os escores 4 e 5, que correspondem ? concord?ncia parcial ou completa ?s afirmativas dadas, o item Equipamentos, com 92,86%, destaca-se tamb?m com uma excelente avalia??o por parte dos entrevistados. As fases que mais se distanciaram do cumprimento dos objetivos abordam a Preven??o e as atividades voltadas para o paciente/cliente ap?s a alta hospitalar. O estudo revelou elementos para a defini??o de estrat?gias a serem aplicadas ?s pr?ticas exercidas pela Institui??o, bem como para a gera??o de valor aos pacientes, assim concorrendo para proporcionar vantagem competitiva, no conjunto das institui??es de sa?de atuantes no mercado. / Study on the value chain in a unit of the Emergency Room in clinical condition Acute Myocardial Infarction (AMI), using as a basis the theoretical and methodological assumptions contained in the care model to health developed by Michael Porter. The research aimed to analyze, through the value chain, the delivery of care to patients in an emergency unit of a hospital in Natal / RN, in clinical condition AMI, considering the relevant aspects to competitive advantage. The specific objectives were: i) map the Value Chain in the institution studied, using as a clinical condition AMI; ii) determine whether the objectives of each stage of the Value Chain are being achieved. The study, descriptive and analytical, used qualitative and quantitative data analysis through the application of interviews and questionnaires to 14 doctors, 30 technical and administrative staff, a director and an administrator of the Institution. Content analysis technique was used, wich application of the interviews led to Value Chain map. It was also used the Likert Scale, in order to determine a score that could reflect the degree of achievement of the objectives and functions of each stage of the Value Chain. The results allowed the mapping of Value Chain in AMI in the institution studied and the study showed that the factors that constitute these phases were assessed as satisfactory in the opinion of respondents, which was confirmed by the percentage of 68.3% obtained in 430 questions, verified within the range of partial or complete agreement with the statements. The stages that best meet their objectives emphasize the diagnosis, the treatment and the discharge orientation. Observing the scores 4 and 5 together, which correspond to the partial or complete agreement to the statements given, the item equipment, with 92.86%, also stands out with an excellent evaluation by the respondents. The Value Chain phases that were further away from their goals were those related to prevention and activities for the patient / client after hospital discharge. The study revealed elements for defining strategies to be applied to activities carried out by the Institution, as well as for the generation of value to patients, thus contributing to provide competitive advantage in the health care companies.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21864 |
| Date | 30 June 2016 |
| Creators | Lima, Ricardo Luiz de Medeiros |
| Contributors | 03934985491, http://lattes.cnpq.br/9062687501625890, Alexandre, Mauro Lemuel de Oliveira, 15590534453, http://lattes.cnpq.br/7233203993967359, Paiva, Maria Sanali Moura de Oliveira, 44714009400, http://lattes.cnpq.br/1789554697584994, Tacconi, Marli de F?tima Ferraz da Silva, 02608085717, http://lattes.cnpq.br/9540733920831213, Ara?jo, Afr?nio Galdino de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ADMINISTRA??O, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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