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Abstract(s)
Com os avanços tecnológicos observa-se, cada vez mais, como os equipamentos médicos impactam positivamente a prestação de cuidados de saúde, contribuindo consideravelmente para melhorias a nível de diagnóstico, tratamentos e monitorização de pacientes. Assim, a medicina tem-se tornado numa área altamente dependente deste tipo de tecnologia, sendo a aquisição de equipamento médico uma atividade recorrente nas instituições de saúde. Como tal, a gestão adequada destes dispositivos ao longo do seu ciclo de vida é vital para maximizar a sua longevidade. No entanto, quando as tecnologias se tornam inoperacionais, os planos de investimento têm de integrar as necessidades de substituição de equipamento obsoleto. Assim, desenvolveu-se uma metodologia prática que permite averiguar o nível de obsolescência dos
equipamentos médicos, por via de um ranking, no contexto de um hospital universitário. Esta dissertação objetiva aumentar a eficácia operacional e financeira das instituições de saúde ao providenciar um modelo que permite auxiliar na tomada de decisão quanto às tecnologias que devem ser substituídas. Para tal, efetuou-se, em primeira instância, uma revisão de literatura de modo a verificar quais as metodologias de gestão existentes e quais os critérios mais utilizados nas mesmas. Na segunda parte desenvolveu-se a metodologia com base na revisão de literatura e na informação disponibilizada pelo sistema informatizado do hospital
universitário, considerando-se 5 critérios: Função, Risco, Histórico de falhas, Idade e os Custos de manutenção e aquisição. Ainda, um processo iterativo, posterior à análise dos 6 cenários com rankings diferentes, foi utilizado para estabelecer os pesos da metodologia desenvolvida. Do ranking resultante observa-se que das tecnologias com maior nível de obsolescência, 7 das 8 categorias de equipamento da amostra podem ser integradas num plano de substituição de maior urgência. A maioria das bombas de perfusão surgem como os equipamentos mais obsoletos, refletindo a sua urgência de substituição mais elevada que os restantes dispositivos. A metodologia desenvolvida destacou-se pela sua simplicidade de aplicação, podendo ajudar os responsáveis de gestão e finanças das instituições de saúde a tomar uma decisão fundamentada de substituição de equipamento médico.
The positive impact of medical equipment on healthcare is becoming increasingly evident with the advent of new technologies, with significant contributions being made to improve diagnosis, treatment and patient monitoring. Consequently, the medical field has become highly dependent on this type of technology, to the extent that the acquisition of medical equipment has become a routine activity in healthcare institutions. It is of the utmost importance to ensure the effective management of these devices throughout their entire lifespan, in order to guarantee their optimal longevity. However, when technologies become outdated, investment plans must take into account the necessity of replacing obsolete equipment. To address this issue, a practical methodology was developed to investigate the obsolescence level of medical equipment, utilizing a ranking system, within the context of a university hospital. The objective of this dissertation is to enhance the operational and financial efficiency of healthcare institutions by providing a model that facilitates decision-making regarding the replacement of technology. Initially, a literature review was conducted to identify existing management methodologies and the most used criteria within them. Based on this review and information from the university hospital's computerized system, a methodology was developed considering five criteria: Function, Risk, Failure History, Age, and maintenance and acquisition Costs. Furthermore, an iterative process, following the analysis of 6 scenarios with different rankings, was used to determine the weights of the developed methodology. The resulting ranking revealed that 7 out of 8 categories of equipment in the sample could be prioritized for a more urgent replacement plan. Perfusion pumps were identified as the most obsolete equipment, indicating a higher urgency for replacement compared to other devices. The developed methodology is notable for its simplicity of application, enabling managers and financial officers of healthcare institutions to make informed decisions regarding the replacement of medical equipment.
The positive impact of medical equipment on healthcare is becoming increasingly evident with the advent of new technologies, with significant contributions being made to improve diagnosis, treatment and patient monitoring. Consequently, the medical field has become highly dependent on this type of technology, to the extent that the acquisition of medical equipment has become a routine activity in healthcare institutions. It is of the utmost importance to ensure the effective management of these devices throughout their entire lifespan, in order to guarantee their optimal longevity. However, when technologies become outdated, investment plans must take into account the necessity of replacing obsolete equipment. To address this issue, a practical methodology was developed to investigate the obsolescence level of medical equipment, utilizing a ranking system, within the context of a university hospital. The objective of this dissertation is to enhance the operational and financial efficiency of healthcare institutions by providing a model that facilitates decision-making regarding the replacement of technology. Initially, a literature review was conducted to identify existing management methodologies and the most used criteria within them. Based on this review and information from the university hospital's computerized system, a methodology was developed considering five criteria: Function, Risk, Failure History, Age, and maintenance and acquisition Costs. Furthermore, an iterative process, following the analysis of 6 scenarios with different rankings, was used to determine the weights of the developed methodology. The resulting ranking revealed that 7 out of 8 categories of equipment in the sample could be prioritized for a more urgent replacement plan. Perfusion pumps were identified as the most obsolete equipment, indicating a higher urgency for replacement compared to other devices. The developed methodology is notable for its simplicity of application, enabling managers and financial officers of healthcare institutions to make informed decisions regarding the replacement of medical equipment.
Description
Keywords
Obsolescence assessment Replacement of medical equipment Life cycle management Decision-making Avaliação de obsolescência Substituição de equipamento médico Gestão do ciclo de vida Tomada de decisão