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Advisor(s)
Abstract(s)
A Cadeia de abastecimento em Saúde (CAS) é um campo complexo, heterogéneo, com
vários intervenientes, com diferentes tipos de entidades. Sabe-se que a performance da
CAS nos sistemas de saúde pode melhorar a qualidade dos cuidados e que reduz o
desperdício financeiro, e otimizar a sua eficiência. Este estudo buscou avaliar o estado
da arte da performance da CAS, e verificar as principais temáticas que a influenciam.
Para tal, foi realizada uma revisão sistemática da literatura, com foco em estudos que
investigam a performance da CAS em ambiente hospitalar com impacto a nível do
sistema de saúde, com inclusão de 61 artigos.
Foi observado um aumento estatisticamente significativo na quantidade de estudos
publicados desde 2010 sobre a performance da CAS. Contudo, não foi observado um
aumento estatisticamente significante em estudos com resultados robustos, com
análise de significância estatística. Foi elaborado um modelo teórico com as principais
temáticas que influenciam a performance da CAS. Destas, apenas a "Avaliação da
Performance" é estatisticamente associada a performance da CAS, não sendo observado
o mesmo para “Práticas de Gestão" e "Práticas da Aprovisionamento". Portanto,
sugere-se o desenvolvimento de estudos com esta análise dos resultados, para que no
futuro se possa avaliar a influência destas temáticas. Sugere-se também a realização de
estudos que comparem a performance da CAS em diferentes países, por meio de
indicadores padronizados.
A principal contribuição deste estudo para a literatura foi a análise de seus resultados,
com avaliação da significância estatística. Tais tipos de resultados não foram
encontrados em nenhuma das 15 revisões de literatura analisadas por esta investigação.
Para concluir, ressalta-se que o aumento da performance da CAS pode promove maior
qualidade dos cuidados de saúde, com redução de desperdícios financeiros.
Healthcare Supply Chain (HSC) is a complex and heterogenic field, with several stakeholders, which involves different types of entities. It is known that good HSC performance in health systems can improve quality of care while reducing financial wastage by optimizing its efficiency. The objective of this study is to evaluate the state of art of HSC performance, as to verify the main areas that influences it. A systematic literature review was performed, focused on studies that investigates HSC performance in hospital environment with impact on a health system level, including 61 articles. The main result of this study was the statistically significant finding that the number of studies that evaluates the performance HSC has increased since 2010. However, it was not found a statistically significant increase in the number of studies with results analyzed by statistically significant tests. A theoretical framework was developed with the main areas that influences HSC performance, and its sub-areas. Of those areas, it was only found that "Performance Evaluation" is statistically associated with the performance of HSC. The other areas found, "Management Practices" and "Supply Chain Practices", are not statistically associated with the performance of the HSC. Therefore, it is suggested the development studies with statistical significance analysis of the results, so that in the future it will be possible to assess the influence of these themes. Further studies should also be conducted to compare HSC performance at the national health system level from different countries using standardized indicators. The main contribution of this study to the academic literature was its results, with evaluation of statistical significance. Such types of results were not found in any of the 15 literature reviews analyzed by this investigation. The study of HSC performance can improve the quality of health care while reduces financial waste, by optimizing HSC efficiency and guaranteeing rational use of medicines and medical products.
Healthcare Supply Chain (HSC) is a complex and heterogenic field, with several stakeholders, which involves different types of entities. It is known that good HSC performance in health systems can improve quality of care while reducing financial wastage by optimizing its efficiency. The objective of this study is to evaluate the state of art of HSC performance, as to verify the main areas that influences it. A systematic literature review was performed, focused on studies that investigates HSC performance in hospital environment with impact on a health system level, including 61 articles. The main result of this study was the statistically significant finding that the number of studies that evaluates the performance HSC has increased since 2010. However, it was not found a statistically significant increase in the number of studies with results analyzed by statistically significant tests. A theoretical framework was developed with the main areas that influences HSC performance, and its sub-areas. Of those areas, it was only found that "Performance Evaluation" is statistically associated with the performance of HSC. The other areas found, "Management Practices" and "Supply Chain Practices", are not statistically associated with the performance of the HSC. Therefore, it is suggested the development studies with statistical significance analysis of the results, so that in the future it will be possible to assess the influence of these themes. Further studies should also be conducted to compare HSC performance at the national health system level from different countries using standardized indicators. The main contribution of this study to the academic literature was its results, with evaluation of statistical significance. Such types of results were not found in any of the 15 literature reviews analyzed by this investigation. The study of HSC performance can improve the quality of health care while reduces financial waste, by optimizing HSC efficiency and guaranteeing rational use of medicines and medical products.
Description
Keywords
Cadeia de Abastecimento em Saúde Hospital Performance Práticas de Gestão Revisão Sistemática de Literatura Sistema de Saúde