Proposta de um modelo de gestão de materiais em hospitais universitários federais de ensino: o caso HU-UFAL

Abstract

This case study discusses the materials management at University Hospital considering problems and factors that contribute to low integration and organizational performance in the assignment area of materials management. Through two studies, one qualitative and one quantitative held at UH-UFAL, with 198 physicians, nurses, administrators and staff directly related to material system and subsystem structure materials are analyzed, the production system management model, HR and the interrelation between standard systems, control, purchasing, storage and material distribution. The main constraints and deficiencies in the organizational structure of the management model and materials are identified, analyzed and discussed based on qualitative research. The results of qualitative research showed that the major causes for material problems are lack of control, planning and operation of the area itself, are those related to public organizational service context. Behavioral aspects of HR, communication, culture, structure and power also contribute to poor planning and activities disorganization in materials management. The results of quantitative research drawn from the statistical study of principal component analysis and factor analysis, showed the most relevant factors that affect performance and integration of materials management. Five factors account for 58.56% of total explained variance by the low performance of material services, the bureaucracy, planning services, standardization of materials and processes, the administrative and operational control activities. The bureaucracy and planning services were the factors most representative with 15.57%, 83% of the total explained variance. Research results shows among other evidences that factors combination inside organizational context management model of UH contribute to the inefficiency and functionality of materials management and its subsystems. Materials model management alone are unable to cope with the complexity of the hospital environment requiring an integrated approach. Based on research results, the work ends with a proposed theoretical model of integrated materials management that defines, identifies and lists within the context of the UH materials management and production services, the most relevant factors that allow the optimization and integrated systems and subsystems for performance of materials services.