0096/2023 - Coordenação da Rede de Atenção ao Câncer de Mama: análise à luz da filosofia Lean para o diagnóstico precoce Coordination of the breast cancer care network: analysis in the light of the Lean methodology for early detection
Objetivou-se analisar a aplicação da filosofia Lean na Rede de Atenção à Saúde (RAS) para o diagnóstico precoce do câncer de mama. Trata-se de estudo de caso, com produção dos dados por entrevistas, análise documental e observação, desenvolvido entre junho e julho de 2019. O cenário foi o município sede da Região Metropolitana Norte, CE, Brasil, envolvendo três pontos da RAS (Unidade Básica de Saúde, Centro de Especialidades Médicas e Policlínica). Identificaram-se como problemas: elevado tempo de espera, atendimento por ordem de chegada e insuficiência da carga horária médica. A implementação do modelo teórico da filosofia Lean reduziria o tempo total dos processos de 36 dias para 15 no fluxo Unidade Básica de Saúde/Centro de Especialidades Médicas e de 33 para 13 dias na Unidade Básica de Saúde/Policlínica. Verificou-se que o modelo apresentado se configura como referencial eficiente para melhoria da gestão e do diagnóstico precoce do câncer de mama na RAS.
Palavras-chave:
Atenção Primária à Saúde. Rede de Atenção à Saúde. Lean Healthcare. Diagnóstico precoce. Neoplasias da mama.
Abstract:
The objective was to analyze the application of the Lean philosophy in the Health Care Network (RAS) for the early diagnosis of breast cancer. This is a case study, with data production through interviews, document analysis and observation, carried out between June and July 2019. The scenario was the seat of the municipality of the North Metropolitan Region, CE, Brazil, involving three points of the RAS (Unidade Health Center, Medical Specialties Center and Polyclinic). The following problems were identified: long waiting times, first-come, first-served care and insufficient medical workload. The implementation of the theoretical model of Lean philosophy would reduce the total process time36 days to 15 in the Basic Health Unit/Medical Specialty Center flow and33 to 13 days in the Basic Health Unit/Polyclinic. It was found that the presented model is an efficient reference for improving the management and early diagnosis of breast cancer in the RAS.
Keywords:
Primary Health Care. Health services network. Lean Healthcare. Early diagnosis. Breast neoplasms.
Coordination of the breast cancer care network: analysis in the light of the Lean methodology for early detection
Resumo (abstract):
The objective was to analyze the application of the Lean philosophy in the Health Care Network (RAS) for the early diagnosis of breast cancer. This is a case study, with data production through interviews, document analysis and observation, carried out between June and July 2019. The scenario was the seat of the municipality of the North Metropolitan Region, CE, Brazil, involving three points of the RAS (Unidade Health Center, Medical Specialties Center and Polyclinic). The following problems were identified: long waiting times, first-come, first-served care and insufficient medical workload. The implementation of the theoretical model of Lean philosophy would reduce the total process time36 days to 15 in the Basic Health Unit/Medical Specialty Center flow and33 to 13 days in the Basic Health Unit/Polyclinic. It was found that the presented model is an efficient reference for improving the management and early diagnosis of breast cancer in the RAS.
Palavras-chave (keywords):
Primary Health Care. Health services network. Lean Healthcare. Early diagnosis. Breast neoplasms.
Gurgel, A.G.S.R, Aragão, J.M.N, Vasconcelos, M.I.O, Magalhães, A.L.P, Cristino Filho, G., Parente, J.R.F. Coordenação da Rede de Atenção ao Câncer de Mama: análise à luz da filosofia Lean para o diagnóstico precoce. Cien Saude Colet [periódico na internet] (2023/Abr). [Citado em 28/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/coordenacao-da-rede-de-atencao-ao-cancer-de-mama-analise-a-luz-da-filosofia-lean-para-o-diagnostico-precoce/18722?id=18722&id=18722
