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Navegando por Autor "Camilo, Deyse Gillyane Gomes"

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    Análise multicritério na área de saúde: seleção do protocolo de triagem mais adequado para as unidades de saúde de pronto atendimento de Natal
    (2019-02-26) Camilo, Deyse Gillyane Gomes; Souza, Ricardo Pires de; ; ; Francisco, Cláudia Aparecida Cavalheiro; ; Costa, José Alfredo Ferreira; ; Ferreira, Rodrigo José Pires;
    Os processos decisórios multiobjetivos apresentam um alto grau de complexidade em sua solução, e ferramentas como a Análise de Decisão Multicritério (MCDA) surgem como uma forma de facilitar a solução do decisor e garantir que a decisão seja tomada de forma coesa e eficiente. No setor da saúde pública as decisões são ainda mais delicadas, pois trabalham não apenas com a influência direta das necessidades humanas, mas também com verbas muitas vezes inferiores as reais necessidades apresentadas. Um ponto importante para o atendimento nas unidades de saúde é o sistema de triagem, que consiste numa pré-avaliação do paciente, classificando-o de acordo com o grau de risco a vida, a partir dessa triagem o paciente pode ser atendido de forma mais rápida e eficiente, agilizando todo o processo. Sendo assim, o presente estudo tem por objetivo determinar, qual o protocolo de triagem mais adequado para as unidades de pronto atendimento (UPAs). Para isso, essa pesquisa foi realizada com as quatro UPAs de Natal-RN, contando com auxílio de uma revisão da literatura e entrevistas e questionários estruturados, além disso, utilizou o método multicritério FITradeoff para facilitar o processo decisório. Por fim obteve-se como protocolo mais adequado para todas as UPAs o Sistema Español de Triaje (SET), este que se apresenta com alta facilidade de uso e implementação; critérios esses que foram apontados como mais relevantes pelos decisores.
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    Artigo
    Multi-criteria analysis in the health area: selection of the most appropriate triage system for the emergency care units in natal
    (BMC Medical Informatics and Decision Making, 2020-02-21) Camilo, Deyse Gillyane Gomes; Souza, Ricardo Pires de; Frazão, Talita Dias Chagas; Costa Junior, João Florêncio da
    Background: Multiobjective decision-making processes present a high degree of complexity in their solution, and tools such as multicriteria decision analysis appear as a way to facilitate the decision-makers’ solution and ensure that the decision is made cohesively and efficiently. In the public health sector, decisions are even more delicate because they work not only with the direct influence of human needs, but also with limited financial resources. An important point for the emergency care units is the triage system, which consists of a pre-evaluation of the patients, classifying them according to the degree of life risk. Through triage, the patient can be attended more quickly and efficiently, streamlining the whole process. Thus, the present research endeavored to determine the most appropriate triage protocol for emergency healthcare units in Natal-RN city in Brazil and may help others less advanced countries to determine the most appropriate triage protocol for emergency healthcare. Methods: In this study, we used the multicriteria analysis method known as FITradeoff. In addition, interviews and structured questionnaires applied with nurses, specialists and directors. Results: Based on the questionnaires and preferences presented by the decision-makers, the Spanish Triage System was the most suitable protocol for the emergency care units, which presented with high ease of use and implementation. Conclusions: This study reached its main objective, which was to determine the most appropriate triage protocol. In addition, it was observed the possibility of new research, such as the development of a specific protocol for this emergency care units and the creation of an application software for this new protocol
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    Artigo
    Multicriteria decision analysis (MCDA) in health care: a systematic review of the main characteristics and methodological steps
    (BMC Medical Informatics and Decision Making, 2018-11-01) Frazão, Talita Dias Chagas; Camilo, Deyse Gillyane Gomes; Cabral, Eric Lucas dos Santos; Souza, Ricardo Pires de
    Background: The health area is one of the most affected systems on the perspective of decision-making with multiobjectives, thus becoming prone to errors in the final solution, however, multicriteria decision analysis (MDCA) appears as an aid tool for this process decision-making. Therefore,the present study aims to analyze and synthesize articles found in the literature, involing MCDA in health care, evaluating general issues and methodological aspects, structuring them in a single work. Methods: Surveys in the bibliographic databases SCOPUS and PUBMED indicated 1852 documents on the subject, however after a careful verificatios, 66 studies were selected to be analyzed completely. The data extracted from the included articles were organized into a spreadsheet for the preparation of analysis, and the technique used was descriptive statistics. Results: It was possible to identify a growth trend in the application of the MCDA in the health area, but no dominance was identified in relation to the authors of the publication and the periodicals where they are published, but some countries stood out in terms of the number of published researches, such as: Canada and Turkey. In defining the decision problem, and in defining criteria, the “literature” presented the greatest demand for those who wish to structure their decision problem. Finally, it was verified by the analysis of the problem, that the MCDA to solve the problems of ranking has comprehensive application and that there is a greater incidence in the use of the AHP and Logic methods Fuzzy. Conclusion: With this, it is possible to observe, through the data of this review, that more than the multicriteria methods, the multicriteria decision model has been highlighted, also in the health area. In addition, the study can guide new applications and techniques using MCDA in the health care
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