Proposta para implantação de centrais de equipamentos médicos nos hospitais públicos estaduais

Abstract

The Unified Health System (SUS) encompasses Health Care Establishments (EAS) with varying levels of complexity, necessitating a diverse array of medical equipment. The Public Health Department of Rio Grande do Norte (SESAP/RN) plays a crucial role in coordinating the State Health Policy, adhering to SUS principles and overseeing the management strategies for medical-hospital equipment in 21 hospitals. The absence of an efficient system for this management results in adverse consequences, such as the unavailability or poor maintenance of essential equipment, leading to financial waste. This study aims to develop a proposal for the implementation of Medical Equipment Centers in hospital units belonging to the SESAP/RN network. The proposal is grounded in the urgency to enhance operational performance, maximize financial resource management, maintain the availability of essential devices, and provide excellent and secure patient care. Through an exploratory and quantitative-qualitative procedure, data were collected regarding the organizational structure and work processes during the life cycle stages of medical-hospital equipment in SESAP/RN, including information on units already equipped with CEQUIPs. Based on a case study methodology, a new work process was proposed, considering an appropriate environment and qualified professionals to structure and implement Equipment Centers in SESAP/RN hospital units. This led to the development of a new work process model that centralizes services related to certain stages of the life cycle of medical-hospital equipment, maintenance services, monitoring of existing contracts, tracking equipment transfers, and ensuring the management of the technological infrastructure of a state health network hospital unit.