Situational Analysis of Human Resource and Material Management Skills of Middle Level Health Care Managers at Primary Health Centres of Valsad, Gujarat: Identifying Barriers and Suggesting an Action Plan

Background: Management of Human resources in health has been a major challenge. Availability of manpower and material are the key ingredients required for efficient and effective delivery of health services. Removing the barriers related to it can help to improve functioning of PHCs. Objectives: 1. To analyse Human resource and Material management skills at PHCs by middle level healthcare managers. 2. To understand the constraints for effective management at PHCs. Materials and Methods: A cross sectional study was conducted amongst 38 Medical officers who were selected by simple random sampling method. Data collection was done using a semi structured and scale-based questionnaire adopted from NIHFW, India.Results: Almost half medical officers had experience of less than one year.Only 10.5% PHC/CHCs have full staff. 47.3% health facilities were lacking AYUSH MOs. 63.2% health facilities faced stock out of at least one item in last six months; Lack of manpower (34.8%) and overburden of work (27.9%) are major barriers. Conclusions: 90% PHCs have one or more posts vacant. Material management need to be improved for better provision of services. Major barriers are lack of Manpower, Infrastructure and Multitasking.

Sucesso e insucesso nas licitações da modalidade pregão: revisão scoping review / Success and failure in bidding process for reverse auction modality: a scoping review

RESUMO: O pregão é uma das modalidades de licitação, instituído pela Lei 10.520/02, e tem sido amplamente utilizado em instituições públicas. Apesar dos benefícios desta modalidade serem muitos, existe um número considerável de insucessos nos procedimentos, de modo que os pregões podem terminar fracassados, desertos ou, até mesmo cancelados, anulados ou revogados. O objetivo desse artigo é avaliar na literatura quais os motivos de sucessos e insucessos de licitações na modalidade pregão por meio de uma revisão de literatura realizada através de Scoping Review, conforme a proposta do Joanna Briggs Institute, realizada através da pergunta "Quais os fatores de sucesso e/ou insucesso encontrados nas compras por licitação na modalidade pregão?", nas bibliotecas digitais Capes Periódicos e Scientific Electronic Library Online e na base de dados PubMed. (AU)

ABSTRACT: The reverse auction is one of the bidding modalities, which was instituted by Law 10,520/02 and has been widely used in public institutions. Although the benefits of this modality are many, there is a considerable number of failures in the procedures, so that the reverse auction sessions may fail, with no participants or even be canceled, nullified, or revoked. This article aims to evaluate in the literature the reasons for successes and failures of the bidding process for reverse auction modality through a Scoping Review, as proposed by the Joanna Briggs Institute. The research question was "What are the factors of success and/or failure found in bidding purchases for reverse auction modality?", and the databases used were Capes Journals, Scientific Electronic Library Online, and PubMed. (AU)

Análise das notificações em tecnovigilância em instituições hospitalares: diagnóstico de situação / Analysis of notifications in technovigilance in hospital institutions: situation diagnosis

Na área da saúde, principalmente a partir da década de 1970, verifica-se um desenvolvimento científico e tecnológico acelerado, com um aumento do consumo de diferentes tecnologias em todos os níveis de atendimento e consequente aumento dos custos. Muitas inquietações passaram a fazer parte do cotidiano das organizações de saúde diante dessa nova realidade, uma vez que o impasse de incorporar novas tecnologias à prática clínica conflita com a administração de recursos necessários. Em razão da grande diversidade tecnológica e de itens necessários para uma instituição de saúde de grande porte, evidências indicam a premência de mudanças importantes para um efetivo gerenciamento, com controles mais efetivos, exigindo dos gestores um desempenho pautado em eficiência e eficácia. Na atualidade, tem se constituído um desafio para as instituições implementar ações de monitoramento capazes de identificar precocemente possíveis problemas, pois, independentemente do tipo de produto médico-hospitalar utilizado, não há como garantir a ausência de riscos em sua utilização. Diante desta problemática, é de extrema relevância a implantação e o uso de sistemas de registros sistemáticos de avaliações de materiais, enquanto subsídio para uma gestão eficiente no que concerne à maximização de recursos econômicos. Nessa perspectiva, aliada ao interesse em oferecer ao paciente uma assistência isenta de danos e segura na atuação dos profissionais de enfermagem e da equipe multiprofissional é que se justifica a presente pesquisa, que teve como objetivo analisar as não conformidades relativas aos materiais médico-hospitalares notificados ao Gerenciamento de Risco das instituições hospitalares de Ribeirão Preto. Esse foi um estudo descritivo, retrospectivo, documental, com abordagem quantitativa, realizado na cidade de Ribeirão Preto nos serviços de saúde constantes do Cadastro Nacional de Estabelecimentos de Saúde (CNES) categorizados como hospitais públicos, privados ou filantrópicos, gerais ou especializados, nos anos de 2014, 2015 e 2016 e que tivessem serviço de gerenciamento de risco. Os dados foram obtidos do Serviço de Gerenciamento de Risco das instituições participantes. Foi construído um instrumento contendo as seguintes variáveis: produto (nome técnico); grupo de material (médico-hospitalar; higiene pessoal; esterilização); queixa técnica; categoria do problema (embalagem, estrutura e aspecto alterado); setor (unidade que registrou o problema). Foi utilizada estatística descritiva para análise dos dados, utilizando o software SPSS versão 24. Das oito Instituições de Saúde elegíveis para o estudo, cinco (62,5%) autorizaram a realização da pesquisa. A instituição 1 apresentou o maior número de notificações 950 (94%), representando quase a totalidade. Em relação ao ano, foram identificadas 357 (35%) em 2014, 283 (28%) em 2015 e 369 (37%) em 2016. Quanto ao grupo de materiais notificados, identificamos um predomínio dos materiais médico-hospitalares, em todos os anos da pesquisa, com um total de 991 (98,2%) notificações. Em relação ao tipo de material, houve variação dos principais itens durante os anos de estudo, porém, no total geral, identificamos que a seringa foi o principal tipo de material, com 172 (17,1%) notificações. O segundo material foram as luvas de procedimento, com um total de 79 (7,83%) eventos, seguidas dos equipos macrogotas, com 70 (6,94) notificações. Quanto à categorização das queixas que envolviam esses materiais em todos os anos, a principal queixa foi referente à rachadura ou quebra do produto ou de parte dele, com um total de 591 (58,6%) eventos. Os resultados desse estudo demonstraram a importância do monitoramento dos produtos utilizados na assistência à saúde na etapa de pós-comercialização, por meio das queixas técnicas. Identificamos um total de 1.009 notificações, sendo a maioria referente a produtos médico-hospitalares, como seringas e equipos, sendo a principal queixa referente a rachadura ou quebra do produto ou de parte dele. Ressalta-se que estes materiais têm contato direto com o paciente, o que pode ocasionar riscos à sua segurança

In the health area, especially since the 1970s, there has been an accelerated scientific and technological development, with an increase in the consumption of different technologies at all levels of care and consequent increase in costs. Many concerns started to be part of the daily life of health organizations in front of this new reality, since the impasse of incorporating new technologies into clinical practice conflicts with the administration of necessary resources. Due to the great technological diversity and the necessary items for a large health institution, evidences indicate the urgency of important changes for an effective management, with more effective controls, requiring from managers a perform based on efficiency and effectiveness. At present, it has become a challenge for institutions to implement monitoring actions capable of identifying possible problems early, since, regardless of the type of medical-hospital product used, there is no way to guarantee the absence of risks in their use. Faced with this problem, it is extremely important to implement and use systems of systematic records of material evaluations, as a subsidy for an efficient management in what concerns the maximization of economic resources. In this perspective, allied to the interest in offering the patient a harmless and safe assistance in the work of the nursing professionals and the multiprofessional team is that this research is justified, whose objective was to analyze the nonconformities related to the notified medical-hospital materials to Risk Management of the hospital institutions of Ribeirão Preto. This was a descriptive, retrospective, documental study, with a quantitative approach, carried out in the city of Ribeirão Preto in the health services included in the National Register of Health Establishments (CNES) categorized as public, private or philanthropic hospitals, general or specialized, in the years 2014, 2015 and 2016 and that had a risk management service. Data were obtained from the Risk Management Service of the participating institutions. An instrument was constructed containing the following variables: product (technical name); group of material (medical-hospital, personal hygiene, sterilization); technical complaint; category of the problem (packaging, structure and altered appearance); sector (the unit that registered the problem). Descriptive statistic was used for data analysis, using SPSS software version 24. Of the eight Health Institutions eligible for the study, five (62.5%) authorized the research. Institution 1 had the highest number of notifications 950 (94%), representing almost all of them. In relation to the year, 357 (35%) were identified in 2014, 283 (28%) in 2015 and 369 (37%) in 2016. Regarding the group of materials reported, we identified a predominance of medical and hospital materials in all years of the survey, with a total of 991 (98.2%) notifications. Regarding the type of material, there were variations of the main items during the study years, however, in the overall total, we identified that the syringe was the main type of material, with 172 (17.1%) notifications. The second material was the procedure gloves, with a total of 79 (7.83%) events, followed by macrogotes, with 70 (6.94) notifications. Regarding the categorization of complaints involving these materials in all years, the main complaint was about the cracking or breaking of the product or part of it, with a total of 591 (58.6%) events. The results of this study demonstrated the importance of the monitoring of products used in health care in the post-marketing stage, through technical complaints. We identified a total of 1,009 notifications, the majority of which refer to medical and hospital products, such as syringes and equipment, the main complaint being the cracking or breaking of the product or part of it. It is emphasized that these materials have direct contact with the patient, which can cause risks to their safety

Research on the Application of Material Closed Loop Management in Medical Institutions Based on the Perspective of Management Accounting / 中国卫生经济

Objective:Through the closed loop management mode,it realized the whole process of material information could be traced back,especially in the medical business level.Methods:Based on the requirement of management accounting,the integrated accounting and business information were in accordance with management accounting.Results and Conclusion:It set up different management nodes in the closed loop of the materials,such as medicine,sanitary materials and test reagents,so as to get the relevant information.The problems of the extensive management of materials could be solved to improve the efficiency of the management of hospital materials.

Application of information system in material management of sterile supply / 医学研究生学报

Objective Hospital material management system of sterile supply has its particularity which is in close relation with medical quality.The study was to greatly improve the quality and efficiency of sterile supply department with the application of material management system. Methods The material management system integrated with the hospital net was applied in the man-agement of material distribution, inventory and statistics. Results It provided exact and detailed data for sterile supply department and clinical departments. Conclusion The application of information system in hospital net can provide exact and overall cost ac-counting information for involved departments, greatly improving the efficiency of material management.

Automatic Conversion of Material Management Information to Material Cost Accounting / 医疗卫生装备

Objective To realize the automatic conversion of material management information to branch-level material cost accounting. Methods According to the structure of material management system and cost accounting system, memory procedure of HIS was set to undertake the mission of information conversion. Results Automatic conversion of material management information to branch-level material cost accounting saved a lot of manpower and raised the efficiency and accuracy of cost accounting. Conclusion This solution is worth popularizing not only in other cost accounting but in information system integration and data sharing.

A RFID-Based Hospital Personnel and Material Management System / 医疗卫生装备

Objective To improve the material and personnel management in hospital by promoting construction of information system. Methods Based on the existent network system and RFID technology, the RFID-based system was developed to manage doctors, nurses, patients and material of hospital. Results The system could identify people and material automatically, thus realizing automatic management efficiently. Conclusion The combination of RFID technology and hospital information has good development prospects.

Management of Medical Support Material in New Period / 医疗卫生装备

According to the medical support missions of our hospital,a new management mode for medical support equipment is proposed including both warehouse management and daily supervision. This kind of management bases itself on peace time and focuses on war time.

Factors Influencing on Operation Efficiency of Information Management System for Supply and Demand of Materials at Health Care: Case Study in General Hospitals of Daejeon City / 대한의료정보학회지

This work was done to study employees' recognition about various factors to influence the operation efficiency of materialmanagement-information-system(MMIS). The results were as follows : First, it was investigated in a technical point of view that factors to influence tangible effectiveness include the improvement of data and information quality, efficiency of inventory management and formality of the reschedule management system. In a point of management view, the role of a top manager was the most important factor. Secondly, various factors such as simplicity of the management system, the resistance of change, and the encouragement of user's participation were estimated to influence intangible effectiveness in a organization view. Consequently, it was shown in the present study that the improvement of the operation efficiency of the MMIS requires the development of a model which can interconnect various information systems effectively.

Research and Development of Whole Flow Management Information System for Hospital Material Barcode / 医疗卫生装备

Objective To develop a set of hospital material management information system with the mature technique of barcode so as to realize the whole flow management of material.Methods By analyzing the main problems in present hospital material management,we put forward ways and procedures of material management,and gave an overall introduction to the composition of the system from three aspects: warehouse management on material and drugs,the second level storehouse management,such as material management in department,inspect reagent consumptive material management,no stock for high-cost medical consumables management,etc and the cost accounting and collecting system.The key technologies and implementation methods adopted in the designing process of this system were also introduced.Results The achievement of whole flow tracking management from material purchase to material consumption not only ensures a real whole flow management of materials,but effectively reduces the consumption of hospital materials.Conclusion With the mature and advanced technique of barcode and wireless network,the management of material can be better achieved.

Design and application of hospital material management system / 医疗卫生装备

In order to improve the scientificity and rationality of materiel management,we developed the materiel management system and realized the computerizing of material management. This system can solve all problems in material computerizing which occur during the process from the material application to its abandonment. Aiming at solving disadvantages in human management,the utilization of this system will greatly reduce the staff's work load,enhance the working efficiency and make the material management standardized.