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Assessoria Estratégica em Saúde: Desafios e Oportunidades Na Gestão Hospitalar
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Esta dissertação analisa o contributo potencial da assessoria estratégica em saúde para a melhoria da gestão hospitalar, com foco em desafios e oportunidades percecionados por profissionais internos em duas Unidades Locais de Saúde (ULS da Guarda e ULS de Viseu Dão-Lafões). O estudo adota uma abordagem quantitativa, transversal e exploratório-descritiva, recorrendo à aplicação de questionário. A análise incluiu estatística descritiva e, quando aplicável, testes não paramétricos para comparação entre instituições.
Os resultados evidenciam constrangimentos associados à eficiência operacional, nomeadamente escassez de recursos humanos, fragilidades de comunicação interna e limitações infraestruturais, bem como fatores críticos na qualidade percebida, com destaque para tempos de espera, acesso e dimensões comunicacionais e de humanização. Ao nível dos recursos humanos, surgem referências frequentes a motivação, reconhecimento, progressão e liderança, sugerindo impacto na capacidade de implementação sustentada de medidas de melhoria.
Conclui-se que a assessoria estratégica, quando operacionalizada como função de apoio à decisão e monitorização por indicadores, poderá contribuir para reforçar coerência organizacional, priorização de intervenções e avaliação de impacto, articulando eficiência, qualidade e valorização das equipas. O estudo apresenta limitações relacionadas com a dimensão amostral e com a natureza autorreportada dos dados, recomendando-se, em investigações futuras, triangulação com indicadores institucionais e métodos complementares.
This dissertation analyzes the potential contribution of strategic health consulting to improving hospital management, focusing on the challenges and opportunities perceived by internal professionals at two Local Health Units (ULS da Guarda and ULS de Viseu Dão-Lafões). The study adopts a quantitative, cross-sectional, and exploratory-descriptive approach, using a questionnaire. The analysis included descriptive statistics and, where applicable, nonparametric tests for comparison between institutions. The results highlight constraints related to operational efficiency, namely shortages of human resources, weaknesses in internal communication, and infrastructural limitations, as well as critical factors in perceived quality, with an emphasis on wait times, access, and aspects of communication and humanization. Regarding human resources, there are frequent references to motivation, recognition, career progression, and leadership, suggesting an impact on the capacity for the sustained implementation of improvement measures. It is concluded that strategic advisory services, when implemented as a function supporting decision-making and monitoring through indicators, can contribute to strengthening organizational coherence, prioritizing interventions, and assessing impact, by integrating efficiency, quality, and team recognition. The study has limitations related to sample size and the self-reported nature of the data; future research is recommended to include triangulation with institutional indicators and complementary methods.
This dissertation analyzes the potential contribution of strategic health consulting to improving hospital management, focusing on the challenges and opportunities perceived by internal professionals at two Local Health Units (ULS da Guarda and ULS de Viseu Dão-Lafões). The study adopts a quantitative, cross-sectional, and exploratory-descriptive approach, using a questionnaire. The analysis included descriptive statistics and, where applicable, nonparametric tests for comparison between institutions. The results highlight constraints related to operational efficiency, namely shortages of human resources, weaknesses in internal communication, and infrastructural limitations, as well as critical factors in perceived quality, with an emphasis on wait times, access, and aspects of communication and humanization. Regarding human resources, there are frequent references to motivation, recognition, career progression, and leadership, suggesting an impact on the capacity for the sustained implementation of improvement measures. It is concluded that strategic advisory services, when implemented as a function supporting decision-making and monitoring through indicators, can contribute to strengthening organizational coherence, prioritizing interventions, and assessing impact, by integrating efficiency, quality, and team recognition. The study has limitations related to sample size and the self-reported nature of the data; future research is recommended to include triangulation with institutional indicators and complementary methods.
Descrição
Palavras-chave
Assessoria estratégica. Gestão hospitalar. Qualidade dos serviços. Gestão de recursos humanos. Sustentabilidade financeira. Strategic consultancy. Hospital management. Service quality. Human resources. Financial sustainability. Hospital management. Service quality. Human resources. Financial sustainability. Strategic consultancy. Hospital management. Service quality. Human resources. Financial sustainability. Gestão de recursos humanos. Sustentabilidade financeira.
Contexto Educativo
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Licença CC
Sem licença CC