Proposta de modelo para o dimensionamento do quadro de profissionais para o serviços de Engenharia Clínica dos hospitais universitários da Universidade Federal do Ceará

Abstract

To perform medical equipment management is necessary a technical and administrative team adequately sized to perform the services with quality. In the hospital environment, the Clinical Engineering is responsible for performing this management, and it is necessary to structure the team in a way that is appropriate to the reality of the institution. Considering the characteristics of public hospitals in Brazil, there is an environment that requires a different control by the Clinical Engineering because it is inserted in the scope of public contracting, which causes an increase of activities to be considered in the scope of the service. In this work, a sizing model was proposed that uses a calculation tool to carry out the personnel sizing for the Clinical Engineering team in University Public Hospitals of the Ebserh network, both to plan the structuring of new services and to evaluate if the services are properly sized to perform the activities defined in the scope. Considering the number of variables for comparison between the different institutions, each one has its own characteristics that make it difficult to compare each other, which makes it impossible to draw up a simplified methodology applicable to all Ebserh network hospitals based on a mathematical formula that uses reference to some variables or basic information such as number of beds and quantity of equipment, the proposed instrument was elaborated, taking into account the estimate of the demand of each activity assigned to the Clinical Engineering team and the estimated time to execute the activity. For this, some items were suggested to define the scope of the Clinical Engineering service and the processes related to the scope were mapped, which served as a reference to describe the main activities of responsibility of the Clinical Engineering team. Then, each activity was assigned to a team position and the time required to perform this activity was estimated, allowing the calculation of the required number of professionals for each position, taking into account the estimated time demand for its execution. The proposed model uses some variables that are linked to each of the activities in order to optimize the performance of the calculations, besides presenting a table with the reference parameters for estimating the quantity of service demand and estimating the time for execution of each activity. Thus, the construction of the instrument and the presentation of reference data will guide the professionals in the dimensioning of the team. With this, it is intended to base the Clinical Engineering professionals and managers with information necessary for the adequate planning of the team, avoiding a scenario that may result in inadequate contracting, causing damages to the quality of the services rendered and excessive expenses.