Desenvolvimento de uma linha de cuidado em um hospital universitário

Abstract

This research is about the implementation of a line of care in a university hospital... and aims to develop the stage of evaluation of the process of implementation of the Line of Care (LC) of nephrology in a University Hospital. A descriptive field research was carried out, using a mixed method with a qualitative and a quantitative approach. Data collection was carried out using the Participant Observation method, interviews following a semi-structured script and using the micro-costing technique. It was noticed that the description of the stages of diagnosis, planning, intervention, coordination and monitoring for the implementation of the CL was essential for carrying out the evaluation stage, as well as the description of the use of management tools used. The structuring of the LC contributed to the organization of the nephrology service and improved the care provided to the patient. Also as a result, the production of the article on the survey of costs related to CL, which has already been submitted and accepted, stands out. It is concluded that the case management method was adequate to guide the LC implementation process. It is noteworthy that the information obtained through the evaluation will be considered a new diagnosis and will allow a reanalysis of the service. Thus, the process remains continuous and the stages are worked on in order to integrate the Care Lines model in the search for excellence in care. As a technical product of the present master's degree, the method of implementation of Lines of Care was described in a manual (APPENDIX D) for replication in the other Lines of Care of the Hospital, containing its strengths and weaknesses