Navegando por Autor "Frazão, Talita Dias Chagas"

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Modelo de decisão multicritério para auxiliar a priorização de vítimas no atendimento pré-hospitalar de emergência: o caso do SAMU/192
(Universidade Federal do Rio Grande do Norte, 2020-08-25) Frazão, Talita Dias Chagas; Souza, Ricardo Pires de; ; ; http://lattes.cnpq.br/9085400404879044; Costa, José Alfredo Ferreira; ; Ferreira, Rodrigo José Pires;
As decisões sobre a priorização de vítimas no atendimento pré-hospitalar de emergência acontecem em um cenário de escassez de recursos, mudanças na demografia do paciente e no desenvolvimento do profissional, dificultando a tomada de decisão dos Serviços de emergência Médica, SAMU/192. Tomar uma decisão sem considerar certos critérios, pode comprometer a segurança da vítima, o acesso e a qualidade da saúde. Portanto, se faz necessário encontrar técnicas e ferramentas que incluam os critérios que orientam e influenciam as decisões, a fim de reduzir os erros. Nesse ambiente, a Análise de Decisão Multicritério é uma ferramenta para apoiar decisões, e o seu uso como método de apoio a definição de prioridades nos cuidados de saúde vem crescendo nas últimas décadas. Diante disso, essa pesquisa propôs e desenvolveu um modelo de decisão multicritério para auxiliar a priorização de vítimas, no contexto do SAMU/192. Para tanto, foi feita uma revisão sistemática da literatura, definido os limites do problema, levantado os critérios de avaliação, e o método FiTradeoff foi utilizado para a priorização de vítimas no SAMU/Natal-RN. Uma pesquisa com representantes do SAMU dos Estados do Nordeste revelou 25 critérios que norteiam a decisão do médico regulador, 10 foram selecionados para escolha de uma vítima, dentre 4 chamados na Central de Regulação do SAMU/Natal-RN. Este trabalho contribuiu significativamente para a prática racional, transparente e imparcial de priorização de vítimas do SAMU/192, usando a metodologia multicritério de apoio a decisão. Selecionar e ponderar os critérios neste estudo indicou que os protocolos que orientam os médicos reguladores não levam em consideração todos os critérios para priorização de vítimas em um ambiente de escassez de recursos. O modelo desenvolvido vai apoiar o médico regulador do SAMU/192 a direcionar os recursos as vítimas que mais necessitam de suporte, podendo ser aproveitado em outras unidades de atendimento de urgência pré-hospitalar de outras cidades.
Multi-criteria analysis in the health area: selection of the most appropriate triage system for the emergency care units in natal
(BMC Medical Informatics and Decision Making, 2020-02-21) Camilo, Deyse Gillyane Gomes; Souza, Ricardo Pires de; Frazão, Talita Dias Chagas; Costa Junior, João Florêncio da
Background: Multiobjective decision-making processes present a high degree of complexity in their solution, and tools such as multicriteria decision analysis appear as a way to facilitate the decision-makers’ solution and ensure that the decision is made cohesively and efficiently. In the public health sector, decisions are even more delicate because they work not only with the direct influence of human needs, but also with limited financial resources. An important point for the emergency care units is the triage system, which consists of a pre-evaluation of the patients, classifying them according to the degree of life risk. Through triage, the patient can be attended more quickly and efficiently, streamlining the whole process. Thus, the present research endeavored to determine the most appropriate triage protocol for emergency healthcare units in Natal-RN city in Brazil and may help others less advanced countries to determine the most appropriate triage protocol for emergency healthcare. Methods: In this study, we used the multicriteria analysis method known as FITradeoff. In addition, interviews and structured questionnaires applied with nurses, specialists and directors. Results: Based on the questionnaires and preferences presented by the decision-makers, the Spanish Triage System was the most suitable protocol for the emergency care units, which presented with high ease of use and implementation. Conclusions: This study reached its main objective, which was to determine the most appropriate triage protocol. In addition, it was observed the possibility of new research, such as the development of a specific protocol for this emergency care units and the creation of an application software for this new protocol
Multicriteria decision analysis (MCDA) in health care: a systematic review of the main characteristics and methodological steps
(BMC Medical Informatics and Decision Making, 2018-11-01) Frazão, Talita Dias Chagas; Camilo, Deyse Gillyane Gomes; Cabral, Eric Lucas dos Santos; Souza, Ricardo Pires de
Background: The health area is one of the most affected systems on the perspective of decision-making with multiobjectives, thus becoming prone to errors in the final solution, however, multicriteria decision analysis (MDCA) appears as an aid tool for this process decision-making. Therefore,the present study aims to analyze and synthesize articles found in the literature, involing MCDA in health care, evaluating general issues and methodological aspects, structuring them in a single work. Methods: Surveys in the bibliographic databases SCOPUS and PUBMED indicated 1852 documents on the subject, however after a careful verificatios, 66 studies were selected to be analyzed completely. The data extracted from the included articles were organized into a spreadsheet for the preparation of analysis, and the technique used was descriptive statistics. Results: It was possible to identify a growth trend in the application of the MCDA in the health area, but no dominance was identified in relation to the authors of the publication and the periodicals where they are published, but some countries stood out in terms of the number of published researches, such as: Canada and Turkey. In defining the decision problem, and in defining criteria, the “literature” presented the greatest demand for those who wish to structure their decision problem. Finally, it was verified by the analysis of the problem, that the MCDA to solve the problems of ranking has comprehensive application and that there is a greater incidence in the use of the AHP and Logic methods Fuzzy. Conclusion: With this, it is possible to observe, through the data of this review, that more than the multicriteria methods, the multicriteria decision model has been highlighted, also in the health area. In addition, the study can guide new applications and techniques using MCDA in the health care

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Navegando por Autor "Frazão, Talita Dias Chagas"