[Production chain supply management for public hospitals: a logistical approach to healthcare].
Despite their importance for hospital operations, discussions of healthcare organization logistics and supply and materials management are notably lacking in Brazilian literature. This paper describes a methodology for organizing the supply of medical materials in public hospitals, based on an action-research approach. Interventions were based on the assumption that a significant portion of problems in Brazil's National Health System (SUS) facilities derive from the fact that their clinical and administrative departments do not see themselves as belonging to the same production chain - neither the hospital nor the supply department is aware of what the other produces. The development of the methodology and its main steps are presented and discussed, against a background of recent literature and total quality and supply chain management concepts.
Infante
Maria
M
Núcleo de Tecnologia em Saúde, Escola Nacional de Saúde Pública, Fiocruz, Rio de Janeiro. minfante@ensp.fiocruz.br
dos Santos
Maria Angélica Borges
MA
D001938:Brazil; D003695:Delivery of Health Care / Q000458:organization & administration*; D006779:Hospitals, Public / Q000458:organization & administration*; D008421:Materials Management, Hospital