Rationalization and sensemaking in care management: an experience of change in a hospital of the SUS (Unified Health System)
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2017
- handle: 10670/1.qdufjx
- 1413-8123
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Ciência & Saúde Coletiva
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Salud zation Subjec Care organi Health work Hospital managementSujets proches
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Creuza da Silva Azevedo et al., « Rationalization and sensemaking in care management: an experience of change in a hospital of the SUS (Unified Health System) », Ciência & Saúde Coletiva, ID : 10670/1.qdufjx
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Résumé
"This study aimed to analyze organi - zational processes of change in the hospital care management by using qualitative evaluation de - veloped in the case study. The study was developed at the Hospital Fornecedores de Cana de Piracica - ba, in São Paulo State, Brazil, in September and October of 2012. There were 25 interviews with members of the senior board of directors of the hospital, managers and health professionals linked to healthcare of adults, in addition to the analy - sis of managerial documents and observations of some activities. In this article it is analyzed part of the results, dividing the organizational change in three axes: the planning process developed in the healthcare sectors; The protocol/creation of assist - ed routines in order to obtain better efficiency and safety for the patient; and the work of hospitalist physicians. The study highlights the complexity of the processes of change in the care management sphere in hospitals and the dynamism between a given management concept and its rational tools and the subjects and groups that seek, in the mi - cropolitic and intersubjective processes, meanings to their practices ."