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Authors
Advisor(s)
Abstract(s)
Num cenário de constante incerteza económica, impõe-se a necessidade de melhorar a qualidade na prestação de cuidados de saúde. Para tal, há que definir procedimentos e mecanismos institucionalizados para monitorização, avaliação e correção, com vista à melhoria contínua, bem como mecanismos de acompanhamento, avaliação e desenvolvimento de Sistemas de Gestão da Qualidade. Estes são essenciais para acautelar que a prática da radiologia seja segura, precisa, otimizada e que garanta um atendimento ao doente da mais alta qualidade, satisfazendo sempre os requisitos da política de cuidados de saúde e contendo os custos. Após a realização de uma scoping review para identificar e descrever a literatura relativa à cultura da qualidade dos profissionais de serviços de radiologia com Sistemas de Gestão da Qualidade implementados, foi realizado um estudo de caso com recurso à aplicação de um questionário, tendo como objetivo determinar se os Técnicos de Radiologia dos serviços de Imagiologia Geral e Imagiologia Neurológica, com um SGQ implementado, possuem cultura da qualidade. A taxa de resposta dos Técnicos a este questionário foi de 84,7% (83/98). Conclui-se que os Técnicos de Radiologia percebem a importância da qualidade e estão recetivos a novas ideias para a aumentar. Contudo, demonstram um preocupante desconhecimento acerca dos conceitos básicos da qualidade. A cultura de qualidade destes Técnicos demonstra falhas que podem comprometer o sucesso do Sistema de Gestão da Qualidade dos seus serviços, sendo uma das principais causas a diminuta oferta de formações sobre qualidade a estes profissionais.
ABSTRACT - In a scenario of constant economic uncertainty, there is a need to improve the quality of health care delivery. To this end, it is necessary to define institutionalized procedures and mechanisms for monitoring, evaluating and correcting, to continuously improve, as well as mechanisms for monitoring, evaluating and developing Quality Management Systems. These are essential to ensure that the practice of radiology is safe, accurate, optimized and guarantees the highest quality to the patient, always meeting the requirements of the health care policy and containing the costs. After conducting a scoping review to identify and describe the literature on the culture of quality in professionals of radiology departments with implemented Quality Management Systems, a case study was carried out, using a questionnaire to determine if the Radiology Technicians in General Imagiology and Neurological Imagiology Departments, with an implemented QMS, have a culture of quality. The response rate of the Technicians to this questionnaire was 84.7% (83/98). In conclusion, Radiology Technicians perceive the importance of quality and are receptive to new ideas to increase it. However, they demonstrate a worrying lack of knowledge about the basic concepts of quality. These Technicians’ culture of quality demonstrates flaws that can compromise the success of the Quality Management System of their departments, one of the main causes being the small supply of training on quality for these professionals.
ABSTRACT - In a scenario of constant economic uncertainty, there is a need to improve the quality of health care delivery. To this end, it is necessary to define institutionalized procedures and mechanisms for monitoring, evaluating and correcting, to continuously improve, as well as mechanisms for monitoring, evaluating and developing Quality Management Systems. These are essential to ensure that the practice of radiology is safe, accurate, optimized and guarantees the highest quality to the patient, always meeting the requirements of the health care policy and containing the costs. After conducting a scoping review to identify and describe the literature on the culture of quality in professionals of radiology departments with implemented Quality Management Systems, a case study was carried out, using a questionnaire to determine if the Radiology Technicians in General Imagiology and Neurological Imagiology Departments, with an implemented QMS, have a culture of quality. The response rate of the Technicians to this questionnaire was 84.7% (83/98). In conclusion, Radiology Technicians perceive the importance of quality and are receptive to new ideas to increase it. However, they demonstrate a worrying lack of knowledge about the basic concepts of quality. These Technicians’ culture of quality demonstrates flaws that can compromise the success of the Quality Management System of their departments, one of the main causes being the small supply of training on quality for these professionals.
Description
Mestrado em Gestão e Avaliação de Tecnologias em Saúde
Keywords
Cultura da qualidade Profissional de saúde Radiologia Sistemas de gestão da qualidade Serviço de radiologia Culture of quality Health professional Radiology Quality management systems Radiology unit Portugal Lisboa
Citation
Coelho AF. Cultura da qualidade dos técnicos de radiologia de um centro hospitalar de Lisboa [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Escola Superior de Saúde da Universidade do Algarve; 2019.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa