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Resumo(s)
RESUMO - Introdução: O turnover de profissionais nas organizações, e particularmente na
Saúde, tem sido descrito como um fenómeno que importa quantificar e avaliar as
implicações. Mormente aferir intervalos e valores que permitam traduzir até onde o turnover é positivo e benéfico para a organização e a partir de que valor ele impacta
negativamente no desempenho organizacional. No caso particular do exercício de Medicina Geral e Familiar nos Agrupamentos de Centros de Saúde (ACES), e particularidades desta especialidade em termos de modelo de recrutamento, importa
perceber se o turnover destes médicos está associado com o desempenho das
respetivas organizações.
Metodologia: Foi realizado um estudo retrospetivo, descritivo e correlacional, com base na estatística descritiva, analisando o turnover de médicos de família nos 24
ACES da ARS Norte, num período de 5 anos, compreendido entre 2017 a 2021.
Posteriormente verificou-se a respetiva associação desse turnover com o Índice de
Desempenho Global anual dos ACES, através de um modelo de regressão linear
controlado para a dimensão destes em termos de número de médicos de família.
Resultados: Verificou-se a existência de uma correlação negativa entre as duas
variáveis indicando que quanto maior é o índice de rotatividade menor é o índice de desempenho global do ACES. Ajustando o modelo para a dimensão em termos de
número de médicos constata-se que o aumento de uma unidade no índice de
rotatividade está associada uma diminuição de 0,29 no índice de desempenho global.
Conclusão: Através deste estudo foram lançadas perspetivas que podem contribuir para uma melhor aferição dos efeitos do turnover de médicos de família. Pretende-se
que possa servir como uma base quer para a compreensão desses efeitos, quer para
a mitigação de consequências adversas, ajustando inclusivamente o modelo da avaliação do desempenho da organização. Seriam necessários mais estudos, com
amostras mais significativas, para permitir concluir relações causa-efeito, com intervalos mais precisos e com menos variáveis de confundimento.
ABSTRACT - Introduction: The turnover of professionals in organizations, particularly in healthcare, has been described as a phenomenon that needs to be quantified and evaluated in its implications. Especially, to measure intervals and values that allow translating how far the turnover is positive and beneficial for the organization and from what value it negatively impacts organizational performance. In the particular case of the practice of General and Family Medicine in the Groupings of Health Centers (ACES) and the particularities of this speciality in the recruitment model, it is crucial to understand whether the turnover of these physicians is associated with the performance of the respective organizations. Methodology: A retrospective, descriptive and correlational study was conducted, based on descriptive statistics, analyzing the turnover of family physicians in the 24 ACES of ARS Norte, in 5 years, between 2017 and 2021. Subsequently, the respective association of this turnover with the annual Global Performance Index of the ACES was verified through a controlled linear regression model for the size of these, in terms of the number of family physicians. Results: It has been verified that a negative correlation between the two variables indicates that the higher the turnover index, the lower the overall performance index of aces. Adjusting this model to the number of physicians in each ACES, we observed that the increase of one unit in the turnover index is associated with a decrease of 0.29 in the overall performance index. Conclusion: Through this study, we launched perspectives that can contribute to a better measurement of the effects of the turnover of family physicians. We intended this work to serve as a basis for understanding these effects and mitigating adverse consequences, including adjusting the model of evaluating the organization's performance. Further studies with more significant samples would be necessary to conclude cause-effect relationships with more precise intervals and fewer confounding variables.
ABSTRACT - Introduction: The turnover of professionals in organizations, particularly in healthcare, has been described as a phenomenon that needs to be quantified and evaluated in its implications. Especially, to measure intervals and values that allow translating how far the turnover is positive and beneficial for the organization and from what value it negatively impacts organizational performance. In the particular case of the practice of General and Family Medicine in the Groupings of Health Centers (ACES) and the particularities of this speciality in the recruitment model, it is crucial to understand whether the turnover of these physicians is associated with the performance of the respective organizations. Methodology: A retrospective, descriptive and correlational study was conducted, based on descriptive statistics, analyzing the turnover of family physicians in the 24 ACES of ARS Norte, in 5 years, between 2017 and 2021. Subsequently, the respective association of this turnover with the annual Global Performance Index of the ACES was verified through a controlled linear regression model for the size of these, in terms of the number of family physicians. Results: It has been verified that a negative correlation between the two variables indicates that the higher the turnover index, the lower the overall performance index of aces. Adjusting this model to the number of physicians in each ACES, we observed that the increase of one unit in the turnover index is associated with a decrease of 0.29 in the overall performance index. Conclusion: Through this study, we launched perspectives that can contribute to a better measurement of the effects of the turnover of family physicians. We intended this work to serve as a basis for understanding these effects and mitigating adverse consequences, including adjusting the model of evaluating the organization's performance. Further studies with more significant samples would be necessary to conclude cause-effect relationships with more precise intervals and fewer confounding variables.
Descrição
Trabalho Final do Curso de Especialização em Administração Hospitalar
Palavras-chave
Turnover Rotatividade Medicina Geral e Familiar Agrupamentos de Centros de Saúde General and Family Medicine Groupings of Health Centers
Contexto Educativo
Citação
Editora
Universidade Nova de Lisboa, Escola Nacional de Saúde Pública