O papel dos sistemas de informação do Hospital de Curry Cabral na gestão hospitalar : Estudo de caso num serviço de radiologia

Os sistemas de informação, enquanto ferramenta da gestão, podem contribuir para o desenvolvimento das organizações sendo atualmente visível esta preocupação nos órgãos de gestão dos serviços de saúde. No processo de implementação dos sistemas de informação a economia da informação assume um destaque pela sua componente de mais-valia. No presente trabalho, fizemos uma caracterização dos sistemas de informação utilizados no serviço de radiologia do hospital Curry Cabral e percebemos como os profissionais trabalhavam e atualizavam a informação nesses mesmos sistemas. Analisámos posteriormente a produtividade através de índices criados para o próprio serviço, antes e depois da implementação dos sistemas de informação, para entender até que ponto podemos falar da economia da informação. Através de uma abordagem quantitativa pretendeu-se a realização de um estudo descritivo com recurso à técnica de inquérito através de questionário aplicado a 55 profissionais do serviço, nomeadamente a 17 médicos de radiologia, a 6 administrativas e a 31 técnicos de radiologia. De uma forma geral, os dados obtidos nesta investigação permitem verificar que a atualização dos sistemas de informação por parte dos profissionais deste serviço ocorre de uma forma bem conduzida e cuidada, nomeadamente pelos técnicos de radiologia. Entendemos também que de uma forma geral todos os profissionais estão cientes que os sistemas de informação contribuem para o auxílio na gestão principalmente devido a uma melhor monitorização do trabalho efetuado. Relativamente aos índices de produtividade percebemos que são difíceis de quantificar, no entanto, e de um modo geral esta aumentou em valores pouco significativos, cerca de 2,3%. ABSTRACT: The information Technology as a management tool can contribute to the healthy development of the organization. This fact has become visible by the interest showed on IT by the management body of the Health Services. On the implementation process of the IT Services the economy of information assumes a major role as a powerful and altering force to the landscape. ln this thesis we studied the IT services used by the Radiology Service of the Hospital Curry Cabral, and tried to understand how the professionals work, by using and improving the information on those systems. We analyze the productivity using markers built for the specified service, before and after the implementation of the IT Services to understand how far into the "IT Economics" we have traveled. Thru a direct approach a study was conducted using a questionnaire, and a target audience of 55 local radiology professionals, namely 17 radiology doctors, 6 service secretaries and 31 radiology technicians. ln general, the data gathered by this investigation, allowed us to verify that the data collected and updated by the Radiology professionals, is carefully collected, especially by the Radiology Technicians. We have also found that generally all Hospital professionals see the IT Services as a major help for management mainly thru better monitoring of accomplished work. ln relation to the productivity indexes we have found that they are hard to quantify, because certain aspects are close to impossible to ascertain, but in gross it has grown but in less than expected, more or less 2,3%.

Assessing the ability of rural agrarian areas to provide cultural ecosystem services (CES): A multi scale social indicator framework (MSIF)

Assessing the ways in which rural agrarian areas provide Cultural Ecosystem Services (CES) is proving difficult to achieve. This research has developed an innovative methodological approach named as Multi Scale Indicator Framework (MSIF) for capturing the CES embedded into the rural agrarian areas. This framework reconciles a literature review with a transdisciplinary participatory workshop. Both of these sources reveal that societal preferences diverge upon judgemental criteria which in turn relate to different visual concepts that can be drawn from analyzing attributes, elements, features and characteristics of rural areas. We contend that it is now possible to list a group of possible multi scale indicators for stewardship, diversity and aesthetics. These results might also be of use for improving any existing European indicators frameworks by also including CES. This research carries major implications for policy at different levels of governance, as it makes possible to target and monitor policy instruments to the physical rural settings so that cultural dimensions are adequately considered. There is still work to be developed on regional specific values and thresholds for each criteria and its indicator set. In practical terms, by developing the conceptual design within a common framework as described in this paper, a considerable step forward toward the inclusion of the cultural dimension in European wide assessments can be made

Between the centre and the margins: Services location, economic (re)structuring and quality of life in metropolitan periurban areas.

This paper aims to discuss the specificities of the role of services in the economic structuring and in the social liveliness and attractiveness of periurban areas. Drawing upon on the result of an empirical work developed in 5 different parishes of Lisbon Metropolitan area, which represent five categories of periurban spaces previously identified, it is analysed the role of services in these “in-between” territories and the way they are important in the spatial economic structuring of these areas and in the quality of life and well-being of their inhabitants and users. A tentative typology for framing the analysis of the role of services on periurban metropolitan spaces is suggested and some policy implications are pointed out.