The Center for Information Technology Renato Archer (CTI), located at Campinas/SP/Br, is a unit of the Ministry of Science and Technology (MCT) and, is coordinating a research project involving several universities, from Brazil and abroad. The research project “Management of System and Information Technology in Hospitals” (GESITI/Hospitals) has the purpose of mapping out the management of Information Systems (IS) and Information Technology (IT) in hospitals, in order to identify their needs and demands, prospecting for unfolding, perform publication and, mainly, generate a Integrated Research Report (IRR) with a focus on, also, a Report Research Roadmap (RRR). This IRR/RRR is for open for free access, and should be used as decision making support by public and/or private managers. Currently the research is being carried out by nineteen universities: sixteen Brazilian, one Mexican, one Argentina and one Portuguese. An important initial result of this research work, which makes use of the Interpretative (or Introspective) Methodology, has been the generation in Brazil of an unprecedented database regarding hospital management and, from which several important information is extracted. From each local information, obtained via Local Research Reports (LRR) where the research has been carried out (each local includes the average of results obtained in five (5) hospitals); it becomes possible to undertake local decision making. However, the main purpose of the project is the preparation, based on the integration of all LRR, of an IRR/RRR for national decision-making support. For a better decision-making on issues of interest to managers regarding the better efficiency and effectiveness of hospital management, public and/or private, the IRR/RRR will also present an integrated comparative analyzes based on all LRR (from Brazil & Abroad). Although it has not been directly mentioned, the final result, ultimate, from the research should be a significant improvement on the hospital management and on the decision-making process. These results must reflect on peoples more satisfied regarding a better health care. This is a win-win project, since it is good for Brazil and good for all countries involved. The goal is to reach about one hundred (100) universities (local coordinators) involved. http://www.cti.gov.br/gesiti-dtsd http://www.cti.gov.br/projeto-gesiti-hospitalar.html

1. Patrocinado pela FAPESP: com um outro artigo
Patrocinado pela UAEMEx
Campinas/SP
Patrocinado pela UNIEST – 13/14/15 _SET/2011
13-16 June 2011 - Sponsored by CAPES : with another article.
Patrocinado pela Univ. Porto
Patrocinado pela PPGC/FURB/CAPES
05/06 DEZ/2012

3. Abstract.
The Center for Information Technology Renato Archer a unit of the
Ministry of Science and Technology, (CTI Renato Archer - MCT-
Campinas-SP/Br), is coordinating a research project involving several
universities, from Brazil and Exterior.
The research project GESITI/Hospitals is a Multi-Focal project and, has
the purpose of mapping out the management of systems (IS) and
information technology (IT) in hospitals, in order to identify their needs
and demands, prospecting for unfolding, perform publication and,
mainly, generate a Integrated Research Report (IRR).
This IRR should create a meaningful improvement on the
management of public and/or private hospital and on their decisions
making. These improvements must reflect on peoples more satisfied
regarding a better health care.
This is a win-win project, since it is good for Brazil and good for all
others countries involved. The goal is to reach about one hundred
universities (local coordinators) involved.
Key Words: Management, Information Systems, Information Technology,
Information Systems in Hospitals, Hospitals Management.

4. THE PROJECT.
The Project GESITI/Hospitals has been based on
an original research tool known as "Prospective
Questionnaire – a multi focal tool“, which has
more than two hundred inter-related issues.
It aims to map out the technological park &
.
others topics from Brazilian Hospitals and from
others Countries: look for to identify how the
hospitals make the management of the System
and Information Technology in a multi-focal
point of view - through the PQ - .
By the present, about one hundred (100↑)
researchers have worked in this GESITI/Hospital.

5. PROSPECTIVE QUESTIONNAIRE.
Summary of the Multi-focal GESITI/Hospitals Project, "Questionnaire Prospective": with
52 pages and more than two hundred (200) inter-related issues. To have permission and
access the questionnaire, a RLA must be signed by the interested universities.

6. Methodology
The research is characterized as qualitative and
exploratory. The application of the multi-focal
Prospective Questionnaire (PQ) has the objective
to get understanding on the phenomenon we are
looking at and/or creating new hypotheses (unfolding).
The research must be carried out through direct
interview with the representatives of each
hospital, who should answer the questions
accordingly the item or theme described by the PQ
…
A formal procedure (Informed Consent), must be
signed to get access and permission to carry out
the research inside of each hospitals.

7. Geographical distribution of
the participating universities.
At each Local identified on
;;;;;;;;;
the map, the PQ should,
;;;;;;;;;
where possible, be applied ;;
in at least five (5) hospitals.

8. RESEARCH PARTICIPANTS.
The field research and local data
analysis are from responsibilities of the
research group (universities)
participants. There is a standard
template to be followed to generate
the Local Integrated Report.
In short: in each Local where the
research is being applied there is the
corresponding Local Coordinator (see map)

9. Expected Results.
1.2 – Results from Region or Local:
the analysis of the Local data get in
the hospitals is managed by the Local
Coordinator of the project and his team:
Local Research Report (LRR)
2.2 – Integrated Results of all Regions:
By using all each LRR an Integrated
Research Report (IRR) is generated…
Some results from this IRR is going to be
showed in this presentation...

10. Synthesis.
The Multi Focal GESITI/Hospital Project is a pilot
project aiming to map the management of IS and IT
in Brazilian Hospitals.
The final result, ultimate, from this multi-focal research
project should be a significant improvement on the
hospitals management and on their decision-making
processes. These results must reflect on peoples more
satisfied regarding a better health care.
This is a win-win project, since it is good for Brazil and
good for all Countries involved.
The goal is to reach about one hundred (100)
universities (Local Coordinators).

11. REFERENCES.
[01] - a) - Research Road Map - http://researchroadmap.org/content.fcg/ResearchRoadmap - last access July 2011
b) - Research Road Map - http://www.cs.bham.ac.uk/research/projects/cosy/presentations/munich-roadmap-
0701.pdf last access July 2011
[02] - SUN, Violeta. Contribuição ao Estudo da Evolução de Infraestruturas de Informação: Um caso de sistema
hospitalar. Tese de Doutorado/USP/2010 - http://www.teses.usp.br/teses/disponiveis/12/12139/tde-28072010-
161737/publico/VioletaSunTese.pdf - último acesso: 06 Julho/2011
[03] - HAMILTON, Scott, CHERVANY, Norman L. Evaluating information system effectiveness - part I: comparing
evaluation approaches. MIS Quarterly, v.5, p.55-69. 1981
[04] – BALLONI, A.J. Projeto GESITI Hospitalar - "Uma avaliação da GEstão em SIstemas e Tecnologias de Informação em
Hospitais", 2011 - http://www.cti.gov.br/images/stories/cti/atuacao/dtsd/gesiti/hospitalar.pdf - último acesso:
06 Julho/2011
[05] – SIGTEC/CTI/MCT - Sistema de Informações Gerenciais e Tecnológicas – 2011 –
http://www.cti.gov.br/index.php/dtds-projetos/sigtec.html – último acesso: 06 Julho/2011
[06] - SELLTIZ, JAHODA, DEUTSCH & COOK. Métodos de Pesquisa nas Relações Sociais. São Paulo: Editora da
Universidade de São Paulo (trabalho originalmente publicado em 1951), 1975. [10] - YIN, Robert K. Estudo de
caso planejamento e métodos. 3. ed. Porto Alegre: Bookman, 2005.
[07] - PADRÓN José G. 2001. La estructura de los procesos de investigación. In: REVISTA EDUCACIÓN Y CIENCIAS
HUMANAS.
Año IX, nº 17 julio-diciembre de 2001. Decanato de Postgrado, Universidad Nacional Experimental Simón
Rodríguez. Caracas. p. 33. Disponível em: http://padron.entretemas.com/Estr_Proc_Inv.htm. Acesso em 19/10/2010.
[08] - MARTINS, Gilberto de Andrade. 1994. Metodologias Convencionais e Não-convencionais e a Pesquisa em
Administração. Caderno de Pesquisas em Administração - PPGA/FEA/USP, n. 1, p. 2 - 6, janeiro 1995. Disponível
em: http://www.ead.fea.usp.br/cad-pesq/arquivos/C00-art01.pdf. Acesso em: 22/06/2010.

12. Some results from “IRR”
By:
Ruy Ferreira/UFMT
Adicinéia Aparecida de Oliveira/UFS,
Nelma Terezinha Zubek Valente/UEPG
Antonio José Balloni/CTI

13. CARACTERIZAÇÃO DOS HOSPITAIS
93 HOSPITAIS
50.954
COLABO-
RADORES
11.633
LEITOS

14. Indicador de produtividade por grande região e país (*)
* Não foram levantados tais dados em Košice e Prešov, na Eslováquia.
Considera-se o hospital mais produtivo aquele que apresenta
menor valor para a relação Funcionário/Leito”

15. Grau de envolvimento do pessoal no planejamento estratégico
O envolvimento se dá ”entre todos e somente a direção executiva”.

16. P & D! O que é isso?

17. Qual a importância da na aquisição
de conhecimentos externos ?
59% dos dirigentes hospitalares são capazes de atribuir
importância ao conhecimento produzido fora de suas unidades.
A não importância dada ao trabalho de pesquisa e desenvolvimento
no próprio hospital é uma variável a ser considerada na elaboração
de políticas públicas voltadas para a gestão apoiada em TI.

18. Capacitação e o desenvolvimento do colaborador
(treinamento presencial no hospital ou outro local),
~ 10% dos hospitais utilizam da EAD
para qualificar seus profissionais !
46% da qualificação do pessoal ocorre via módulos treinamento internos
ministrados por instrutores externos.

19. Novamente EAD não é considerada pelos dirigentes
quando se trata de investir no campo da TI.
Idem a Telemedicina,
49% dos dirigentes hospitalares indicam a Administração como prioritário
para a informatização. 23% pela implantação de ERP e 10% pela
automação das operações hospitalares.

20. TELEMEDICINA
México e na Argentina: as respostas foram negativas para o uso.
Em Portugal : na região aplicada foi registrado a utilização da Telemedicina em neuro-
radiologia (utilizando xDSL). O uso mais comum é para diagnóstico de emergência e uma
segunda opinião médica. Não são realizadas videoconferências.
No Brasil: menos que 10% dos hospitais pesquisados fazem uso da telemedicina. O que
utilizam se dividem nas seguintes especialidades: cardiologia, medicina intensiva,
neurologia, radiologia, patologia, vídeo endoscopia, ginecologia, medicina de emergência,
dermatologia e oncologia. O uso mais comum se dá em diagnósticos, follow-up,
gerenciamento de doenças crônicas e com uma segunda opinião médica. A utilização de
Conexão IP foi a reportada pelos entrevistados...
Destaque: na região pesquisada em Santa Catarina os hospitais que usam a Telemedicina
integram-se ao LABTELEMED (www.telemedicina.ufsc.br) da Faculdade de Medicina da
Universidade Federal de Santa Catarina, possibilitando a interação entre o profissional no
hospital com professores e alunos na faculdade.
Na Eslováquia. Destaques: intensa capacitação dos recursos humanos em cursos de
pós-graduação e congressos médicos internacionais e nacionais. A gestão estratégica
possui as mesmas características dos mexicanos e brasileiros, com líderes das unidades
realizando o planejamento anual, todos com foco no cliente. Em termos de investimento em
inovação tecnológica há previsão de implantação de sistemas ERP, administração, em
sistemas de armazenamento de dados e Telemedicina.

21. Graficos autoria de
Ruy Ferreira/UFMT
Adicinéia Aparecida de Oliveira/UFS,
Nelma Terezinha Zubek Valente/UEPG
Antonio José Balloni/CTI
Muito Obrigado a todos!
Balloni
GESITI@cti.gov.br -