Administration of Healthcare Institutions in Modern Conditions: The Experience of Applying the Medical Coworking Model for Pediatric Outpatient Clinic

Autores

DOI:

https://doi.org/10.23925/2178-0080.2024v26iSI.73000

Palavras-chave:

Colaboração, equipa médica, tecnologia, gestão eficaz, centralidade no paciente

Resumo

A gestão de instalações de saúde é um processo complexo que requer revisão e controlo constantes devido às mudanças no sistema de saúde. Um dos fatores de uma gestão eficaz é o coworking médico, mas o seu papel não é suficientemente estudado em termos de alcançar os princípios de centralização no paciente e otimização do fluxo de trabalho. É por isso que o objetivo do estudo foi examinar o impacto do coworking médico na eficiência da gestão de instalações de saúde. O estudo utilizou o método bibliográfico e analítico, métodos de análise, síntese, comparação lógica e estatística. Foram identificadas as formas de influência do coworking médico nos princípios de gestão, nomeadamente a orientação para o paciente e a otimização do fluxo de trabalho. Após analisar a satisfação dos pacientes com os cuidados médicos em 5 clínicas pediátricas em Kiev, determinou-se que os pacientes atribuíram uma classificação mais elevada às instituições com coworking médico desenvolvido.

Biografia do Autor

Oleksandr Nepomnyashchyy, Department of Public Management and Administration, Institute of Social Sciences, Kyiv University of Aviation and Information Technologies

Doutor em Administração Pública e Professor. Seus interesses de pesquisa incluem governança pública, reforma administrativa, sistemas de gestão pública, implementação de políticas e desenvolvimento institucional no setor público.

Anastasiia Barzylovych, Educational and Scientific Center “Institute of Biology and Medicine”, Taras Shevchenko National University of Kyiv

Doutora em Administração Pública e Doutora em Medicina, Professora Associada. Seus interesses de pesquisa concentram-se na administração pública em saúde, políticas de saúde, governança interdisciplinar e gestão de sistemas médicos e sociais.

Oleksandra Marusheva, Public Management and Administration Department, State University “Kyiv Aviation Institute”

Doutora em Administração Pública, Professora. Seus interesses de pesquisa incluem gestão pública, política administrativa, mecanismos de governança, modernização do setor público e desenvolvimento estratégico da administração pública.

Oksana Medvedchuk, Department of Normative and Methodological Support and Project Management, Public Union “Interstate Consultants Engineers Guild”

Doutora em Administração Pública, Professora Associada. Seus interesses profissionais e científicos incluem gestão de projetos, apoio normativo e metodológico, consultoria no setor público e implementação de padrões e práticas de governança.

Iryna Lagunova, Department of Consulting, Public Union “Interstate Consultants Engineers Guild”

Doutora em Administração Pública, Professora Associada. Seus interesses científicos e profissionais incluem consultoria no setor público, gestão administrativa, serviços de assessoria em governança e apoio estratégico a projetos públicos e de infraestrutura.

Referências

Alfowzan, N., Valipoor, S., & Portillo, M. (2024). Developing resilient community spaces in healthcare facilities: an exploratory study of a public health crisis. HERD: Health Environments Research & Design Journal, 17(2), 10-23. https://doi.org/10.1177/19375867231219753

Anderson, J. (2022). Governance, leadership, management, organizational structure, and oversight principles and practices. In Sustainably improving health care (pp. 127–142). CRC Press.https://doi.org/10.1201/9781846198250-8

Belcher, R. H., Phillips, J., Virgin, F., Werkhaven, J., Whigham, A., Wilcox, L., & Wootten, C. T. (2021). Pediatric otolaryngology telehealth in response to COVID-19 pandemic: lessons learned and impact on the future management of pediatric patients. Annals of Otology, Rhinology & Laryngology, 130(7), 788-795. https://doi.org/10.1177/0003489420976163

Bogodistov, Y., Moormann, J., Sibbel, R., Krupskyi, O. P., & Hromtseva, O. (2022). Process maturity and patient orientation in times of a health system reform. Business Process Management Journal, 28(1), 258-272. https://doi.org/10.1108/BPMJ-09-2020-0428

Conradsen, S., Lara-Cabrera, M. L., & Skirbekk, H. (2023). Patients’ knowledge and their trust in surgical doctors. A questionnaire-based study and a theoretical discussion from Norway. Social Theory & Health, 21(1), 33-50. https://doi.org/10.1057/s41285-021-00171-3

Edwards, A., Kanner, L., Tewar, S., Pesce, L., & Leyser, M. (2024). The value of adding scribe services to 2 distinct pediatric subspecialties in the era of the electronic medical record. Clinical Pediatrics, 63(3), 341-349. https://doi.org/10.1177/00099228231174849

Ferry, A. B., Sidin, I., & Wahyu, A. (2021). An analysis of the effects of human resources management on healthcare innovation in hospital: A scoping review. Journal of Asian Multicultural Research for Medical and Health Science Study, 2(2), 70-83. https://doi.org/10.47616/jamrmhss.v2i2.141

Jassim, A. F., Alabrahemi, H., & Obaid, K. B. (2022). A study to assess perception of nurses and physicians towards their collaboration in pediatric hospitals. International journal of health sciences, 6(S4), 5726-5736. https://doi.org/10.53730/ijhs.v6nS4.9839

Kim, H. S., Kwon, I. H., & Cha, W. C. (2021). Future and development direction of digital healthcare. Healthcare Informatics Research, 27(2), 95-101. https://doi.org/10.4258/hir.2021.27.2.95

Kwon, H., An, S., Lee, H. Y., Cha, W. C., Kim, S., Cho, M., & Kong, H. J. (2022). Review of smart hospital services in real healthcare environments. Healthcare informatics research, 28(1), 3-15. https://doi.org/10.4258/hir.2022.28.1.3

Lax, Y., Bathory, E., & Braganza, S. (2021). Pediatric primary care and subspecialist providers' comfort, attitudes and practices screening and referring for social determinants of health. BMC health services research, 21(1), 956. https://doi.org/10.1186/s12913-021-06975-3

Liu, S., Li, G., Liu, N., & Hongwei, W. (2021). The impact of patient satisfaction on patient loyalty with the mediating effect of patient trust. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 00469580211007221. https://doi.org/10.1177/00469580211007221

Lu, D., Ergan, S., Mann, D., & Lawrence, K. (2022). The need for responsive environments: bringing flexibility to clinic spaces. In Construction Research Congress 2022 (pp. 812-821). https://ascelibrary.org/doi/abs/10.1061/9780784483961.085

Mane, M., Mohanty, B., & Tomar, P. K. (2022). Innovative strategies for improving healthcare management efficiency in public hospitals. Health Leadership and Quality of Life, 1, 36. https://doi.org/10.56294/hl2022119

Naamati Schneider, L. (2021). Public-private: unequal competition Israeli public hospitals vs the private health-care system following government reforms. International Journal of Organizational Analysis, 29(6), 1381-1394. https://doi.org/10.1108/IJOA-06-2020-2237

National Academies of Sciences, Engineering, and Medicine. (2023). Innovations at the pediatric primary–specialty care interface. In The future pediatric subspecialty physician workforce: Meeting the needs of infants, children, and adolescents. National Academies Press (US).https://www.ncbi.nlm.nih.gov/books/NBK599766/

Pettersen, I. J. (2025). Caught in the middle: The importance of interprofessional communication between healthcare middle managers in hospitals. Financial Accountability & Management, 41(1), 3-18.https://doi.org/10.1111/faam.12401

Price, J., Brandt, M. L., & Hudak, M. L. (2020). Committee on child health financing. Principles of Financing the Medical Home for Children. Pediatrics, 145(1), e20193451. https://doi.org/10.1542/peds.2019-3451

Park, D., Hamada, T., Imaoka, S., Taniguchi, S., Ohtsuka, Y., Wakunami, Y., & Taniguchi, S. I. (2021). he clinical performance and effectiveness of the multiple-attending-physicians system compared with the single-attending-physician system in inpatient setting: A mixed-method study. Research Square. https://doi.org/10.21203/rs.3.rs-677680/v1

Varga, A. I., Spehar, I., & Skirbekk, H. (2023). Trustworthy management in hospital settings: a systematic review. BMC Health Services Research, 23(1), 662. https://doi.org/10.1186/s12913-023-09610-5

Walden, M., Eddy, L. A., Huett, A., Lovenstein, A., Ramick, A., Jeffs, D., & Scott-Roberson, A. (2022). Use of the Council Health Survey to assess shared governance in a pediatric hospital during the COVID-19 pandemic. Nurse Leader, 20(3), 306–315. https://doi.org/10.1016/j.mnl.2021.12.006

Wang, Y., Fu, W., Zhang, Y., Wang, D., Gu, Y., Wang, W., ... & Feng, R. (2024). Constructing and implementing a performance evaluation indicator set for artificial intelligence decision support systems in pediatric outpatient clinics: an observational study. Scientific Reports, 14(1), 14482. https://doi.org/10.1038/s41598-024-64893-w

Zamani, Z. (2023). Analyzing design and planning trends in medical research laboratories and workplace environments: A benchmarking study. Journal of Design for Resilience in Architecture and Planning, 4(1), 105-121. https://doi.org/10.47818/DRArch.2023.v4i1086

Zhang, J., & Zhang, Z. M. (2023). Ethics and governance of trustworthy medical artificial intelligence. BMC medical informatics and decision making, 23(1), 7. https://doi.org/10.1186/s12911-023-02103-9

Zook, J. & Sailer, K. (2022). The covert life of hospital architecture. UCL Press. https://doi.org/10.14324/111.9781800080881

Downloads

Publicado

2025-12-19

Como Citar

Nepomnyashchyy, O., Barzylovych, A., Marusheva, O., Medvedchuk, O., & Lagunova, I. (2025). Administration of Healthcare Institutions in Modern Conditions: The Experience of Applying the Medical Coworking Model for Pediatric Outpatient Clinic. Revista Administração Em Diálogo - RAD, 27(SI), 83–93. https://doi.org/10.23925/2178-0080.2024v26iSI.73000

Edição

Seção

Artigos