Special Health Issue Brazil - 2015, May, Issue
DYNAMICITY OF THE TECHNOLOGICAL INNOVATION SYSTEM AND THE TRANSACTION ATTRIBUTES IN CONTRACTUAL STRATEGIC ALLIANCES
Fabrício Simplício Maia and Walter Bataglia
[01-12]  [PDF]

This study aimed to analyze the influence of the TIS dynamics in the attributes of transactions in alliances. To test the model, the analysis of structural equation modeling resolved by Partial Least Squares method was performed, using primary and secondary data. The results show that the dynamics of TIS is not enough, by itself, to change the nature of the attributes uncertainty and specificity of the assets involved in the transactions, but can positively influence the frequency of transactions. The paper presents theoretical and methodological implications, as well as for management practices.

PUBLIC HEALTH SERVICES: BIBLIOMETRIC STUDY OF SCIENTIFIC LITERATURE FROM THE PERSPECTIVE OF INNOVATION IN SERVICES IN PRIMARY HEALTH CARE
Cristine Hermann Nodari, Pelayo Munhoz Olea, Eric Charles Henri Dorion, Alipio Ramos Veiga Neto and Paula Patrícia Ganzer
[13-24]  [PDF]

The objective of the research was to identify the nearest state of the art relating the elements of innovation, services and primary health care, through a bibliometric analysis. The research sought to articulate some elements such as technology, structure, government, professionals and customers/users that are associated with the generation of innovation in health services. The findings showed the government element playing an important role in the generation of innovation in health, by promoting the market with investments and resources to health and to purchase services from providers. However, it’s not highlighted in the literature as an essential condition for innovation to occur. Finally, highlighted the limitations and future work opportunities urging a critical-reflexive perspective on the need for an integrated approach showing the combination of elements such as structure, technology, government, professionals and customers present in the occurrence and success of implementation of innovation.

HOW TO CONDUCT A BPM CONSULTING PROJECT? A CASE STUDY AT A PRIVATE HOSPITAL IN BRAZIL
Stênio Lima Rodrigues, Paulo Jordão de Oliveira Cerqueira Fortes and João Vitor de Oliveira Sousa
[25-39]  [PDF]

Currently process management has assumed high degree of importance providing continuous organizational change and problem solving and improvements. This research has two objectives, the first was creating a visual framework to conduct a consulting work at a private hospital in Brazil. The secondary objective was to develop and validate a pharmaceutical purchase procedure manual; We used a simple case method as study strategy and used a consulting work provided by UFPI professors and students to collect the primary data. The result is a framework that provides the necessary steps necessary managing a consulting work at a private hospital with strategies to overcome consulting problems. The study concludes that there is a necessity to insert flow charts as a training instrument and as a method to identify and resolve processes problems.

RESEARCH STUDIES INTO PSYCHODYNAMICS OF WORK THAT WERE MADE AVAILABLE VIA THE CAPES/MEC (BRAZILIAN MINISTRY OF EDUCATION) PORTAL BETWEEN 2004 AND 2014: A Bibliometrics Analysis
Lúcio de Souza Machado, Simone Maria Moura Mesquita, Lila de Fátima de Carvalho Ramos and Kátia Barbosa Macêdo
[40-54]  [PDF]

The aim of the present study is to present the research framework for Psychodynamics of Work (PDW), made available to the academic community during the period between 2004 and 2014, via the Coordination for the Improvement of Higher Education Personnel (CAPES)/Brazilian Ministry of Education (MEC) Periodicals Portal. This research study is of a descriptive nature with a bibliometric study analysis. This study was based on a total of eighty-four articles, produced by 162 authors, most of who are of female sex, with doctorates, and associated to different educational institutions in Brazil, in particular those from the southeastern region of the country. Most of the publications were produced by means of academic partnerships (author and co-authors), although a large number of these authors had only published one work. The findings also revealed that the scientific production of PDW is still in its very early stages and numbers oscillate a great deal, even though these articles are published in high-quality journals. This study therefore hopes to provide those interested in the subject an approach to PDW that studies mental health from the viewpoint of organization of work.

PATIENT’S ASSISTANCE AND SAFETY QUALITY MANAGEMENT IN ANTICOAGULANT THERAPY FOR THE ORTHOPEDIC PATIENT
Débora Matos de Azevedo Fontes, Annibal Scavarda, Carlos Henrique da Silva Fontes Filho, Luiz Célio Martins Freitas, Cristiana Fialho and Luiz Carlos Santiago
[55-62]  [PDF]

It refers to an integrative review study around the records on anticoagulant medicaments used in orthopedic patients and about what is said in terms of safety of the patient using this therapy. Collection was developed using the electronic databases PUBMED, SCIELO, LILACS and WEB OF SCIENCE. Search on the online databases was conducted using the following terms as MeSH: Patient safety, anticoagulants and orthopedics. The inclusion criteria were to opt for publications with complete texts using English, Portuguese and Spanish languages and dated on the last 5 years. After reading, selecting and excluding, 48 scientific productions were obtained. The material selected through the electronic databases was organized through direct observation and originated recovery of data about the subject and its discussion. It is expected that the results of this study stimulate initiatives by healthcare professionals, searching to promote the healthcare assistance quality and orthopedics patient safety binomial.

THE IMPLEMENTATION OF INTERNAL COMMISSION FOR ACCIDENT PREVENTION ON PUBLIC ADMINISTRATION AS A STRATEGY OF ABSENCE FUNCTIONAL CONTROL
Pedro Ivo Biancardi Barboza, Mirian Matsura Shirassu, Ana Maria Sanchez and Marcia Kiyomi Koike
[63-70]  [PDF]

To describe the implement of the Internal Commission for Accident Prevention (CIPA) at the Public Administration human resources management policy in State of São Paulo and the existence of periodic functional diagnostics. A cross-sectional uncontrolled study with passive observational design and historical benchmarking, by applying a questionnaire to collect data from 91 Public Administration Institutions, sent by the Citizen Information Service, created by the Law on Access to Public Information. In addition, five assessment criteria were outlined in order to establish a score to rank of institutions. There is a need to adopt functional diagnostics to enable the identification, prioritization and documentation of risks in the workplace by the Direct and Indirect Administration; 66.6% of the Institutions that adopt the Labor Act regime have CIPA, whereas 18.5% of the Institutions that adopt statutory regime have such a committee; 33.3% of the Institutions of Direct Administration have systematic survey on occupational accidents , while 66.6% of Indirect administration of the institutions have such surveys; 55.5% of the Direct Administration Institutions had systematic surveys on sick leave, while 64.8% Institutions of Indirect administration had such surveys; only 4.9% of the institutions had surveys on the cost of absenteeism , all of them belonging to the Indirect Administration; only 2.5% of the Institutions have obtained the maximum score established. The implementation of CIPA in Public Institutions may enable the development of tools to measure the effective improvement of the health of state public official, and in the preparation of new studies whose results could contribute to the improvement and development of policies aimed to prevent sickness absenteeism and occupational pathology.

OCCUPATIONAL AND REGIONAL DEVELOPMENT MANAGEMENT: The Influence of Cattle in the Social and Economic Development and In the Deforestation of the Brazilian Amazon.
José Lima de Aragão, Luiz Francisco Machado Pfeifer and Manuel Antonio Valdés Borrero
[71-81]  [PDF]

It discusses the influence of cattle raising activity in the deforestation of the State of Rondônia, in the Brazilian Amazon, due to its late, rudimentary and without planning deployment, and if there was a social and economic contribution to the State. It is a bibliographical and qualitative research, in which, were raised information about the cattle breeding in the State, during the last five decades, in which they gave the occupation of Rondônia. It has the objective of showing the configuration of the activity in the regional development. It extracted that only, from the 1970s, was that the cattle breeding became important for the regional economic, but there was a lack of public ordering policies and a planning of the occupied territory, becoming in a competitive activity. Here, the low technologies provoked the replacement of the forest by the extensive creation, and, it is known that the cattle exploitation made in a right way, causes just a few damages in its operation area or little damage occur in their area.

EARLY POSTPARTUM REVIEW: Analysis of the Programmatic Actions Offered In Primary Health Care
Érica Mairene Bocate Teixeira, Rosângela Aparecida Pimenta Ferrari, Sandra Mara Maciel, Maria Luiza Gonzalez Riesco and Alexandrina Aparecida Maciel Cardelli
[82-92]  [PDF]

The postpartum review aims to reduce the incidence of injuries and in addition its implementation in primary care which has not been consolidated yet. This study examined the programmatic actions offered to women in immediate postpartum in Londrina, Brazil. Cross-sectional study nested in a prospective cohort study with 358 postpartum women who underwent early ambulation and home postpartum review in primary care, between July 2013 and March 2014. A documentary data transcription technique, prenatal and childbirth; non-participant observation in the Lucilla Ballalai Municipal Maternity Clinic and a structured interview at home after 42 days postpartum were used. The univariate analysis and chi-square test (p≤0.05) were used. There was association among guidance about childbirth in prenatal care (p≤0.036), the type of birth (p≤0.002) and the dependent variable. It was evidenced elements of the programmatic vulnerability such as the fragmentation of the health service organization, access barriers and low quality care. There is a need for revisiting the program actions for the avoidance of unnecessary costs for duplication of actions and lack of others.

BELIEFS, ATTITUDES AND MOTIVATIONS FOR BLOOD DONORS AND NON DONORS
Erica Cristina Gonçalves, Edgard Monforte Merlo, Mateus Tarcinalli Machado and Evandro Eduardo Seron Ruiz
[93-101]  [PDF]

This study aims the comprehension of the beliefs, attitudes and motivation from blood donors and non donors. We have used a structured survey with closed questions based on beliefs and attitudes of donors and non donors, and an open question type survey to evaluate donors’ main motivations to blood donation. Data analysis showed that solidarity was the most important factor to promote blood donations and fear was the most significant aspect to justify non-donors reactions. Results presented can help futures blood donations campaigns and to may also be used to attract new blood donors.