Multimethodology Applied to a Complex Health System

摘要

This study aims to support a complex health problem, referring to a large public hospital, which works only with elective surgeries and stands out as a center of excellence in the treatment of orthopedic diseases and trauma. For this purpose, the CHAP~2 was used, which consists of a systemic methodology to structure and facilitate the integration between qualitative and quantitative aspects of complex social problems. This method provided a broad qualitative context for the problems, in particular the excessive size of patient in the admission queue and the huge number of exams with expired validity. The qualitative approach also supported the choice and application of quantitative simulation by mediating the selection of decision variables, their sensitivity analysis and the validation of results from simulation. The quantitative approach used scenarios and indicators in order to provide guidance for management to solve hospital management.