Engenharia e análise de valor na gestão de órtese, prótese e materiaisespeciais: uma abordagem para aumentar a eficiência hospitalar

Abstract

This study aimed to analyze how the application of the Value Engineering and Analysis (VEA) methodology in the management process of Orthoses, Prostheses, and Special Materials (OPME) in a large philanthropic hospital located in Serra Gaúcha, Brazil. The research followed a qualitative, exploratory, and applied approach, adopting an action-research design that allowed the researcher's direct participation in both diagnosis and proposal of improvements. Multiple data collection instruments were employed: interviews, direct observation, document analysis, and process modeling using BPMN notation, complemented by quantitative data for cost analysis. The methodology was structured according to the VEA work plan, covering the phases of Preparation, Information, Analysis, Creativity, Development, and Implementation, with techniques such as FAST Diagram, Mudge, FIRE, PDCA, and 5W2H. Results revealed that 56% of the total process cost was concentrated in critical functions, with a potential monthly savings of R$ 8,856.20. Of the 36 improvement ideas generated, 23 were considered feasible, particularly those focused on automation and system integration. The study concludes that VEA serves as a strategic tool in hospital management, promoting cost rationalization, process redesign, and increased operational efficiency. Future research is recommended to implement the proposed solutions and empirically validate the projected gains. [resumo fornecido pelo autor]