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Revista Cubana de Enfermería
versão On-line ISSN 1561-2961
Resumo
GARCIA FARINAS, Anai; DANA MARRERO, Sonia de la Caridad; MALDONADO ALCANTARA, Mariela e PEREZ MUNOZ, Lázara Maydalis. Efficiency of nursing activities in family doctor's and nurse's offices. Rev Cubana Enfermer [online]. 2018, vol.34, n.4 Epub 01-Dez-2018. ISSN 1561-2961.
Introduction:
In Cuba, the family nurse is distinguished by having multiple areas of results for which different resources are necessary. It is unknown whether the resource consumed is much or little in the face of the activities carried out.
Objectives:
To characterize the efficiency of the nursing activity of doctor's offices and nurse of the family and determined areas of improvement to increase efficiency.
Methods:
A cross-sectional descriptive study was carried out with all the offices of three polyclinics of the municipality 10 October. A model of data enveloping analysis maximization of results and constant returns to scale was solved using six outputs four inputs.
Results:
The average efficiency was between 86.66 % and 95.63 %. In order to improve efficiency, average compliance values for maternal and child care should be reached between 85.32 % and 88.58 %; for patients with chronic diseases between 8.99 % and 41.67 %; for patients with communicable diseases between 34.87 % and 54.55 %; for the older adult between 65.70 % and 90.23 % and for vaginal cytology between 91.97 % and 162.72 % and to reduce on average the expenditure on material that can be spent between 11.25 % and 47.28 %; in medicines between 15.31 % and 107.22 % and in human resources between 15.01 % and 32.72 %.
Conclusions:
High levels of pure technical efficiency were determined for the nursing activity in the clinics, although the presence of inefficient units was verified. There are units with structurally determined inefficiency that, in order to solve it, an analysis of the consumption of resources is necessary.
Palavras-chave : Community nursing; efficiency; policlinics; Cuba.