Título: | OPTIMIZATION OF MICROBIOLOGICAL DIAGNOSIS NETWORK LOCATION: APPLICATION TO THE PUBLIC HEALTH SYSTEM OF SÃO PAULO | ||||||||||||
Autor: |
JULIA HELENA MAIA DO NASCIMENTO |
||||||||||||
Colaborador(es): |
JULIA LIMA FLECK - Orientador SILVIO HAMACHER - Coorientador |
||||||||||||
Catalogação: | 01/FEV/2021 | Língua(s): | PORTUGUESE - BRAZIL |
||||||||||
Tipo: | TEXT | Subtipo: | THESIS | ||||||||||
Notas: |
[pt] Todos os dados constantes dos documentos são de inteira responsabilidade de seus autores. Os dados utilizados nas descrições dos documentos estão em conformidade com os sistemas da administração da PUC-Rio. [en] All data contained in the documents are the sole responsibility of the authors. The data used in the descriptions of the documents are in conformity with the systems of the administration of PUC-Rio. |
||||||||||||
Referência(s): |
[pt] https://www.maxwell.vrac.puc-rio.br/projetosEspeciais/ETDs/consultas/conteudo.php?strSecao=resultado&nrSeq=51394&idi=1 [en] https://www.maxwell.vrac.puc-rio.br/projetosEspeciais/ETDs/consultas/conteudo.php?strSecao=resultado&nrSeq=51394&idi=2 |
||||||||||||
DOI: | https://doi.org/10.17771/PUCRio.acad.51394 | ||||||||||||
Resumo: | |||||||||||||
In bacterial infections the speed in results and accuracy of the diagnostic test
is essential for the targeted treatment of the disease. Untreated time
aggravates infection and inappropriate use of antibiotics can lead to the
development of multidrug-resistant bacteria. An optimized microbiological
analysis system can guarantee lower running costs as well as a higher
service level. This work presents a mathematical model of location of
facilities to create a microbiological diagnostic network formed from bacterial
identification strategies and/or the presence of antimicrobial resistance in
populations with suspected blood infection. The objectives of the mixed
integer programming model are minimizing network logistics costs, shorten
sample collection and transport times as well as maximizing the benefits from
rapid and efficient diagnostics. The proposed model was applied to real
demand data of microbiological procedures of the State of São Paulo. Among
the eligible technologies, the optimal solution suggests the installation of 12
centralized testing laboratories. The average total time of diagnosis,
excluding culture times, is 10.3 hours. The estimated annual savings on
medicines represents BRL 98,498,965.70 of the budget amount dedicated to
drug procurement. Compared to a decentralized diagnostic network, the
results show an average reduction in microbial identification time and an
economy 48 percent higher. The analyzes also highlight the impact of treatment
cost on diagnostic times. The results indicate the effectiveness of the model
as a tool to support decision making and aid to health care institutions and
can be applied to other administrative regions and at different levels of
network formation.
|
|||||||||||||
|