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Um framework conceitual de gestão de service e healthcare supply chain para sustainability, umpteenth industrial revolution, society n.0, culture, innovation e humanity globais e locais: questões, perspectivas, oportunidades, desafios, tendências e lições
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| dc.contributor.advisor | Carmo, Annibal José Roris Rodriguez Scavarda do | |
| dc.contributor.author | Daú, Gláucya Lima | |
| dc.date.accessioned | 2025-04-03T16:52:36Z | |
| dc.date.available | 2025-04-03T16:52:36Z | |
| dc.date.issued | 2020-12-23 | |
| dc.identifier.citation | DAÚ, Gláucya Lima. Um framework conceitual de gestão de service e healthcare supply chain para sustainability, umpteenth industrial revolution, society n.0, culture, innovation e humanity globais e locais: questões, perspectivas, oportunidades, desafios, tendências e lições. 2020. 343 f. Tese (Doutorado em Enfermagem e Biociências) - Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, 2020. | pt_BR |
| dc.identifier.uri | http://hdl.handle.net/unirio/14523 | |
| dc.description.sponsorship | n/a | pt_BR |
| dc.language.iso | Portuguese | pt_BR |
| dc.rights | openAccess | pt_BR |
| dc.title | Um framework conceitual de gestão de service e healthcare supply chain para sustainability, umpteenth industrial revolution, society n.0, culture, innovation e humanity globais e locais: questões, perspectivas, oportunidades, desafios, tendências e lições | pt_BR |
| dc.title.alternative | A healthcare service supply chain conceptual managerial framework for the global and local sustainability, umpteenth industrial revolution, society n.0, culture, innovation, and humanity: issues, perspectives, opportunities, challenges, trends, and lessons | pt_BR |
| dc.type | doctoralThesis | pt_BR |
| dc.contributor.referee | Carmo, Annibal José Roris Rodriguez Scavarda do | |
| dc.contributor.referee | Martinez Reyes, Pedro | |
| dc.contributor.referee | Luiz, John Manuel | |
| dc.contributor.referee | Menezes, Ellen Mayra da Silva | |
| dc.contributor.referee | Souza Júnior, Luiz Amancio Machado de | |
| dc.degree.department | CCBS | pt_BR |
| dc.degree.grantor | Universidade Federal do Estado do Rio de Janeiro - UNIRIO | pt_BR |
| dc.degree.local | Rio de Janeiro, RJ | pt_BR |
| dc.degree.program | Programa de Pós-Graduação em Enfermagem e Biociências | pt_BR |
| dc.subject.cnpq | Enfermagem | pt_BR |
| dc.subject.en | Society n.0 | pt_BR |
| dc.subject.en | Supply chain | pt_BR |
| dc.subject.en | Umpteenth industrial revolution | pt_BR |
| dc.description.abstracten | The research study entitled “A healthcare service supply chain conceptual managerial framework for the global and local sustainability, umpteenth industrial revolution, society n.0, culture, innovation, and humanity: issues, perspectives, opportunities, challenges, trends, and lessons” addresses the healthcare supply chain in the logistics and logistics reverse dynamics. The research involves two units in the healthcare institution: the center sterile supply department (CSSD) and the surgical center (SC). The surgical center is the largest CSSD customer, which reprocesses the healthcare products for all the healthcare institution units, keeping a circular responsibility. In this supply chain, the sustainability, the umpteenth industrial revolution, the society n.0, the culture, the innovation, and the humanity were analyzed with a holistic view. Thus, this study has the general objective: to analyze the literature about the healthcare service supply chain focusing on the insertion of the sustainability, the umpteenth industrial revolution, the society n.0, the culture, the innovation, and the humanity. The specific objectives are to develop a literature review, approaching the sustainability, the umpteenth industrial revolution, the society n.0, the culture, the innovation, and the humanity in many sectors of the supply chain; to map the issues of the CSSD supply chain through the literature review about the reprocessing done for the SC; to analyze the perspectives, the opportunities, the challenges, the trends, and the lessons for the CSSD – SC supply chain for the sustainability, umpteenth industrial revolution, society n.0, culture, innovation, and humanity implementation; to present “A healthcare service supply chain conceptual managerial framework for the global and local sustainability, umpteenth industrial revolution, society n.0, culture, innovation, and humanity: issues, perspectives, opportunities, challenges, trends, and lessons.” In this way, three research questions seek to be answered: Which sustainable practices can be incorporated to the healthcare service supply chain? How can the umpteenth industrial revolution and the society n.0 help the healthcare supply chain? How to adjust the healthcare supply chain through a holistic look with attention to the culture, the innovation, and the humanity? This is an exploratory and descriptive study. Two steps compose the methodology. The literature review was structured based on the search equations in the exploratory step, allowing recovery of 1522 papers. The literature review structure was developed between April 2019 and December 2020, at CAPES/MEC (Coordination for the Improvement of Higher Education Personnel/ Brazilian Ministry of Education and Culture – Coordenação de Aperfeiçoamento de Pessoal de Nível Superior/Ministério da Educação e Cultura) periodic portal about studies involving the sustainability, the umpteenth industrial revolution, the society n.0, the culture, the innovation, and the humanity in the healthcare supply chain. The CAPES MEC is a foundation that works to stricto sensu graduated improvement and expansion and it is consolidated in all Brazilian States. The search used a Boolean operator AND for the association of the search equations. The inclusion criteria were papers in English, peer reviewed and with abstract. The year of publication was not considered as an exclusion criterion. First, the follow search equations with “healthcare” and “health care” were implemented: “healthcare” AND “sustainable,” “health care” AND “sustainable,” “healthcare” AND “sustainability,” “health care” AND “sustainability,” “healthcare” AND “fourth industrial revolution,” “health care” AND “fourth industrial revolution,” “healthcare” AND “industry 4.0,” “health care” AND “industry 4.0,” “healthcare” AND “fifth industrial revolution,” “health care” AND “fifth industrial revolution,” “healthcare” AND “industry 5.0,” “health care” AND “industry 5.0,” “healthcare” AND “sixth industrial revolution,” “health care” AND “sixth industrial revolution,” “healthcare” AND “industry 6.0,” “health care” AND “industry 6.0,” “healthcare” AND “umpteenth industrial revolution,” “health care” AND “umpteenth industrial revolution,” “healthcare” AND “society 5.0,” “health care” AND “society 5.0,” “healthcare” AND “society 6.0,” “health care” AND “society 6.0,” “healthcare” AND “society n.0,” “health care” AND “society n.0,” “healthcare” AND “culture,” “health care” AND “culture,” “healthcare” AND “innovation,” “health care” AND “innovation,” “healthcare” AND “human,” “health care” AND “human,” “healthcare” AND “digital,” “health care” AND digital,” “healthcare” AND “technology,” “health care” AND “technology,” “healthcare” AND “technologies,” “health care” AND “technologies,” “healthcare” AND “smart,” and “health care” AND “smart.” After the terms “healthcare supply chain” and “health care supply chain” were implemented: “healthcare supply chain” AND “sustainable,” “health care supply chain” AND “sustainable,” “healthcare supply chain” AND “sustainability,” “health care supply chain” AND “sustainability,” “healthcare supply chain” AND “fourth industrial revolution,” “health care supply chain” AND “fourth industrial revolution,” “healthcare supply chain” AND “industry 4.0,” “health care supply chain” AND “industry 4.0,” “healthcare supply chain” AND “fifth industrial revolution,” “health care supply chain” AND “fifth industrial revolution,” “health care supply chain” AND “industry 5.0,” “health care supply chain” AND “industry 5.0,” “healthcare supply chain” AND “sixth industrial revolution,” “health care supply chain” AND “sixth industrial revolution,” “healthcare supply chain” AND “industry 6.0,” “health care supply chain” AND “industry 6.0,” “healthcare supply chain” AND “umpteenth industrial revolution,” “health care supply chain” AND “umpteenth industrial revolution,” “healthcare supply chain” AND “society 5.0,” “health care supply chain” AND “society 5.0,” “healthcare supply chain” AND “society 6.0,” “health care supply chain” AND “society 6.0,” “healthcare supply chain” AND “society n.0,” “health care supply chain” AND “society n.0,” “healthcare supply chain” AND “culture,” “health care supply chain” AND “culture,” “healthcare supply chain” AND “innovation,” “health care supply chain” AND “innovation,” “healthcare supply chain” AND “human,” “health care supply chain” AND “human,” “healthcare supply chain” AND “digital,” “health care supply chain” AND “digital,” “healthcare supply chain” AND “technology,” “health care supply chain” AND “technology,” “healthcare supply chain” AND “technologies,” “health care supply chain” AND “technologies,” “healthcare supply chain” AND “smart,” and “health care supply chain” AND “smart.” Still in the exploratory step, the construction of this research was considered under the publication papers in the international top journals, in the national and international conferences and courses participation, and in the paper reviewer. The descriptive step involves the number of the papers recovered per search equation and the issue guideline. The issue guideline was composed with questions for each cluster which were defined in accordance the literature. The clusters were “the physical structure,” “the workflow,” and “the education.” Each cluster was discussed in the sub-chapters called “the physical structure - opportunities and trends,” “the workflow - opportunities and trends,” “the education - opportunities and trends,” “the physical structure - perspectives and challenges,” “the workflow - perspectives and challenges,” ”the education - perspectives and challenges,” and “the lessons.” The discussion chapter brings opportunities and trends highlights like the participation of the CSSD professional during the construction and the reform of the physical structure; the ergonomic practices; the sustainable practices; the corporate social responsibility; the cost reduction; the automation and the digital; the responsible natural resources consumption; the understanding the circular responsibility; the interdisciplinary work; the reduction of bottlenecks; the understanding the customer; the just in time and the Kanban; the systems for tracking, the personal identification, and the automation; the pulled production; the create a marketplace; the sterilization equipment with low water consumption; the recycle, the recreate, and the reuse; the lean education; the lifelong learning; the digital transformation to drive the make decision, the engagement, the skills, and the competences; the quality of the process improvement. For the perspectives and the challenges, the highlights were the bottlenecks; the workstation; the costs with the equipment; the furniture adaptions; the equipment investment with the sustainable approach; the water reuse; the physical plant size; the lack for the sustainable practices and the industry 4.0; the circular responsibility; the changed the business model; the manual track; the low investments; the disruptive technology access; the high administration value perception; the physical plant size; the complex instruments and purchase; the skills and competences; the healthcare and the accessibility to the digital platforms; the lifelong learning implementation; the value to deliver goods and services; the pandemics moments and impact in the trainings; the time to stop for training; and the knowledge a bigger number of the technologies. Thus, the issue guideline, the clusters, and the lessons conducted to achieve “A healthcare service supply chain conceptual managerial framework for the global and local sustainability, umpteenth industrial revolution, society n.0, culture, innovation, and humanity: issues, perspectives, opportunities, challenges, trends, and lessons.” In conclusion, the conceptual managerial framework can be implemented globally and locally in whole and in parts, according to the needs of the healthcare institutions. The digital transformation is accelerated and the process improvement is a continuous search. The sustainable think and action must be implemented. The industrial revolution is renewed and it innovates at each new stage. The human factor and the cultural issues in the society are real topics. Looking forward the future, for the accelerated digital transformation, for the maintenance the human perspective, and for the sustainable culture that this study presents, it proposes “A healthcare service supply chain conceptual managerial framework for the global and local sustainability, umpteenth industrial revolution, society n.0, culture, innovation, and humanity: issues, perspectives, opportunities, challenges, trends, and lessons,” coining the “umpteenth industrial revolution” and “society n.0”. | pt_BR |
| dc.degree.country | Brasil | pt_BR |
| dc.description.sponsordocumentnumber | n/a | pt_BR |
| dc.description.abstractpt | A pesquisa intitulada “um framework conceitual de gestão de service e healthcare supply chain para sustainability, umpteenth industrial revolution, society n.0, culture, innovation e humanity globais e locais: questões, perspectivas, oportunidades, desafios, tendências e lições” endereça a dinâmica da logística e da logística reversa na healthcare supply chain. O estudo envolve duas unidades da instituição de saúde: o centro de material e esterilização (CME) e o centro cirúrgico (CC). O centro cirúrgico é o maior cliente do CME, o qual processa todos os produtos para a saúde para todas as unidades da instituição de saúde, mantendo a sua responsabilidade circular. Nesta supply chain, sustainability, umpteenth industrial revolution, society n.0, culture, innovation e humanity foram analisados com um olhar holístico. Assim, este estudo tem como objetivo geral: analisar a literatura sobre healthcare supply chain com foco na inserção da sustainability, da umpteenth industrial revolution, da society n.0, cultura, da innovation e da humanity. Os objetivos específicos são: desenvolver uma revisão da literatura, abordando sustainability, umpteenth industrial revolution, society n.0, culture, innovation e humanity em diversos setores da supply chain; mapear as questões da supply chain do CME através da revisão da literatura sobre o processamento feito para o CC; analisar as perspectivas, as oportunidades, os desafios, as tendências e as lições para a healthcare supply chain para a implementação da sustainability, da umpteenth industrial revolution, da society n.0, da culture, da innovation e da humanity; apresentar “um framework conceitual de gestão de service e healthcare supply chain para sustainability, umpteenth industrial revolution, society n.0, culture, innovation e humanity globais e locais: questões, perspectivas, oportunidades, desafios, tendências e lições”. Neste sentido, busca-se responder três questões de pesquisa: Quais práticas sustentáveis podem ser incorporadas à healthcare supply chain e service? Como a umpteenth industrial revolution e a society n.0 podem ajudar a healthcare supply chain? Como ajustar a healthcare supply chain por meio de um olhar holístico com atenção à culture, à innovation e à humanity? Este é um estudo exploratório e descritivo, sendo a metodologia composta por duas etapas. A revisão da literatura foi estruturada, na etapa exploratória, com base nas equações de busca, permitindo a recuperação de 1522 artigos. A busca dos artigos foi realizada entre abril de 2019 e dezembro de 2020, por meio do Portal de Periódicos da CAPES/MEC (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior/Ministério da Educação e Cultura) sobre os estudos envolvendo a sustainability, a umpteenth industrial revolution, a society n.0, a culture, a innovation e a humanity na healthcare supply chain. A CAPES MEC é uma fundação que trabalha na melhoria e na expansão da pós-graduação stricto sensu e na sua consolidação em todos os estados brasileiros. Para a busca foi utilizado o operador Booleano AND para a associação das equações de busca. Os critérios de inclusão foram artigos em inglês, revisados por pares e que tivessem abstract. O ano de publicação não foi considerado como critério de exclusão. Primeiramente, as seguintes equações com os termos “healthcare” e “health care” foram implementadas: “healthcare” AND “sustainable,” “health care” AND “sustainable,” “healthcare” AND “sustainability,” “health care” AND “sustainability,” “healthcare” AND “fourth industrial revolution,” “health care” AND “fourth industrial revolution,” “healthcare” AND “industry 4.0,” “health care” AND “industry 4.0,” “healthcare” AND “fifth industrial revolution,” “health care” AND “fifth industrial revolution,” “healthcare” AND “industry 5.0,” “health care” AND “industry 5.0,” “healthcare” AND “sixth industrial revolution,” “health care” AND “sixth industrial revolution,” “healthcare” AND “industry 6.0,” “health care” AND “industry 6.0,” “healthcare” AND “umpteenth industrial revolution,” “health care” AND “umpteenth industrial revolution,” “healthcare” AND “society 5.0,” “health care” AND “society 5.0,” “healthcare” AND “society 6.0,” “health care” AND “society 6.0,” “healthcare” AND “society n.0,” “health care” AND “society n.0,” “healthcare” AND “culture,” “health care” AND “culture,” “healthcare” AND “innovation,” “health care” AND “innovation,” “healthcare” AND “human,” “health care” AND “human,” “healthcare” AND “digital,” “health care” AND digital,” “healthcare” AND “technology,” “health care” AND “technology,” “healthcare” AND “technologies,” “health care” AND “technologies,” “healthcare” AND “smart,” and “health care” AND “smart”. Após, os termos “healthcare supply chain” e “health care supply chain” foram implementados: “healthcare supply chain” AND “sustainable,” “health care supply chain” AND “sustainable,” “healthcare supply chain” AND “sustainability,” “health care supply chain” AND “sustainability,” “healthcare supply chain” AND “fourth industrial revolution,” “health care supply chain” AND “fourth industrial revolution,” “healthcare supply chain” AND “industry 4.0,” “health care supply chain” AND “industry 4.0,” “healthcare supply chain” AND “fifth industrial revolution,” “health care supply chain” AND “fifth industrial revolution,” “health care supply chain” AND “industry 5.0,” “health care supply chain” AND “industry 5.0,” “healthcare supply chain” AND “sixth industrial revolution,” “health care supply chain” AND “sixth industrial revolution,” “healthcare supply chain” AND “industry 6.0,” “health care supply chain” AND “industry 6.0,” “healthcare supply chain” AND “umpteenth industrial revolution,” “health care supply chain” AND “umpteenth industrial revolution,” “healthcare supply chain” AND “society 5.0,” “health care supply chain” AND “society 5.0,” “healthcare supply chain” AND “society 6.0,” “health care supply chain” AND “society 6.0,” “healthcare supply chain” AND “society n.0,” “health care supply chain” AND “society n.0,” “healthcare supply chain” AND “culture,” “health care supply chain” AND “culture,” “healthcare supply chain” AND “innovation,” “health care supply chain” AND “innovation,” “healthcare supply chain” AND “human,” “health care supply chain” AND “human,” “healthcare supply chain” AND “digital,” “health care supply chain” AND “digital,” “healthcare supply chain” AND “technology,” “health care supply chain” AND “technology,” “healthcare supply chain” AND “technologies,” “health care supply chain” AND “technologies,” “healthcare supply chain” AND “smart,” and “health care supply chain” AND “smart”. A etapa exploratória, da construção desta pesquisa, foi construída também com a publicação de artigos em revistas internacionais classificadas na Plataforma Sucupira – CAPES como Qualis A1, na participação em cursos e congressos nacionais e internacionais e como revisora de artigos em revistas internacionais Qualis A1. A etapa descritiva envolveu o número de artigos recuperados por equação de busca e o “issues guideline” O “issues guideline” foi composto com questões para cada cluster definido de acordo com a literatura. Os clusters foram “a estrutura física”, “o fluxo de trabalho”, e “a educação”. Cada cluster foi discutido em subcapítulos chamados “a estrutura física - oportunidades e tendências”, “o fluxo de trabalho - oportunidades e tendências”, “a educação – oportunidades e tendências,” “a estrutura física – perspectivas e desafios,” “o fluxo de trabalho – perspectivas e desafios,” “a educação – perspectivas e desafios” e “as lições”. As oportunidades e as tendências como a participação do profissional do CME durante a construção e a reforma da estrutura física; as práticas ergonômicas e sustentáveis; a responsabilidade social corporativa; a redução de custos; a automação e o digital; o consumo responsável dos recursos naturais; a compreensão da responsabilidade circular; o trabalho interdisciplinar; a redução dos gargalos; o entendimento das necessidades do cliente; o just in time e o Kanban; os sistemas de rastreabilidade e a identificação pessoal; a produção puxada; a criação de um marketplace; os equipamentos de esterilização com baixo consumo de água; o reciclar, o recriar e o reusar; o lean education; o lifelong learning; a transformação digital direcionando para a tomada de decisão; o engajamento, as habilidades e as competências, e a melhoria dos processos de qualidade são destacada e discutidas. Para as perspectivas e os desafios, os destaques foram os gargalos; a estação de trabalho; os custos com os equipamentos; as adaptações da mobília; o investimento em equipamentos com abordagem sustentável; o reuso de água; o tamanho da planta física; a ausência de práticas sustentáveis e da indústria 4.0; a responsabilidade circular; a mudança do modelo de negócios; a rastreabilidade manual; os baixos investimentos; o acesso às tecnologias disruptivas; a percepção de valor pela alta administração; a complexidade dos instrumentos cirúrgicos e a complexidade da compra; as habilidades e as competências; as plataformas de acesso digital; a implementação do lifelong learning; o valor na entrega de bens e serviços; o momento atual de pandemia e o impacto nos treinamentos setoriais; o tempo para o treinamento; o conhecimento das tecnologias. Assim, o issue guideline, os clusters e as lições conduzem para atingir “um framework conceitual de gestão de service e healthcare supply chain para sustainability, umpteenth industrial revolution, society n.0, culture, innovation e humanity globais e locais: questões, perspectivas, oportunidades, desafios, tendências e lições”. Como conclusão, o framework conceitual de gestão pode ser implementado global e localmente no formato completo e em partes, de acordo com as necessidades das instituições de saúde. A transformação digital está acelerada e a melhoria dos processos torna-se uma busca contínua. O pensamento e a ação sustentável devem ser implementados. A revolução industrial é renovada e inova a cada novo estágio. O fator humano e as questões culturais na sociedade são tópicos reais. Olhando para o futuro, para a transformação digital acelerada, para a manutenção da perspectiva e da cultura sustentáveis que este estudo apresenta e propõe “um framework conceitual de gestão de service e healthcare supply chain para sustainability, umpteenth industrial revolution, society n.0, culture, innovation e humanity globais e locais: questões, perspectivas, oportunidades, desafios, tendências e lições”. | pt_BR |
| dc.subject.pt | Cultura | pt_BR |
| dc.subject.pt | Inovação | pt_BR |
| dc.subject.pt | Sustentabilidade | pt_BR |
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