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Multi-criteria analysis in the health area: selection of the most appropriate triage system for the emergency care units in natal.
BMC Medical Informatics and Decision Making ( IF 3.5 ) Pub Date : 2020-02-21 , DOI: 10.1186/s12911-020-1054-y
Deyse Gillyane Gomes Camilo 1 , Ricardo Pires de Souza 1 , Talita Dias Chagas Frazão 1 , João Florêncio da Costa Junior 1
Affiliation  

BACKGROUND Multiobjective decision-making processes present a high degree of complexity in their solution, and tools such as multicriteria decision analysis appear as a way to facilitate the decision-makers' solution and ensure that the decision is made cohesively and efficiently. In the public health sector, decisions are even more delicate because they work not only with the direct influence of human needs, but also with limited financial resources. An important point for the emergency care units is the triage system, which consists of a pre-evaluation of the patients, classifying them according to the degree of life risk. Through triage, the patient can be attended more quickly and efficiently, streamlining the whole process. Thus, the present research endeavored to determine the most appropriate triage protocol for emergency healthcare units in Natal-RN city in Brazil and may help others less advanced countries to determine the most appropriate triage protocol for emergency healthcare. METHODS In this study, we used the multicriteria analysis method known as FITradeoff. In addition, interviews and structured questionnaires applied with nurses, specialists and directors. RESULTS Based on the questionnaires and preferences presented by the decision-makers, the Spanish Triage System was the most suitable protocol for the emergency care units, which presented with high ease of use and implementation. CONCLUSIONS This study reached its main objective, which was to determine the most appropriate triage protocol. In addition, it was observed the possibility of new research, such as the development of a specific protocol for this emergency care units and the creation of an application software for this new protocol.

中文翻译:

卫生领域的多标准分析:为新生儿急诊单位选择最合适的分类系统。

背景技术多目标决策过程在其解决方案中呈现出高度的复杂性,并且诸如多准则决策分析之类的工具看来是促进决策者解决方案并确保凝聚力和有效决策的一种方式。在公共卫生部门,决策更加微妙,因为它们不仅在人类需求的直接影响下起作用,而且在有限的财政资源上也起作用。急诊科的一个重点是分类系统,该系统包括对患者的预先评估,并根据生命危险程度对患者进行分类。通过分诊,可以更快,更有效地为患者提供服务,简化整个过程。从而,本研究致力于确定巴西纳塔尔RN市急诊医疗单位最合适的分诊方案,并可能帮助其他较不发达国家确定急诊医疗最合适的分诊方案。方法在本研究中,我们使用了称为FITradeoff的多准则分析方法。此外,还对护士,专家和主任进行了访谈和结构化的问卷调查。结果根据决策者提出的问卷调查表和偏好,西班牙分类系统是急诊病房最适合的规程,呈现出高度的易用性和实施​​性。结论这项研究达到了其主要目的,即确定最合适的分类方案。此外,还发现了进行新研究的可能性,
更新日期:2020-04-22
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