Desenvolvimento do SIDHUF - Software para dimensionamento da força de trabalho em saúde em Hospitais Universitários

Abstract

Introduction: Efficient management of the health workforce is essential for the sustainability and quality of services within Brazil’s Unified Health System (SUS). In the Federal University Hospitals (HUF) managed by the Brazilian Company of Hospital Services (Ebserh), appropriate workforce sizing presents significant challenges, directly influencing care quality, patient safety, professional satisfaction, and the efficiency of public resources. Manual processes or the use of generic tools currently applied in the Ebserh network tend to be complex and prone to errors, reinforcing the need for specific technological solutions. Objective: To develop a software solution for Health Workforce Sizing (DFTS) in the Federal University Hospitals (HUF) under Ebserh management. Methodology: The methodological design adopted in this study was based on Design Science Research (DSR), incorporating action research components to guide the construction, application, and refinement of a technological artifact for health workforce sizing (DFTS) within the Ebserh network. Initially, a literature search was conducted to contextualize the objective, followed by a search for existing software programs, patents, and records to verify the existence of similar technologies. Standardized DeCS/MeSH descriptors were used in searches performed in the BVS, PubMed, and SciELO databases. Additional keywords — “Health Workforce Sizing” and “Health Workforce Management” — were also applied, as they are not official descriptors but frequently appear in published research. The search for patents and registered systems was carried out using the INPI, WIPO, EPO, and Google Scholar platforms. Subsequently, meetings were held with methodological collaborators and developers from the Department of Computing at the Federal University of Sergipe to understand the Ebserh Workforce Sizing Manual and ensure the applicability of the proposed solution to the HUF context. The software development followed the agile SCRUM methodology, with iterative stages of design, requirements and artifact analysis, modeling, coding, and unit and integration testing. Results: The prior art search identified two similar systems, while the integrative literature review found ten relevant publications. The SIDHUF system was developed based on methodologies that consider demand, needs, and workload parameters used by Ebserh in its workforce sizing processes. The main features include organizational parameterization, automated sizing calculations, scenario simulations, report and dashboard generation, and an intuitive interface capable of integrating with existing hospital systems. The study resulted in an original technological product registered with the National Institute of Industrial Property (INPI). Conclusion: The SIDHUF was developed as an innovative tool with applicable knowledge for future research and enhancements. The validation of the solution is planned as a prospective step for further development.