http://bdtd.uftm.edu.br/handle/tede/500 Pós-graduação stricto sensu Wed, 14 Oct 2026 11:38:34 GMT 2026-10-14T11:38:34Z http://bdtd.uftm.edu.br/handle/123456789/2163 Título: Eficácia e celeridade nas contratações públicas: diagnóstico e modelo de gestão estratégica para o pregão eletrônico universidades federais Abstract: Research objective: To develop a strategic management and monitoring model for procurement processes conducted through the electronic reverse auction modality at the Federal University of Triângulo Mineiro, based on the identification of the determinants of effectiveness and timeliness, with the aim of optimizing process flows and strengthening institutional governance. Theoretical framework: The study falls within the research area of Public Administration and Organizations. Methodology: A case study employing a mixedmethods approach, classified as descriptive in terms of its objectives and applied in nature. Results: Following an analysis of 136 electronic reverse auctions completed between 2022 and 2024 at the Federal University of Triângulo Mineiro, conducted under both Law No. 8,666/1993 and Law No. 14,133/2021, it was found that most processes are completed within 149 days. The internal phase, particularly the stages carried out by the Procurement Division, takes approximately 90 days. The longer duration of the internal phase reinforces the finding that a well-prepared preliminary technical study and terms of reference influence the preparation of the bidding notice and the conduct of the procurement process, further underscoring the importance of continuous staff training. The calculation of procurement costs using the formula established in Technical Note No. 1,081/2017 estimated the administrative cost of an electronic reverse auction at BRL 19,561.47 within the university. The main factors identified as contributing to longer procurement processing times were: the number of items, the occurrence of bidder challenges or representations, interdepartmental issues, and rework. The significant correlations identified, together with the findings from the interviews, provided the basis for developing the proposed model, which recommends operational improvements such as process standardization and the establishment of servicelevel agreements aimed at reducing delays and rework, as well as the implementation of a visual metrics dashboard and an efficiency index. Relevance: The proposed model is structured around three pillars: (i) strategic and regulatory planning; (ii) optimized execution and risk management; and (iii) monitoring and continuous improvement. Practical contributions: The results provide university managers with an objective benchmark for the processing time and cost of electronic reverse auctions and can be used to: (i) monitor process progress and identify cases of significant deviation from the 149-day benchmark; (ii) establish gradual targets for reducing processing times; (iii) support decisions regarding the choice between electronic reverse auctions and direct procurement without a bidding process, particularly for low-value acquisitions; and (iv) support procurement planning and process improvement initiatives in the Procurement and Bidding areas. Tipo: Dissertação Tue, 23 Jun 2026 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2163 2026-06-23T00:00:00Z http://bdtd.uftm.edu.br/handle/123456789/2161 Título: Construção colaborativa de algoritmo de tomada de decisão para implantação de serviço de farmácia clínica em oncologia Abstract: Introduction: Cancer is the second leading cause of death worldwide, posing a challenge to public health systems. In Brazil, the SUS (Unified Health System) has prioritized strengthening cancer care, notably through the National Policy for Cancer Prevention and Control (Law No. 14,758/2023), the Cancer Prevention and Control Network (GM/MS Ordinance No. 6,591/2025), and the creation of the Pharmaceutical Assistance Component in Oncology - AF-Onco (Ordinance No. 8,477/2025). In this context, clinical pharmacy in oncology emerges as a strategy to improve care, promoting patient safety, therapeutic adherence, and cost control. However, decision-making regarding its implementation in public hospitals lacks objective and standardized instruments aligned with the specificities of the SUS. Simultaneously, the DATASUS databases remain an opportunity for planning and strategic decisions. General objective: To collaboratively build the architecture of a decision-making algorithm for the implementation of clinical pharmacy services in oncology within the Brazilian Unified Health System (SUS). Method: Applied research, of a methodological nature, structured in three stages: a) theoretical (documentary analysis and scope review); b) theoretical-empirical (regulatory analysis and preliminary algorithm design); c) collaborative empirical (evaluation with oncology specialist pharmacists). Additionally, the project integrated the Technological Initiation Program (PIT/EBSERH nº02/2025), with a scholarship recipient dedicated to the inventory of DATASUS systems, the use of generative AI (DeepSeek®), and the development of the OncoFarmaSUS prototype. Results: The work was organized into scientific articles and technical-technological products. These included: a case study on hospital pharmaceutical management; a scoping review highlighting a gap in algorithms adapted to the Brazilian Unified Health System (SUS); collaborative construction of the algorithm architecture and validation of the layout and content by experts (agreement rate = 100%); an opinion article on public policies in the pharmaceutical area; and validation of the algorithm architecture in simulated scenarios, demonstrating its operability. The resulting technical-technological product was the architecture of an expert system (symbolic AI) composed of 8 attributes (Oncological Care, Pharmacist Team, Protocols, Humanized Follow-up, Pharmacovigilance, Dispensing and Costs, Teaching and Research, Patient-Centered Care) and 36 inference mechanisms, based on the author's professional experience and on Ordinance GM/MS No. 8,477/2025 (AF-Onco). From this, the navigable prototype of the OncoFarmaSUS application was developed, with a software registration request currently being processed by EBSERH/INPI. Originality and relevance: This research proposes an expert system focused on decision-making regarding the implementation of clinical pharmacy in oncology within the Brazilian Unified Health System (SUS), innovating in the following dimensions: technological (interoperability with DATASUS), methodological (integration between documentary research, generative AI, and prototyping), institutional (articulation between professional master's programs, technological initiation programs, and teaching hospitals), and social (improvement of public management, access to healthcare, and safety of cancer patients). Practical contributions and impact: For the teaching hospital, the results offered a readiness diagnostic tool aligned with AF-Onco; for the HU Brasil network, a replicable model; for public management, the innovative use of government data with application in direct patient care; and for training, it allows integration between postgraduate, undergraduate, and practice settings. Attached institutional statements attest to the hospital's interest in future implementation phases. Final considerations: The dissertation fulfilled its proposed objective, progressing from theoretical conception to functional prototyping and software registration. Integration with PIT/EBSERH enhanced the results and the training of human resources. Next steps include the implementation of the inference engine, effective integration with DATASUS, and pilot testing. OncoFarmaSUS embodies the integration between academic research, technological innovation, and public service practice scenarios, contributing to the strengthening of the SUS (Brazilian Unified Health System) and the improvement of oncological pharmaceutical care in Brazil. Tipo: Dissertação Wed, 10 Jun 2026 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2161 2026-06-10T00:00:00Z http://bdtd.uftm.edu.br/handle/123456789/2158 Título: Vivências em setting: perspectivas de profissionais de orientação psicanalítica e de participantes de processos grupais on-line Abstract: In Paths of Psychoanalytic Therapy (1919), Freud pointed to the need for an opening of psychoanalysis to clinical expansions. Since then, numerous discussions have emerged, and what can be observed today is that mental health professionals continue to work in private practice but have also expanded their work to a variety of other contexts – reflections of the living dimension of the psychoanalytic clinic. Thus, considerations regarding the concepts of the therapeutic setting and its applicability to different circumstances remain highly relevant. The setting can be understood as a set of conditions that enable the development of a therapeutic process, allowing for the investigation and transformation of psychic phenomena within a given context. It encompasses both external aspects (such as space, fees, and time) and internal aspects, which concern the mental states that unfold during clinical processes. Considering that such understandings permeate formative processes and professional identification and that, at times, professionals are “removed” from their usual places of practice; studies on the setting demand ongoing attention. In this sense, the present dissertation aimed to investigate the understandings and experiences of the setting from the perspectives of those involved in psychotherapeutic practices. To that end, two studies were conducted. Study 1 investigated how psychotherapists of psychoanalytic orientation understand and experience the concept of setting in contexts that go beyond the standard clinical framework. It was based on interviews with nine psychologists working in diverse clinical settings, analyzed through the clinical-qualitative content analysis method. Participants reported a transition from rigid and idealized views to more flexible understandings that value the setting as an internal attitude of the analyst. They highlighted the importance of ethical stance, listening, and psychic presence as pillars of the therapeutic process. In adapting their work to institutional and virtual environments, professionals faced challenges such as lack of privacy, external interferences, and coordination with teams; management strategies, including agreements with patients and colleagues, as well as the symbolic creation of spaces for listening, proved fundamental to preserving the psychoanalytic function of the setting. The setting was thus observed as a living and relational device that requires constant reinvention in the face of contemporary realities, whose maintenance implies an ethical and symbolic construction that enables the continuity of clinical work in different contexts. Study 2 investigated the effects of an operative group conducted in a remote setting during the pandemic context. As an expanding field of practice, research on online groups is still incipient and requires further consideration; moreover, follow-up studies have proven to be relevant tools for investigating the effectiveness of such practices. Three years after the first intervention, the (re)composition of an operative group was used as a data collection method; six undergraduate psychology students agreed to participate in three new synchronous sessions. Despite challenges related to attendance and adherence, the group served as a space for reconnection and reflection on the previous experience and allowed new demands to emerge, related to the participants’ current contexts. It was concluded that the nostalgia and trust in resuming the remote group setting reinforce the relevance of such devices as tools for emotional support and bond formation. In summary, both studies reveal the vitality of psychoanalytically oriented work (alive and adaptable), capable of responding to the demands of a constantly changing world. The flexibility of the psychoanalytic setting and its capacity to foster meaningful connections through remote operative group practices were central contributions. Tipo: Dissertação Wed, 03 Dec 2025 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2158 2025-12-03T00:00:00Z http://bdtd.uftm.edu.br/handle/123456789/2142 Título: Práticas de governança e inovações para o enfrentamento da resistência antimicrobiana em hospital público de ensino Abstract: Objective: To develop an empirical theoretical model of governance practices and innovations to address antimicrobial resistance in a public teaching hospital. Theoretical basis: Tackling antimicrobial resistance is a global public policy concern. A worsening of the situation has been observed as a result of the Covid-19 pandemic. In addition to infection control challenges, the ability of public teaching hospitals to respond in their governance system has been questioned. Methodology: This is the elaboration of an empirical theoretical model resulting from the triangulation of the findings of an action research conducted by Convergent Care Research. A hospital documentary analysis of public governance practices in tackling antimicrobial resistance in a teaching hospital of the single health system was carried out between March and April/23. A scoping review was conducted according to the international PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) protocol with the following question: 'What strategic innovations are being implemented in the management of AMR in teaching hospitals', using the databases Lilacs, PubMed, Cochrane Library, Embase, Web Of Science and Scopus, carried out in March/23. In addition, semi-structured interviews using a qualitative approach following contextualised content analysis were conducted with hospital stakeholders, characterised by 13 leaders working in mandatory and advisory hospital committees, between September and November 2023, asking: 'What are the challenges for hospital leadership in tackling antimicrobial resistance?' And: 'What are the prospects for innovation in hospital governance in tackling antimicrobial resistance?' Results: Document analysis: Results A total of 1,567 documents were analysed, 86 of which contained content related to the fight against antimicrobial resistance.We found that the Hospital de Clínicas da Universidade do Triângulo Mineiro uses governance practices to combat AR. Scoping review: the research resulted in a final sample of 17 articles published in indexed health journals that can support the dissemination and uptake of innovations in the management of antimicrobial resistance in teaching hospitals and have an impact on the better development of local, national and global policies, contributing to the policy agenda for tackling antimicrobial resistance. Semi-structured interviews: resulted in broad stakeholder engagement The following were highlighted: a) Challenges: promoting strategic management involving dialogue within and outside the public teaching hospital; developing the hospital's health teams to promote leadership in tackling antimicrobial resistance; and innovation in processes, routines and products in the face of risk management for the sustainability of the institution. B) Innovations: evidence-based decision making in the service; use of research in practice; antimicrobial stewardship; development of healthcare teams; patient-centred and timely care. In this way, the triangulation of findings supported the construction of the theoretical model, which has as its inputs (strategic management; internal and extramural dialogic management; leadership development; training of health care teams; innovations; risk management and economic sustainability; evidence-based decision-making in the service; use of research in practice; antimicrobial stewardship; development of health care teams; patient-centred and timely care); institutional plan/strategic master plan; institutional committees for prescription control; quality indicators; timely diagnostic detection; information technology; professional education and training; reinforcement of precautions; cleaning and disinfection), outputs (practices related to responsiveness, evidence-based practices and innovations, and hospital practices and routines) and controls (overall infection rate and clean surgery, ICU wound density and adult ICU antimicrobial resistance profile) Originality and Relevance: There are important gaps in the governance of public teaching hospitals, particularly in the integrated health system. The development of the theoretical-empirical model made it possible to identify important aspects of hospital governance in a real context The results of this dissertation, in terms of originality, are organised into a published scientific article on innovations in the management of antimicrobial resistance and a technical scientific report describing the action research (convergent care research) that culminated in the development of the theoretical-empirical model. Practical contributions: The important potential of this research was that the combination of methods made it possible to understand the local context and its relevance to the current global challenges of antimicrobial resistance. It also allowed local leaders (stakeholders) to present their perspectives - so that the model was built closer to the real scenario than the ideal - a contextualised model By getting closer to the scenario, it was possible to identify expanded practices and innovations in hospital governance In general, the content analysed contributes to guiding local hospital response capacity and potentially to aligning the network of teaching hospitals in the Unified Health System in terms of their governance challenges Thus, it contributes to strengthening the political agenda, global and local greements in the face of this growing global health threat. Tipo: Dissertação Thu, 12 Dec 2024 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2142 2024-12-12T00:00:00Z