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Evolução e resposta dos serviços de imagiologia da ULSNE: uma análise entre 2015 e 2021
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A Imagiologia, enquanto especialidade médica fundamental na área do diagnóstico e terapêutica, tem acompanhado a evolução tecnológica, recorrendo a métodos como a tomografia computorizada (TC), a ressonância magnética (RM), a ecografia e a mamografia. Estas técnicas exigem recursos especializados, tanto a nível de equipamentos gold standard, como de profissionais qualificados, sendo, por isso, uma área com exigências acentuadas em termos organizacionais e operacionais.
O presente estudo teve como objetivo avaliar a evolução da atividade e a capacidade de resposta dos serviços de Imagiologia da Unidade Local de Saúde do Nordeste (ULSNE), entre 2015 e 2021, considerando o impacto de fatores organizacionais e epidemiológicos que marcaram este período. A investigação baseou-se numa abordagem quantitativa, através da análise estatística descritiva de dados relacionados com o número, tipo e origem dos exames realizados, o tempo médio de espera para uma TC e os custos associados à atividade imagiológica.
Os resultados demonstraram um aumento progressivo do número de atos médicos solicitados, com um pico de solicitações em 2019, atingindo uma média diária de 371 solicitações. Em 2021, os serviços de Clínica Geral de Bragança e Mirandela destacaram-se pelo volume de atividade. Observou-se, no entanto, uma redução em áreas específicas, como Digestivo e Urografia. Os módulos de Urgência e Admissão Direta/Centro de Saúde foram os principais responsáveis pela procura, seguidos pela Consulta Externa. A assistência técnica foi transversal a todos os módulos, incluindo o Bloco Operatório.
Esta análise permitiu caracterizar a evolução dos serviços de Imagiologia da ULSNE, identificar constrangimentos estruturais e operacionais, e refletir sobre oportunidades de melhoria. Apesar das limitações ao nível de recursos humanos e tecnológicos, os dados sugerem uma resposta globalmente ajustada às exigências da população, destacando a necessidade de reforço na gestão e planeamento para garantir maior resiliência e capacidade de resposta futura.
Imaging, as a fundamental medical specialty in the field of diagnosis and therapy, has kept pace with technological developments by employing methods such as computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and mammography. These techniques require specialised resources, including gold-standard equipment and highly qualified professionals, making this a highly demanding area from both organisational and operational perspectives. This study aimed to assess the evolution of activity and the response capacity of the imaging services of the Nordeste Local Health Unit (ULSNE) between 2015 and 2021, considering the impact of organisational and epidemiological dynamics during this period. The research followed a quantitative approach through descriptive statistical analysis of data related to the number, type, and origin of imaging exams performed, the average waiting time for CT scans, and the costs associated with imaging services. The results showed a progressive increase in the number of medical imaging requests, peaking in 2019 with a daily average of 371 requests. In 2021, General Practice services in Bragança and Mirandela stood out for their high volume of activity. However, a decline was observed in specific areas such as Digestive and Urography exams. Emergency and Direct Admission/Primary Health Centre modules were the main sources of demand, followed by Outpatient Consultations. Technical assistance was transversal across all modules, including the Operating Room. This analysis allowed for a detailed understanding of the evolution of imaging services at ULSNE, highlighting structural and operational constraints and identifying areas for improvement. Despite existing limitations in human and technological resources, the data suggest an overall adequate response to population needs, underlining the importance of strengthening management and planning strategies to enhance resilience and future service capacity.
Imaging, as a fundamental medical specialty in the field of diagnosis and therapy, has kept pace with technological developments by employing methods such as computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and mammography. These techniques require specialised resources, including gold-standard equipment and highly qualified professionals, making this a highly demanding area from both organisational and operational perspectives. This study aimed to assess the evolution of activity and the response capacity of the imaging services of the Nordeste Local Health Unit (ULSNE) between 2015 and 2021, considering the impact of organisational and epidemiological dynamics during this period. The research followed a quantitative approach through descriptive statistical analysis of data related to the number, type, and origin of imaging exams performed, the average waiting time for CT scans, and the costs associated with imaging services. The results showed a progressive increase in the number of medical imaging requests, peaking in 2019 with a daily average of 371 requests. In 2021, General Practice services in Bragança and Mirandela stood out for their high volume of activity. However, a decline was observed in specific areas such as Digestive and Urography exams. Emergency and Direct Admission/Primary Health Centre modules were the main sources of demand, followed by Outpatient Consultations. Technical assistance was transversal across all modules, including the Operating Room. This analysis allowed for a detailed understanding of the evolution of imaging services at ULSNE, highlighting structural and operational constraints and identifying areas for improvement. Despite existing limitations in human and technological resources, the data suggest an overall adequate response to population needs, underlining the importance of strengthening management and planning strategies to enhance resilience and future service capacity.
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Radiologia Gestão em serviços de saúde Serviço de Imagiologia da Unidade Local de Saúde do Nordeste (ULSNE)