Possibilidade de utilização do sistema just in time para a unidade médica nível dois: subsistema de medicina operativa: perspectivas diante dos novos desafios da MB

Abstract

Brazil has actively participated of the United Nations Peacekeeping Operations, and among other actions, in 2001, the Country offered the Agency, a Medical Unit- Level Two type according to the Brazilian Navy standards. This means a campaign hospital, within United Nations standard, that must be capable to provide medical support to a composed force of about a thousand people and having a basic manning of thirty and five professionals. The medical supplies are to be calculated for supporting, at least, sixty days. It is the Brazilian Navy responsibility to budget and provide all necessary materials to guarantee full operation of this hospital and for that should get support from different Military Organizations and Specific Divisions, which task is keeping the “adequate flow” of materials to guarantee the sustainability of the Level Two Medical Unit in the operations scenario. In order to acquire materials, the Brazilian Navy must follow the law under number 8,666/93 (law for procurement biding and contracts) in order to select the most advantageous proposal under public administration. As this involves human, material and financial resources an efficient planning is paramount, mainly towards the specification of the materials to be used. Due to the speed with what the Medical Level Two Unit must move, the factor “lead time” for medicine drugs acquisitions must be considered of extreme importance. It is unacceptable that some item(s) are left behind of a mission due to the fact they have not been delivered at the precise planned moment. The use of “just in time” management tool philosophy has become well known by several companies and organizations that put quality first. The search for “just in time” has became more than just a “philosophy”, but a commitment among all the members that are part of the supply chain of an specific product or service. This way, this present work aims at identifying the possibility of the usage of the just in time system in the provision of the used medicines at the Level two Hospital, so that it can accomplish its mission through treating the uncountable patients that look for assistance following the principles of the flexibility and mobility, essentials requirements which are necessary for the success of the operative medicine execution.