EFFICIENT MANAGEMENT OF HOSPITAL INVENTORIES IN THE BRAZILIAN PUBLIC HEALTH SYSTEM (SUS): INTERVENTIONS AND STRATEGIES
DOI:
https://doi.org/10.56238/revgeov17n2-066Keywords:
Hospital Management, Hospital Materials Management, Logistics, Organizational Efficiency, Brazilian Unified Health SystemAbstract
Efficient management of hospital inventories is essential for financial sustainability and continuity of care in public health systems. In the Brazilian Unified Health System (SUS), logistical failures contribute to waste, supply disruptions, and increased costs, impacting patient safety and quality of care. This review aimed to critically analyze evidence on inventory management interventions capable of reducing waste and ensuring continuous supply in public hospitals. A qualitative review with interpretive synthesis was conducted, following the PRISMA 2020 guidelines and aligned with the SQUIRE 2.0 guide. The research question was structured using the PICO model, considering public hospitals as the population, structured inventory management interventions as the exposure, conventional models as the comparison, and waste reduction as the outcome. The search was conducted in PubMed/MEDLINE, the Virtual Health Library, and the CAPES Portal, covering the period from 2015 to 2025. Nine studies were included. Methodological quality was assessed using the Newcastle-Ottawa scale and the SQUIRE 2.0 checklist. The results demonstrate that the integration of multi-criteria inventory classifications (ABC, VED/VEN, XYZ), Lean Healthcare practices (Kanban and 5S), and indicator-based management was associated with reduced waste, lower volume of emergency purchases, greater logistical predictability, and cost rationalization. No study reported adverse effects of the interventions. Despite the methodological heterogeneity and predominance of observational designs, the findings converge on the superiority of integrated approaches. It is concluded that the articulation between planning, monitoring, and organizational culture strengthens hospital governance and contributes to the sustainability of the Brazilian Unified Health System (SUS). Future research with quasi-experimental designs and robust economic evaluation is needed.
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