Periodicity.: Special Edition IFLOG-2016, July - 2017
e-ISSN......: 2236-269X
Cover Image

Simulation as a hospital management support tool

Nemesio Rodrigues Capocci, Bárbara Soares Nascimento, Filipe Brito Lopes, Enio Fernandes Rodrigues, João Roberto Maiellaro


This study aims to demonstrate the use of the discrete event simulation technique as a hospital management support tool, as well as all complex processes existing in a health unit. There must be an analysis of the system as a whole from the perspective of service level provided to patients regarding waiting times. The role of this technique is to show the behavior of a given system. Data were collected from employees of a public Polyclinic, located in a city of the greater São Paulo, by means of interviews which questions were prepared to determine the time spent in the processes of the service system. Such data were inserted in the software Arena in flowchart format for analysis and identification of the problem. Since the person responsible for the screening process was overloaded, thus causing longer waiting times for patients submitted for screening, some changes were made in the model in order to propose an improvement, to balance the occupancy levels of the health unit’s staff and, at the same time, reach a shorter withdrawal period of patients throughout the system. Results showed a significant improvement in the performance of the Polyclinic’s system, as well as a subsequent improvement in the level of service provided to patients. Based on this study, one can note that simulation allows for evaluating scenarios and projecting changes that will impact the behavior of a certain system with no physical changes, thus preventing the lack of scientific basis when making management decisions and allowing for improvements.


Operations Research; Simulation; Software Arena; Hospital Management

Full Text:



ANDRADE, E. L. (2009) Introdução à Pesquisa Operacional - Métodos e Modelos para Análise de Decisões. 4ª Ed. Rio de Janeiro: LTC - Livros Técnicos e Científicos.

CAIXETA-FILHO, J. V. (2004) Pesquisa Operacional: Técnicas de Otimização Aplicadas a Sistemas Agroindustriais. 2ª Ed. São Paulo: Atlas.

HILLIER, F. S.; LIEBERMAN, G. J. (2010) Introdução à pesquisa operacional. McGraw Hill.

LACHTERMARCHER, G. (2009) Pesquisa Operacional na tomada de decisões. 4ª ed. Pearson Prentice.

LAW, A. M.; KELTON, W. D. (2000) Simulation modeling and analysis. New York: McGraw- Hill.

MARINS, F. A. S. (2011) Introdução à Pesquisa Operacional. São Paulo: Cultura Acadêmica: Universidade Estadual Paulista.

PARAGON. [S.l.]: [c2016?]. Available at: Accessed on 26 Mar. 2016.

PRADO, D. (1999) Usando o Arena em Simulação. Belo Horizonte: Editora de Desenvolvimento Gerencial.

REZENDE FILHO, M. (2006) Programação Linear - Otimização de Recursos em Apoio à Tomada de Decisão. Rio de Janeiro: Fábrica do livro, v. 1.

SILVA, E. M. et al. (1998) Pesquisa Operacional na tomada de decisões. 3ª ed. Atlas S.A..

SILVA, J. A.; SILVA, M. V. (2008) O administrador hospitalar nas organizações públicas de saúde frente às novas concepções de administração. Saber Científico, v. 1, n. 2, p. 323-341.


Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


  • There are currently no refbacks.

Copyright (c) 2017 Nemesio Rodrigues Capocci, Bárbara Soares Nascimento, Filipe Brito Lopes, Enio Fernandes Rodrigues, João Roberto Maiellaro

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


Logo Gaudeamus






Logo Kennedy

Logo Columbia

Logo UCS


Logo OPT

Logo Biblioteca Professor Milton Cabral Moreira

Logo UFL