Modeling the COVID-19 vaccination process using the FRAM Method
Abstract Vaccination is crucial in a primary care unit and relevant for society. This study aimed to map and analyze the COVID-19 vaccination process adopting Resilience Engineering concepts to identify possible sources of failure and recommend improvements. A case study was conducted in a Primary Health Care unit, and data were collected through semi-structured interviews in a cross-sectional study. The vaccination process was analyzed and modeled using the Functional Resonance Analysis Method (FRAM), which provided a greater understanding of the procedural flow and the identification of the system’s primary functions and points of variability. The results pointed out the couplings between functions that can generate high variability, which engineered improvements in the system’s resilience by proposing countermeasures for the situations identified as bottlenecks.
Authors
- Alessandra Barrias Loureiro (ORCID: https://orcid.org/0000-0002-5974-7120)
- Mônica Ferreira da Silva (ORCID: https://orcid.org/0000-0003-0951-6612)
- Nathália Miranda do Nascimento (ORCID: https://orcid.org/0000-0002-8477-1587)
- Cláudia Affonso Silva Araújo (ORCID: https://orcid.org/0000-0003-0290-4807)
- Arlindo Souza Amaral Neto (ORCID: https://orcid.org/0000-0002-9692-3568)
- Sildenir Alves Ribeiro (ORCID: https://orcid.org/0000-0003-4808-1009)
- María del Pilar Anto Rubio (ORCID: https://orcid.org/0000-0003-1024-4124)
Institutions
- Universidade Federal do Rio de Janeiro (BR)
- Federal Center for Technological Education Celso Suckow da Fonseca (BR)
- Universidad San Ignacio de Loyola (PE)
Publication Details
- Journal
- Ciência & Saúde Coletiva
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1590/1413-81232025306.03302025en
- Citations
- 1
- Primary Topic
- Disaster Response and Management
- Type
- article
- Field-Weighted Citation Impact
- 2.52
Funders
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro
- Fundação Oswaldo Cruz