{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:55:31Z","timestamp":1772232931435,"version":"3.50.1"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"abstract":"<jats:p>Resumo A vacina\u00e7\u00e3o \u00e9 um processo crucial em uma unidade de aten\u00e7\u00e3o b\u00e1sica e de extrema import\u00e2ncia para a sociedade. Este estudo buscou mapear e analisar o processo de vacina\u00e7\u00e3o da COVID-19 a partir de conceitos da Engenharia de Resili\u00eancia, de modo a identificar poss\u00edveis fontes de falhas e recomendar melhorias. Foi realizado um estudo de caso em uma unidade de Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade, e a coleta de dados ocorreu por meio de entrevistas semiestruturadas em um estudo transversal. O processo de vacina\u00e7\u00e3o foi analisado e modelado utilizando o m\u00e9todo de an\u00e1lise da resson\u00e2ncia funcional (FRAM), o que proporcionou uma maior compreens\u00e3o do fluxo processual e a identifica\u00e7\u00e3o das principais fun\u00e7\u00f5es e pontos de variabilidade do sistema. Os resultados apontaram os acoplamentos entre fun\u00e7\u00f5es que podem gerar alta variabilidade, o que possibilitou engendrar melhorias da resili\u00eancia do sistema a partir da proposi\u00e7\u00e3o de contramedidas de contorno para as situa\u00e7\u00f5es identificadas como gargalos.<\/jats:p>","DOI":"10.1590\/1413-81232025306.03302025","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T07:19:20Z","timestamp":1750403960000},"source":"Crossref","is-referenced-by-count":1,"title":["Modelando o processo de vacina\u00e7\u00e3o da COVID-19 utilizando o M\u00e9todo FRAM"],"prefix":"10.1590","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9692-3568","authenticated-orcid":false,"given":"Arlindo Souza","family":"Amaral Neto","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8477-1587","authenticated-orcid":false,"given":"Nath\u00e1lia Miranda do","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5974-7120","authenticated-orcid":false,"given":"Alessandra Barrias","family":"Loureiro","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0951-6612","authenticated-orcid":false,"given":"M\u00f4nica Ferreira da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil; UFRJ,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0290-4807","authenticated-orcid":false,"given":"Claudia","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"UFRJ,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1024-4124","authenticated-orcid":false,"given":"Maria del Pilar Anto","family":"Rubio","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil; Universidad San Ignacio de Loyola,  Peru"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4808-1009","authenticated-orcid":false,"given":"Sildenir Alves","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro (UFRJ),  Brasil; Centro Federal de Educa\u00e7\u00e3o Tecnol\u00f3gica Celso Suckow da Fonseca,  Brasil"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Minist\u00e9rio da Sa\u00fade (MS). Plano Nacional de Operacionaliza\u00e7\u00e3o da Vacina\u00e7\u00e3o Contra a COVID-19","year":"2021"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00088920","article-title":"Desafios e oportunidades para telessa\u00fade em tempos da pandemia pela COVID-19 uma reflex\u00e3o sobre os espa\u00e7os e iniciativas no contexto brasileiro","volume":"36","author":"Caetano R","year":"2020","journal-title":"Cad Saude Publica"},{"key":"ref3","series-title":"Secretaria Municipal de Sa\u00fade. Plano Municipal de Imuniza\u00e7\u00e3o: Documento T\u00e9cnico Vacina\u00e7\u00e3o contra a covid-19","year":"2021"},{"key":"ref4","first-page":"1","article-title":"Manual de capacita\u00e7\u00e3o para vacinadores contra a COVID-19","volume":"1","author":"Duarte SJS","year":"2021","journal-title":"Coren MS"},{"issue":"3","key":"ref5","article-title":"O trabalho na Aten\u00e7\u00e3o Prim\u00e1ria em Sa\u00fade e a pandemia por Covid-19 um relato de experi\u00eancia","volume":"10","author":"Ramos TCS","year":"2021","journal-title":"Res Soc Develop"},{"key":"ref6","series-title":"Medidas de preven\u00e7\u00e3o e controle para profissionais na vacina\u00e7\u00e3o contra covid-19 [Internet]","author":"Castro D","year":"2021"},{"issue":"1","key":"ref7","first-page":"1","article-title":"Checklist para avalia\u00e7\u00e3o do desempenho do Sistema de Informa\u00e7\u00e3o de Imuniza\u00e7\u00e3o desenvolvimento e valida\u00e7\u00e3o","volume":"32","author":"Ferreira AP","year":"2021","journal-title":"Rev Cuba Informa Cien Salud"},{"key":"ref8","first-page":"39","article-title":"National Immunization Program Computerized System as a tool for new challenges","volume":"49","author":"Sato APS","year":"2015","journal-title":"Rev Saude Publica"},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","DOI":"10.1590\/0034-7167-2018-0939","article-title":"Structural and procedural conditions in National Immunization Program Information System establishment","volume":"73","author":"Silva BS","year":"2020","journal-title":"Rev Bras Enferm"},{"key":"ref10","series-title":"Qualidade dos dados de vacina\u00e7\u00e3o nas unidades de sa\u00fade de atendimento para Covid-19 [Internet]","year":"2021"},{"key":"ref11","series-title":"Pesquisadores apontam problemas nos dados sobre vacina\u00e7\u00e3o de covid-19 no Brasil","author":"Jornal da USP","year":"2021"},{"key":"ref12","series-title":"Transpar\u00eancia Brasil, Transpar\u00eancia Internacional. Transpar\u00eaEncia da Vacina\u00e7\u00e3o: Uma an\u00e1lise de organiza\u00e7\u00f5es da sociedade civil","year":"2021"},{"issue":"1","key":"ref13","first-page":"1","article-title":"O uso de Functional Resonance Analysis Method (Fram) na An\u00e1lise de Integra\u00e7\u00e3o entre Sistemas Um Estudo no Contexto da Sa\u00fade","volume":"1","author":"Ferreira DMC","year":"2019","journal-title":"Anais do IX Congresso Internacional de Conhecimento e Inova\u00e7\u00e3o"},{"key":"ref14","series-title":"Engenharia de resili\u00eancia: um panorama de seus estudos e perspectivas de pesquisas futuras","author":"Righi AW","year":"2011"},{"issue":"4","key":"ref15","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.11124\/JBIES-21-00099","article-title":"The Functional Resonance Analysis Method as a health care research methodology a scoping review","volume":"20","author":"McGill A","year":"2022","journal-title":"JBI Evid Synth"},{"key":"ref16","article-title":"Risk Factors in the Software Deployment Phase A Case Study Applied in two Brazilian Government Companies","volume":"19","author":"Santos LJ","year":"2022","journal-title":"J Inform Systems Technol Manag"},{"issue":"3","key":"ref17","doi-asserted-by":"crossref","first-page":"267","DOI":"10.14295\/aps.v2i3.57","article-title":"Experi\u00eancias sobre Imuniza\u00e7\u00e3o e o Papel da Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade","volume":"2","author":"Souza PA","year":"2020","journal-title":"APS Rev"},{"issue":"1","key":"ref18","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1186\/s12913-023-09301-1","article-title":"Transformative dimensions of resilience and brittleness during health systems' collapse a case study in Brazil using the Functional Resonance Analysis Method","volume":"23","author":"Carvalho PVR","year":"2023","journal-title":"BMC Health Serv Res"},{"issue":"esp. 8","key":"ref19","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1590\/0103-11042022e810","article-title":"Resili\u00eancia em sa\u00fade p\u00fablica: preceitos, conceitos, desafios e perspectivas.","volume":"46","author":"Jatob\u00e1 A","year":"2022","journal-title":"Saude Debate"},{"issue":"2","key":"ref20","first-page":"39","article-title":"The use of resilience engineering tools for fault propagation mitigation in sociotechnical systems","volume":"16","author":"Volken FGB","year":"2021","journal-title":"Rev Gest Prod Oper Sistemas"},{"key":"ref21","series-title":"Constitui\u00e7\u00e3o da Rep\u00fablica Federativa do Brasil de 1988","year":"1988"},{"key":"ref22","series-title":"Aten\u00e7\u00e3o Prim\u00e1ria - Equil\u00edbrio entre necessidades de sa\u00fade, servi\u00e7os e tecnologia","author":"Starfield B","year":"2002"},{"key":"ref23","series-title":"Minist\u00e9rio da Sa\u00fade (MS). Plano Diretor de Tecnologia da Informa\u00e7\u00e3o. DATASUS","year":"2016"},{"issue":"1","key":"ref24","first-page":"1","article-title":"Study about Gathering Features in Depression Detection' Problem with Health Professionals","volume":"15","author":"Lima Filho SP","year":"2022","journal-title":"Community. iSys"},{"key":"ref25","series-title":"Minist\u00e9rio da Sa\u00fade (MS). Plano Nacional de Operacionaliza\u00e7\u00e3o Da Vacina\u00e7\u00e3o Contra a Covid-19. Vol 14","year":"2021"},{"key":"ref26","series-title":"Relat\u00f3rio de erros de registro","year":"2016"},{"key":"ref27","series-title":"FRAM: The Functional Resonance Analysis Method: Modelling Complex Socio-Technical Systems","author":"Hollnagel E","year":"2012"},{"key":"ref28","series-title":"FRAM-the Functional Resonance Analysis Method-a Handbook for the Practical Use of the Method","author":"Hollnagel E","year":"2014"},{"key":"ref29","series-title":"Simp\u00f3sio de Pesquisa Operacional e log\u00edstica da Marinha","volume-title":"Aplica\u00e7\u00e3o do m\u00e9todo FRAM para an\u00e1lise da baixa cobertura vacinal do HPV no munic\u00edpio de S\u00e3o Jos\u00e9 dos Campos","author":"Roberto AC","year":"2020"},{"key":"ref30","series-title":"Modelo para integra\u00e7\u00e3o entre melhoria de procedimentos operacionais padronizados e capacita\u00e7\u00e3o de operadores de sistemas s\u00f3cio-t\u00e9cnicos complexos","author":"Wachs P","year":"2016"},{"key":"ref31","series-title":"The Analytic Functional Resonance Analysis to Improve Safety Management","author":"Petrillo A","year":"2021"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"103632","DOI":"10.1016\/j.apergo.2021.103632","article-title":"On the brink of disruption Applying Resilience Engineering to anticipate system performance under crisis","volume":"99","author":"Arcuri R","year":"2022","journal-title":"Appl Ergon"},{"issue":"1","key":"ref33","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10111-019-00620-0","article-title":"Employing resilience engineering in eliciting software requirements for complex systems experiments with the functional resonance analysis method (FRAM)","volume":"23","author":"Carvalho EA","year":"2021","journal-title":"Cognit Technol Work"},{"key":"ref34","series-title":"Estudo de Caso: Planejamento e M\u00e9todos","author":"Yin RK","year":"2001","edition":"2"},{"issue":"11","key":"ref35","doi-asserted-by":"crossref","first-page":"1482","DOI":"10.1016\/j.ress.2011.05.009","article-title":"The use of Functional Resonance Analysis Method (FRAM) in a mid-air collision to understand some characteristics of the air traffic management system resilience","volume":"96","author":"Carvalho PVR","year":"2011","journal-title":"Reliab Eng Syst Saf"},{"key":"ref36","series-title":"Tomada de Decis\u00e3o e Equil\u00edbrio de Metas Conflitantes No Gerenciamento de Interrup\u00e7\u00f5es de Voo Em Empresa de Transporte A\u00e9reo Regula","author":"Foga\u00e7a LB","year":"2015"},{"issue":"1","key":"ref37","doi-asserted-by":"crossref","first-page":"102","DOI":"10.14488\/1676-1901.v19i1.3093","article-title":"Aplica\u00e7\u00e3o do fram para solu\u00e7\u00e3o de problemas em sistemas s\u00f3cio-t\u00e9cnicos complexos estudo de caso em uma unidade hospitalar","volume":"19","author":"Priori FR","year":"2019","journal-title":"Rev Prod Online"},{"issue":"1","key":"ref38","doi-asserted-by":"crossref","first-page":"art13","DOI":"10.5751\/ES-01530-110113","article-title":"A Handful of Heuristics and Some Propositions for Understanding Resilience in Social-Ecological Systems","volume":"11","author":"Walker B","year":"2006","journal-title":"Ecol Soc"}],"container-title":["Ci\u00eancia &amp; Sa\u00fade Coletiva"],"original-title":["Modeling the COVID-19 vaccination process using the FRAM Method"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1413-81232025000600308&tlng=pt","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T07:19:27Z","timestamp":1750403967000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1413-81232025000600308&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":38,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025]]}},"alternative-id":["S1413-81232025000600308"],"URL":"https:\/\/doi.org\/10.1590\/1413-81232025306.03302025","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1413-81232025306.03302025en","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1413-81232025306.03302025en","asserted-by":"object"}]},"ISSN":["1678-4561","1413-8123"],"issn-type":[{"value":"1678-4561","type":"electronic"},{"value":"1413-8123","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e03302025"}}