Diffusion of the electronic citizen's record in family health teams
DOI:
https://doi.org/10.5935/1415.2762.20210045Keywords:
Electronic Health Records, Family Health Strategy, Diffusion of Innovation, Primary Health Care, Health Planning, Health Information SystemsAbstract
Objective: to analyze the diffusion of the citizen's electronic record in family health teams. Method: case study with a qualitative approach based on the theory of diffusion of innovation. Data collection included interviews with 39 professionals and direct observation in two basic health
units in the eastern region of Minas Gerais. Data were analyzed through content analysis and systematized
using software. Results: the analysis resulted in two categories - "innovation electronic citizen record and its attributes" and "communication channels, time and social system: influences on the diffusion of electronic citizen record". In the first, the attributes of innovation were identified, which are: relative advantage, compatibility, trialability, observability, and complexity. In the second category, it was identified how the communication channels, time and the social system have influenced the diffusion of the citizen's electronic medical record. Through this analysis, it was possible to identify situations that enhance acceptance, such as: saving resources, integrating
information between professionals, optimizing time, speeding up access to data; and others that increase rejection, such as: disappearance of records, risk to the integrity of information, failures in the internet network, poor quality of equipment, insufficient training, among others. Final considerations: the acceptance of the Electronic Citizen's Record is a great challenge for professionals and for management spheres, as the challenges permeate phases that range from the implementation of infrastructure to training for use and subsequent monitoring.
Downloads
References
Ministério da Saúde (BR). e-SUS Atenção Básica: manual de implantação. Brasília (DF): Ministério da Saúde; 2014.
Silva TIM, Cavalcante RB, Santos RC, Gontijo TL, Guimarães EAA, Oliveira VC. Diffusion of the e-SUS Primary Care innovation in Family Health Teams. Rev Bras Enferm. 2018[citado em 2021 fev. 24];71(6):2945-52. Disponível em: http://dx.doi.org/10.1590/0034-7167-2018-0053
Oliveira AEC, Lima IMB, Nascimento JA, Coelho HFC, Santos SR. Implantação do e-SUS AB no Distrito Sanitário IV de João Pessoa (PB): relato de experiência. Saúde Debate. 2016[citado em 2021 abr. 30];40(109):212-8. Disponível em: http://dx.doi.org/10.1590/0103-1104201610917.pdf
Pereira GBS, Taveira LM. Processo de implantação da estratégia e-SUS Atenção Básica nas UBS do Distrito Federal- DF. Rev Pró-UniverSUS. 2020[citado em 2021 abr. 24];11(2):19-26. Disponível em: https://doi.org/10.21727/rpu.v11i2.2534
Silva TIM, Cavalcante RB, Silva HRM, Santos RC, Guimarães EAA, Pinheiro MMK. Difusão da Inovação Tecnológica e-SUS AB: aceitação ou rejeição? Cogitare Enferm. 2018[citado em 2021 fev. 24];23(3):e55911. Disponível em: http://dx.doi.org/10.5380/ce.v23i3.55911
Rogers EM. Diffusion of innovation. 3ª ed. New York: The Free Press; 2003.
Yin R. Estudo de caso: planejamento e métodos. 5ª ed. Porto Alegre: Bookman; 2015.
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007[citado em 2021 abr. 30];19(6):329-33. Disponível em: https://doi.org/10.1093/intqhc/mzm042
Lourenção LG, Ferreira Junior CJ. Implantação do Prontuário eletrônico do paciente no Brasil. Enferm Bras. 2016[citado em 2021 fev. 24];15(1):47-53. Disponível em: https://doi.org/10.33233/eb.v15i1.98
Jawhari B, Keenan L, Zakus D, Ludwick D, Isaac A, Saleh A, et al. Barriers and facilitators to Electronic Medical Record (EMR) use in an urban slum. Int J Med Inform. 2016[citado em 2021 fev. 24];94:246-254. Disponível em: https://doi.org/10.1016/j.ijmedinf.2016.07.015
Thum MA, Baldisserotto J, Celeste RK. Utilização do e-SUS AB e fatores associados ao registro de procedimentos e consultas da atenção básica nos municípios brasileiros. Cad Saúde Pública. 2019[citado em 2021 fev 24];35(2):e00029418. Disponível em: http://dx.doi.org/10.1590/0102-311x00029418
Tiago E. Prontuário eletrônico pode gerar economia de R$ 22 bi para o SUS. Valor Econômico. 2018[citado em 2021 abr. 30]. isponível em: https://valor.globo.com/brasil/noticia/2018/02/19/prontuario-eletronico-pode-gerar-economia-de-r-22-bi-para-o-sus.ghtml
Gonçalves JPP, Batista LR, Carvalho LM, Oliveira MP, Moreira KS, Leite MTS. Prontuário Eletrônico: uma ferramenta que pode contribuir para a integração das Redes de Atenção à Saúde. Saúde Debate. 2013[citado em 2021 fev. 24];37(96):43-50. Disponível em: http://dx.doi.org/10.1590/S0103-11042013000100006
McDonald CJ, Callaghan FM, Weissman A, Goodwin RM, Mundkur M, Kuhn T. Use of internist’s free time by ambulatory care Electronic Medical Record systems. JAMA Intern Med. 2014[citado em 2021 fev. 24];174(11):1860-3. Disponível em: https://doi.org/10.1001/jamainternmed.2014.4506
Shanafelt TD, Dyrbye LN, Sinsky C, Hasan O, Satele D, Sloan J, et al. Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction. Mayo Clin Proc. 2016[citado em 2021 fev. 24];91(7):836-48. Disponível em: https://doi.org/10.1016/j.mayocp.2016.05.007
Farzandipur M, Jeddi FR, Azimi E. Factors affecting successful implementation of hospital information systems. Acta Inform Med. 2016[citado em 2021 fev. 24];24(1):51-5. Disponível em: http://dx.doi.org/10.5455/aim.2016.24.51-55
Hyppönen H, Reponen J, Lääveri T, Kaipio J. User experiences with different regional health information exchange systems in Finland. Int J Med Inform. 2014[citado em 2021 fev. 24];83(1):1-18. Disponível em: https://doi.org/10.1016/j.ijmedinf.2013.10.002
Nguyen L, Bellucci E, Nguyen LT. Electronic health records implementation: an evaluation of information system impact and contingency factors. Int J Med Inform. 2014[citado 2021 fev. 24];83:779-96. Disponível em: http://dx.doi.org/10.1016/j.Ijmedinf.2014.06.011
Costa JFR, Portela MC. Percepções de gestores, profissionais e usuários acerca do registro eletrônico de saúde e de aspectos facilitadores e barreiras para a sua implementação. Cad Saúde Pública. 2018[citado em 2021 fev. 24];34(1):e00187916. Disponível em: https://doi.org/10.1590/0102-311x00187916
Cavalcante RB, Kerr-Pinheiro MM, Guimarães EAA, Miranda RM. An overview of the definition and implementation of the Brazililian National Policy ond Health Data and Information Technology. Cad Saúde Pública. 2015[citado em 2021 fev. 24];31(5). Disponível em: http://dx.doi.org/10.1590/0102-311X00095014
Additional Files
Published
Issue
Section
License
Copyright (c) 2021 Reme: Revista Mineira de Enfermagem

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


































