Authors

Tatiele Estefâni Schönholzer1, Rodrigo André Cuevas Gaete2, Fabiana Costa Machado Zacharias3, Pilar Serrano Gallardo4, Ione Carvalho Pinto5

Position

1Doctoranda de la Universidad de São Paulo (Brasil) y de la Universidad Autónoma de Madrid (España). Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo. Brasil2Doctorando de la Universidad de São Paulo. Escola de Enfermagem de Ribeirão Preto da Universidad de São Paulo. Brasil3Doctora por la Universidad de São Paulo. Escola de Enfermagem de Ribeirão Preto da Universidad de São Paulo. Brasil4Doctora por la Universidad Autónoma de Madrid. Departamento de Enfermería. Facultad de Medicina de la Universidad Autónoma de Madrid. Instituto de Investigación Sanitaria Hospital Puerta de Hierro Majadahonda (IDIPHIM). Instituto Interuniversitario de Investigación Avanzada sobre Evaluación de la Ciencia y la Universidad (INAECU). España5Doctora por la Universidad de São Paulo. Departamento de Enfermagem Materno-Infantil e Saúde Pública da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo. Brasil

Contact address

Pilar Serrano Gallardo. Departamento de Enfermería. Facultad de Medicina. Universidad Autónoma de Madrid. Campus de Medicina. C/ Arzobispo Morcillo, 2

Contact email: pilar.serrano@uam.es

Abstract

Objective: to analyze the experiences of use with the e-SUS AB system (Unified Health System Strategy for Primary Care) in a Brazilian district, and to explore whether it supports the work process and local management.
Method: a qualitative research conducted in the state of São Paulo, through semi-structured interviews with 17 Primary Care health professionals using the e-SUS AB system. Thematic analysis was conducted, using the set of elements from the DIKCA procedural logic (Data, Information, Knowledge, Communication and Action).
Results: five subjects were retrieved: Restricted use of the Health Information Systems (HIS) (lack of ability by professionals to use the tools of the system, and merely entering data); Need to understand in order to use (professionals cannot identify immediately the value to record and use HIS in the healthcare process); Failures in communication between professionals (the perception of privileges for using the system by medical professionals, which interferes in interdisciplinary patient care); Strengths of the e-SUS AB system (the quality elements of the system, such as the increase in accessible information, have a positive impact in the organization of work); and Weaknesses of the e-SUS AB system (technological deficiencies, recording in multiple systems, and lack of tools to facilitate the systematization of nursing care, leading to lack of work efficiency).
Conclusions: even though there have been major advances with the e-SUS AB strategy, the collapse in communication and the permanence of professionals in habits associated with regulatory HIS prevents the wider vision necessary in order to complete the decision-making processes required at local level.

Keywords:

Primary Health Care; health policies; health infornation systems; unified health system

Versión en Español

Título:

El sistema de información sanitaria en Atención Primaria de Brasil. Soporte para la gestión local