Adoção de novas tecnologias em serviços públicos de saúde: uma investigação sobre a implantação do prontuário eletrônico do paciente

Abstract

Over time, human health care has gone through different paradigms. Technological innovations contributed to the current paradigm in Brazilian public health, especially with the adoption of the Patient’s Electronic Patient Pronouner (PEP) by Sistema Único de Saúde (SUS). As a new paradigm, the public entities responsible for the primary health care of citizens are still consolidating in the municipalities. Based in these context, the general objective of this study was to investigate the perception of SUS professionals regarding the implementation and use of PEP in the municipalities that make up the 8th CRS-RS, based in Cachoeira do Sul. This is a study with quantitative approach and descriptive characteristic, applying a structured questionnaire with 67 questions, covering the situation of the municipality in relation to the PEP, the implementation process, the structure offered for operation, the actions taken, the difficulties encountered during use and the benefits, dentists, pharmacists, nutritionists, nursing technicians and nurses using PEP. The results showed that a municipality has not yet implemented the PEP; in 53% of the municipalities, it has been in operation for over two years, with a predominance of software offered by SUS; 90.23% of professionals approve the inclusion of new technology in the SUS system; 71.6% received information on how to work with PEP; 54% use PEP to describe patient progress. Incomplete patient records, difficulty in working with PEP and lack of pilot tests before definitive implantation are negative aspects. Professionals' perception is better in the return of effort and time of use of PEP and in the access to the patient's history performed in the network. The average degree of satisfaction of professionals is translated by the average 7.4 on a scale of 1 to 10.