Atenção básica como instrumento de apoio à tomada de decisão: avaliação de profissionais de saúde

• Autor(a) principal: Amorim, Ericka Holmes
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/9100
• topic: Sistemas de Informação; Atenção Primária à Saúde; Tomada de Decisões; Information Systems; Primary Health Care; Decison Making; CIENCIAS DA SAUDE::SAUDE COLETIVA

The incorporation of new information systems in the field of Primary Health Care (PHC) is essential to the achievement of health actions, consistent with new proposals to care by professionals of the Family Health Strategy (FHS). In this context, the Information for Warning System Basic (SISAB), through the strategy e-NHS Primary Care was incorporated in order to improve the scenario so far installed with the Information System of Primary Care (SIAB), reducing workload in the collection and integration of data, and use of information by management in PHC. To start this process, the e-SUS AB has a data collection tool Simplified (CDS), which has its fulfillment through service records. Therefore, it is necessary to carry out an assessment about the understanding that health professionals have about the use of this new technology for decision-making in their practices. Thus, this study brought the objective: investigating how health professionals use the data or information e-NHS Primary Care for decision-making in their practices. It is an exploratory, descriptive study, with quantitative and qualitative approach, conducted with the participation of 362 professionals, including nurses, doctors and dentists, FHS workers in the city of João Pessoa - PB. For sample composition was considered a stratified sampling with proportional allocation, with a significance level of 95% and margin of error of 5%. The study was conducted by applying a semi-structured questionnaire with open and closed questions after approval by the Research Ethics Committee (CEP), with CAEE: 3940114.0.0000.5188 and the Municipal Health Secretariat (SMS). For data analysis it was built a database and performed the descriptive analysis with simple frequency and percentage, and inferential statistics through the Kruskal-Wallis test hypotheses, Multiple comparisons and Mann-Whitney. For the analysis of qualitative data there was used the technique of thematic analysis of Bardin. The results were able to identify the existence of similarities and differences between the groups of workers investigated by means of hypothesis testing. In addition, it was found that some professionals use the data from the e-SUS records to make decisions in their practices, given the existence of difficulties in this path as non-receipt of reports from data collected; plugs not suitable to local conditions; incomplete profiles; lack of training or continuing education, among others. Although, the study participants reported the need for readjustment of the chips, as well as feedback from data collected through reports, and even the implementation of Electronic Health Record Citizen (PEC), as they believe they would have the information immediately to guide and plan health actions in the FHS.