Sistemas de informação em saúde utilizados na rede de atenção psicossocial: um estudo do uso e do perfil de seus usuários no Município de Fortaleza

Abstract

Among the objectives of health information systems, is the increase of the efficiency and safety of health care, following a logic of integral follow-up and ensuring the permanent evaluation of the health situation of the population and the results of actions performed, fundamentally in planning and management. However, the implantation of these systems has traditionally been related to multiple errors and difficulties, having the human factor as the nucleus of most of these problems, which commonly appear within the complex institutional interactions. In a view to the implementation of ambulatory information systems, and of the Pharmacy Assistance management system - Horus, this work aimed to understand, from the perspective of heath information systems users inserted in psychosocial care centers, how they are used and wich factors are involved in the manipulation of these systems, using evaluation elements for it. This is a descriptive study with a qualitative approach, carried out from January to December 2016. Have been selected psychosocial care network workers, users of the previously mentioned systems, who were implanted in these centers. Data collection was done through participant observations and semi-structured interviews guided by scripts. The analyzes were made through content analysis, thematic-categorial. It was decided that the results would be presented separately between two systems. The emerging categories for were: Structure for work; Facilities and difficulties to use the system and Knowledge acquired for the use of the system. Among Administrative Assistants, users of the ambulatory information systems, women predominated and their level of schooling only reached up to full secondary education in most of the interviewees, while pharmacists, users of horus, most of them have or are attending some specialization. The results are showing that both systems presented implementation failures. They are hindering the correct use of the systems, from the structural level, related to poor human resources and lack of infrastructure in general. The Pharmacists users of Horus have highlighted more facilities in the use of the system, than users of the ambulatory information systems. Mainly because it is an online system that does not require constant updates and because of the pharmacists who are responsible for the collection and transmission of this data to the system, unlike the administrative assistants, who depend on other professionals to obtain the data, by completing the forms, a fact that creates difficulties in the correct filling of the data. It was also identified that the lack of training in a timely and accurate manner, generated difficulties in the using creating doubts, and the possibility of generating untrusted or incomplete data. It´s concluded that the lack of attention to points such as: human resources training, adequate infrastructure, as well as a process of organizational change, can hinder the implementation of information systems, creating a rejection of new technologies.