Prontuário eletrônico do paciente : comparação de um hospital de ensino com outras instituições de saúde

Abstract

Introduction: Patient’s electronic health record is a more effective tool than paper records: it provides communication among multiprofessional teams and improves the quality of the treatment and information storage for the patients. Objective: Compare electronic health record implantation experience in a teaching hospital with other national health facilities, identifying the benefits and difficulties of adopting this new technology for the routine of the multiprofessional team. Method: We compared the obtained results of a teaching hospital, located in the interior of São Paulo state using the data from implantation procedures and patient’s electronic health record utilization from 13 Brazilian medical facilities. Results: The main advantages pointed out were a much easier data consulting process for future treatments and attendance time reduction, as main disadvantage the compared facilities pointed that their employees tend to present resistance to electronic systems usage. Conclusion: Hospital de Base has satisfactory results compared to the analyzed facilities; additionally the main disadvantages are intimately related with lack of appropriated training to operate the software adequately.