Prontuário Eletrônico do Cidadão do Sistema e-SUS Atenção Básica: análise da sua utilização por médicos e enfermeiros da Atenção Básica

Abstract

Introduction: The Citizen’s Electronic Medical Record (CEMR) from the eSUS AB system is an e-SUS Primary Care Strategy software used in the HDSPC (Health Data System to Primary Care). It is available from the Health Ministry which has been committed to the system techonology evolution. The CEMR is considered an improvement tool of the care quality and a facilitator of the work processes in the Primary Care, including the management ones. It also sustains the profissionals in the care coordination and support in the clinical decision, representing an important progress in the qualification and in the information registered in the Primary Care. Aim: Analyse the CEMR use by doctors and nurses from the Primary Care in Juiz de Fora city.Methods: The study design was transversal. A sample of 107 HPC professionals was included. In order to collect data, the tool used was an organized and self- applicable questionnnaire, made by the researcher. It included description data of the sample, besides the affirmatives towards CEMR and its use in the HPC care routine. The main tool about the CEMR was answered based on a 5 point-Likert scale (range). Data was described in absolute and relative frequencies. The correlation comparison between the categorical variables was made through the ChiSquare Person test (no correction) or Fisher Exact test. The Mann Whitney U test or/and the Kruskal-Wallis H test were used to the CEMR scale comparasion in a continuous format. Only in extreme circumstances, the one-way ANOVA procedure is used. In all cases, the alpha level was established in p< to a confidence interval of 95%. Results: 51 doctors/physicians and 56 nurses, who are CEMR users from the e-SUS AB system, joined this project during 35 months (the average time use). Most of the professionals joined the Family Health Strategy groups (87.9%) and they have specialization course in the practice area (60%). The CEMR was considered a confidential system for most professionals (60%), easy to deal with, helpful in organizing the work in the Primary Care (94%) and it also improves the relation quality (77.5%). The majority of the professionals prefer the CEMR than the paper records. About 70% of the professionals believe there are available equipments and internet in the UBS which are necessary to the CEMR use. From this study sample, 80% considered necessary a training course of the system and 64.5% joined this kind of training offered by the Municipal Health Office from Juiz de Fora. Conclusion: The PEC of the e-SUS AB system was considered by the professionals of the AB of Juiz de Fora as a useful technological tool for the organization of the service and for the improvement of the quality of care in the UBS, requiring an increase in the offer of courses in training for professionals, as well as the availability of equipment for their use.