Implementação do prontuário eletrônico do cidadão da estratégia e-SUS APS pelos profissionais médicos e enfermeiros da atenção primária à saúde das regiões Leste e Vale do Aço de Minas Gerais

Abstract

The Citizen's Electronic Health Record (PEC) is part of a computerization strategy for Primary Health Care called e-SUS APS. This research aims to evaluate the implementation of the PEC of the e-SUS APS strategy by doctors and nurses of Primary Health Care in two health macro-regions of Minas Gerais, through evaluative research of quantitative approach of analytical observational format and cross-sectional design. Data collection was performed using an online form and involved 326 participants (doctors and nurses) linked to Primary Care teams. An Analysis and Judgment Matrix was constructed to evaluate and weigh the evaluative questions in the collection instrument. The Degree of PEC implementation (GIPEC) was calculated and its categories were defined by quartiles and the General Linear Model statistical test. The main results found were: general GIPEC 65.8, being classified as not adequate; nurses' GIPEC was 68.6 and physicians' was 61.8, being partially adequate and not adequate, respectively. The availability of structure was not adequate. In general, the Degree of Implementation (GI) of each of the functionalities (care and management) was classified as not adequate, but there is a difference when comparing professions. Only physicians have the GI of care functionalities for recording care partially adequate, while only nurses have the GI of care functionalities for organizing care and the GI of managerial functionalities partially adequate. We conclude, therefore, that despite the great governmental efforts to expand the implementation of the PEC, its implementation, in general, is still not adequate. Thus, the use of the PEC as a potential qualifier of health data should be encouraged towards care management and coordination.