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Implementation of the e-SUS Primary Care system: Impact on the routine of Primary Health Care professionals.
Schönholzer, Tatiele Estefâni; Pinto, Ione Carvalho; Zacharias, Fabiana Costa Machado; Gaete, Rodrigo André Cuevas; Serrano-Gallardo, Maria Del Pilar.
Afiliación
  • Schönholzer TE; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.
  • Pinto IC; Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.
  • Zacharias FCM; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.
  • Gaete RAC; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.
  • Serrano-Gallardo MDP; Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil.
Rev Lat Am Enfermagem ; 29: e3447, 2021.
Article en En, Pt, Es | MEDLINE | ID: mdl-34287545
OBJECTIVE: to understand how the implementation of the e-SUS Primary Care system has been processed and its impact on the daily life of the health teams. METHOD: a qualitative research study, conducted in a municipality in the inland of the state of São Paulo with professionals who work in Primary Health Care and use the e-SUS Primary Care system as a work tool. Semi-structured interviews and thematic data analysis were used with Kotter's three-phase approach. RESULTS: a total of 17 professionals, nurses, physicians, dentists and community agents were interviewed. The implementation of e-SUS Primary Care and its impact on the daily life of health teams were understood in terms of mandatory implementation; weaknesses for implementation, such as absence of material resources and implicit imposition for the use of the system; fragile training for deployment and learning from experience. CONCLUSION: a harmful incentive process was observed, conducted from the perspective of institutional pressure, use of the system to justify the work performed and, on the other hand, there was the creation of collaborative learning mechanisms between the teams.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Personal de Salud Tipo de estudio: Qualitative_research Aspecto: Implementation_research Límite: Humans País/Región como asunto: America do sul / Brasil Idioma: En / Es / Pt Revista: Rev Lat Am Enfermagem Asunto de la revista: ENFERMAGEM Año: 2021 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Personal de Salud Tipo de estudio: Qualitative_research Aspecto: Implementation_research Límite: Humans País/Región como asunto: America do sul / Brasil Idioma: En / Es / Pt Revista: Rev Lat Am Enfermagem Asunto de la revista: ENFERMAGEM Año: 2021 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil