Abstract
Objective: To analyze the diffusion of the Electronic Medical Record of the Citizen within family health teams at a district in the West Region of Minas Gerais State. Method: A case study, qualitative approach, based on the Innovation Diffusion Theory. We carried out 17 structured interviews with professionals and observations of the daily routine of eight family health teams that used the Electronic Medical Record of the Citizen (EMRC). Data were analyzed by means of Content Analysis, the Thematic-Categorical modality. Results: The participants identified the Electronic Medical Record of the Citizen as more advantageous than the previous technology – compatible with their needs, not a complex technology. Despite the short experimentation period, the results and the contributions of this technology were acknowledged. Conclusion: Over its diffusion period, the Electronic Medical Record of the Citizen has been proving to be a potentially able innovation to transform daily activities, furthering receptive attitudes...
References
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. E-SUS atenção básica: manual do sistema com prontuário eletrônico do cidadão PEC (versão 3.1) [Internet]. Brasília: Ministério da Saúde; 2018 [cited 2019 Oct 10]. Available from: http://aps.saude.gov.br/ape/esus/manual/
Compeau DR, Terry A. Connecting medical records: na evaluation o benefit sand challenges for primary care practices. J Innov Health Inform. 2017;24(2):855. http://dx.doi.org/10.14236/jhi.v24i2.855. PMid:28749315.
Price J, Man SL, Bartlett S, Taylor K, Dinwoodie M, Bowie P. Repeat prescribing of medications: a system- centred risk management model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-96. http://dx.doi.org/10.1111/jep.12718. PMid:28370904.
Hoon SEM, Hek K, Van-Dijk L, Verheij RA. Adverse events recording in electronic health record systems in primary care. BMC Med Inform Decis Mak.2017;17(1):163.http://dx.doi.org/10.1186/s12911-017-0565-7. PMid:29212497.
Jeffries M, Phipps DL, Howard RL, Avery AJ, Rodgers S, Ashcroft DM. Understanding the implementation and adoption of a technological intervention to improve medication safety in primary care: a realist evaluation. BMC Health Serv Res. 2017;17(1):196. http://dx.doi.org/10.1186/s12913-017-2131-5. PMid:28288634.
Currie G, Spyridonidis D. Sharing leadership for diffusion of innovation in professionalized settings. Sage Journals. 2019;72(7):1209-33. http://dx.doi.org/10.1177/0018726718796175.
Olsson A, Skovdahl K, Engström M. Using diffusion of innovation theory to describe perceptions of a passive position ingalar mamong persons with milddementia: a repeated interview study. BMC Geriatr. 2016;16:3. http://dx.doi.org/10.1186/s12877-016-0183-8. PMid:26745961.
Mohammadi MM, Poursaberi R, Salahshoor MR. Evaluating the adoption of evidence-based practice using Rogers’s diffusion of innovation theory: a model testing study. Health Promot Perspect. 2018;8(1):25-32. http://dx.doi.org/10.15171/hpp.2018.03. PMid:29423359.
Emani S, Peters E, Desai S, Karson AS, Lipsitz SR, La Rocca R, et al. Perception sofadopters versus non-adoptersof a patient portal: na applicationof diffusion of innovation theory. J Innov Health Inform. 2018;25(3):149-57. http://dx.doi.org/10.14236/jhi.v25i3.991. PMid:30398458.
Minas Gerais. Assembléia Legislativa. PMDI plano mineiro de desenvolvimento integrado 2015- 2017: perfis territoriais [Internet]. Belo Horizonte: Governo do Estado de Minas Gerais; 2016 [cited 2019 Oct 10]. Available from: https://www.mg.gov.br/sites/default/files/transicao/governamental/Cat%C3%A1logo%20PMDI%20Volume%201.pdf
Minayo MCS. Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias. Rev Pesq Qual [Internet]. 2017 [cited 2019 Oct 10];5(7):1-12. Available from: https://editora.sepq.org.br/rpq/article/view/82/59
Bardin L. Análise de conteúdo. 5ª ed. Lisboa: Edições 70; 2016.
Gomes PAR, Farah BF, Rocha RS, Friedrich DBC, Dutra HS. Prontuário eletrônico do cidadão: instrumento para o cuidado de enfermagem. Rev Fund Care. 2019;11(5):1226-35. http://dx.doi.org/10.9789/2175-5361.2019.v11i5.1226-1235.
Chang F, Paramsothy T, Roche M, Gupta NS. Patient, staff, and clinician perspectives on implementing electronic communications in an interdisciplinary rural family health practice. Prim Health Care Res Dev. 2017;18(2):149-60. http://dx.doi.org/10.1017/S1463423616000414. PMid:27995826.
Kruse CS, Mileski M, Vijaykumar AG, Viswanathan SV, Suskandla U, Chidambaram Y. Impact of electronic health records on long-term care facilities: systematic review. JMIR Med Inform. 2017;5(3):e35. http://dx.doi.org/10.2196/medinform.7958. PMid:28963091.
Escalda P, Parreira CM SF. Dimensions of interprofessional work and of collaborative practices developed at a primary care unit by a family health team. Interface Commun Heal Educ. 2018;22:1717-27. http://dx.doi.org/10.1590/1807-57622017.0818.
Associação Brasileira de Saúde Coletiva (ABRASCO). Grupo Temático Informação em Saúde e População (GTISP). Plano Diretor para o desenvolvimento da Informação e Tecnologia de Informação em Saúde [Internet]. 3ª ed. Brasília: ABRASCO; 2016 [cited 2021 June 17]. Available from: https://www.abrasco.org.br/site/gtinformacoesemsaudeepopulacao/wp-content/uploads/sites/13/2021/04/plad5.pdf
Bjelke M, Martinsson AK, Lendahls L, Oscarsson M. Using the internet as a source of information during pregnancy - a descriptive cross-sectional study in sweden. Midwifery. 2016;40:187-91. http://dx.doi.org/10.1016/j.midw.2016.06.020. PMid:27450590.
Leider JP, Shah GH, Williams KS, Gupta A, Castrucci BC. Data, Staff, and Money: leader ship reflection son the future of public health informatics. J Public Health Manag Pract. 2017;23(3):302-10. http://dx.doi.org/10.1097/PHH.0000000000000580. PMid:28350627.
Mazzucca S, Parks RG, Tabak RG, Allen P, Dobbins M, Stamatakis KA, et al. Assessing organizational supports for evidence-based decision making in local public health departments in the United States: development and psychometric properties of a new measure. J Public Health Manag Pract. 2019;25(5):454-63. http://dx.doi.org/10.1097/PHH.0000000000000952. PMid:31348160.
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