Computerization of primary health care in Brazil: the network of actors

Cavalcante, Ricardo Bezerra; Esteves, Cristiano; Gontijo, Tarcísio Laerte; Brito, Maria José Menezes; Guimarães, Eliete Albano de Azevedo; Barbosa, Simone de Pinho

doi:10.1590/0034-7167-2018-0381

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…“This is a qualitative study, in which ANT was used as a theoretical reference. The ANT proposes to follow and map actant’ movements and the influences traversing their reciprocal connections...Our methodological reference was the ‘cartography of the controversies,’ considered a set of techniques to explore and visualize controversies and discussions, observing and describing social debate, especially—but not exclusively—around technical and scientific problems.” (Cavalcante et al, 2019) [ 48 ]…”

Section: Resultsmentioning

confidence: 99%

Theories Informing eHealth Implementation: Systematic Review and Typology Classification

Heinsch¹,

Wyllie²,

Carlson³

et al. 2021

J Med Internet Res

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Background Theory-guided approaches to implementation science have informed translation efforts and the acceptance of eHealth (digital health) interventions in clinical care. However, there is scarce evidence on which theories are best suited to addressing the inherent complexity of eHealth implementation. Objective The objectives of this systematic review are to identify theories that inform and explain eHealth implementation and to classify these theories using the typology by Sovacool and Hess for theories of sociotechnical change. Methods An electronic search was conducted in the PsycINFO, MEDLINE, Embase, CINAHL, Scopus, Sociological Source Ultimate, Web of Science, ABI/INFORM, EBSCO, and ProQuest databases in June 2019. Studies were included if they were published between 2009 and June 2019; were written in English; reported on empirical research, regardless of study or publication type; reported on one or more theories in the context of eHealth implementation; and were published in a peer-reviewed journal. A total of 2 reviewers independently assessed the titles, abstracts, and full texts. Theories identified were classified using a typology for theories of sociotechnical change, which was considered a useful tool for ordering and analyzing the diverse theoretical approaches as a basis for future theory building. Results Of the 13,101 potentially relevant titles, 119 studies were included. The review identified 36 theories used to explain implementation approaches in eHealth. The most commonly used approaches were the Technology Acceptance Model (TAM) (n=33) and the Unified Theory of Acceptance and Use of Technology (UTAUT) (n=32). These theories were primarily concerned with individual and interpersonal elements of eHealth acceptance. Less common were theories that reflect the various disorderly social processes and structural dimensions of implementation, such as the normalization process theory (n=17) and the structuration theory (n=6). Conclusions Theories currently informing the implementation of eHealth interventions predominantly focus on predicting or explaining end-user acceptance. Theoretical perspectives that capture the dense and intricate relationships and structures required to enact sustainable change are less well represented in the eHealth literature. Given the growing acknowledgment of the inherent complexity of eHealth implementation, future research should develop and test models that recognize and reflect the multidimensional, dynamic, and relational nature of this process.

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Section: Resultsmentioning

confidence: 99%

Theories Informing eHealth Implementation: Systematic Review and Typology Classification

Heinsch¹,

Wyllie²,

Carlson³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…The objective is linking information technologies, both public or private, through a standard of information transmission. Thus, user vaccination-related information may contribute to interventions at the various points of the care network, following the user’s path through public and private health services, strengthening the process of referral and counterreferral ( 29 ) .…”

Section: Resultsmentioning

confidence: 99%

Evaluation of digital vaccine card in nursing practice in vaccination room

Lopes

Dias

Carvalho

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective: develop and evaluate a vaccine application for mobile devices, with update integrated with the National Immunization Program Information System, for care in vaccination rooms. Method: methodological research based on the Pressman System Development Life Cycle theory developed in three stages: integrative literature review, computational development, and application evaluation. The product was evaluated as to satisfaction, using a validated questionnaire, and as to usability by the System Usability Scale. Results: the application functionalities were based on the survey of technological Innovations on immunization, published in the scientific literature. It displays user vaccines directly from the National Immunization Program Information System, notifies about upcoming vaccines, and enables the inclusion of vaccine cards of dependents. The evaluation resulted in users’ mean score of 90.5 ± 11.1 and health professionals’ mean score of 84.2 ± 19.4. Conclusion: the application is a technological tool with potential to improve the work process in vaccination rooms and to reach the goals of vaccine coverage. It synchronizes data with the National Immunization Program Information System, thus enabling the maintenance of people’s vaccination history.

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“…O processo de implementação da estratégia e-SUS APS em Minas Gerais, apesar de sua evolução, apresenta fragilidades relacionadas ao processo de capacitação dos profissionais da Atenção Primária à Saúde. É necessário que os municípios assumam o protagonismo no processo de implementação destes sistemas, principalmente na definição de uma estratégia efetiva de capacitação profissional e acompanhamento sistemático das atividades relacionadas com a gestão da informação (4,8,(25)(26).…”

Section: Discussionunclassified

Processos de capacitação de gestores e profissionais na implementação da estratégia e-SUS Atenção Primária

Castro,

Diniz,

Oliveira

et al. 2023

Rev. baiana enferm.

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Objetivo: analisar processos de capacitação de gestores e profissionais de saúde na implementação da estratégia e-SUS Atenção Primária em municípios de Minas Gerais. Método: foram enviados questionários on-line, do tipo websurvey, aos gestores responsáveis pela implantação da estratégia nos municípios selecionados; os dados foram processados com auxílio do software estatístico Statistical Package for the Social Sciences 21.0. Resultados: participaram do estudo gestores de 114 municípios mineiros. Cerca de 71,9% deles afirmaram ter participado de processos de capacitação para desempenho da função, e em 52,6% dos municípios não foram realizados treinamentos para adoção/utilização dos sistemas aos profissionais de saúde. Conclusão: o processo de implementação da estratégia e-SUS Atenção Primária em Minas Gerais, apesar das evoluções, apresenta fragilidades na adoção de processos de capacitação dos profissionais que utilizam os sistemas.Descritores: Sistemas de Informação em Saúde. Atenção Primária à Saúde. Tecnologia da Informação. Capacitação em Serviço. Capacitação Profissional. Objective: to analyze training processes of health managers and professionals in the implementation of the e-SUSPrimary Care strategy in cities of Minas Gerais. Method: online questionnaires of the websurvey type were sent to the managers responsible for the implementation of the strategy in the selected cities; the data were processed with the aid of the statistical software Statistical Package for the Social Sciences 21.0. Results: managers from 114 cities of Minas Gerais participated in the study. About 71.9% of them claimed to have participated in training processes for

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Computerization of primary health care in Brazil: the network of actors

Cited by 5 publications

References 18 publications

Theories Informing eHealth Implementation: Systematic Review and Typology Classification

Theories Informing eHealth Implementation: Systematic Review and Typology Classification

Evaluation of digital vaccine card in nursing practice in vaccination room

Processos de capacitação de gestores e profissionais na implementação da estratégia e-SUS Atenção Primária

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