Implementation of the e-SUS Primary Care system: Impact on the routine of Primary Health Care professionals

Author(s)

Schonholzer, Tatiele Estefani ^{[1, 2]} ; Pinto, Ione Carvalho ^[1] ; Machado Zacharias, Fabiana Costa ^{[3, 1]} ; Cuevas Gaete, Rodrigo Andre ^[1] ; Serrano-Gallardo, Maria Del Pilar ^[4]

Affiliation

^[1] Univ Sao Paulo, Escola Enfermagem Ribeirao Preto, PAHO WHO Collaborating Ctr Nursing Res Dev, Ribeirao Preto, SP - Brazil

^[2] Coordenacao Aperfeicoamento Pessoal Nivel Super C, Brasilia, DF - Brazil

^[3] Conselho Nacl Desenvolvimento Cient & Tecnol CNPq, Brasilia, DF - Brazil

^[4] Univ Autonoma Madrid, Fac Med, Madrid - Spain

• Document type: Journal article
• Source: Revista Latino-Americana de Enfermagem; v. 29, 2021.
• Web of Science Citations: 0

Abstract

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 Sao 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. (AU)

• FAPESP's process: 18/12376-9 - The e-SUS AB System in the organization of the work process and management of care in primary health care
• Grantee: Ione Carvalho Pinto
• Support Opportunities: Regular Research Grants