Sistemas de informação em saúde: um estudo dos processos de registro, integração e recuperação da informação das bases SISAB e ESUS-AB

Abstract

Information occupies an important place in the most diverse social segments and this is clear in public and private organizations. In the context of health, public organizations have sought ways to constantly innovate and improve health services, in order to meet the aspirations of contemporary society, through the availability and use of information in a comprehensive, accurate and safe way. Among information and communication technologies, health information systems emerge as essential tools to help organizations and health professionals to effectively and intelligently manage the large amounts of information that are generated every day. There is a pressing need to make employees aware of the importance of information management in the organizational environment, in order to promote and improve the use of information in the actions of the Unified Health System. In this scenario, this research sought to study the process of registration, integration and retrieval of information in e-SUS AB and the Health Information System for Primary Care, SISAB. For this purpose, it was necessary to describe the process of collecting and recording information that feeds SISAB through e-SUS AB, as well as verifying, from the perspective of managers and users, the main problems encountered in recording and retrieving information in the e-SUS AB. In addition, to identify the factors that interfere with the full integration of e-SUS AB and SISAB, in order to contribute to a better understanding of the process of collection, storage, retrieval and use of information in the health area. As for the methodological procedures, a qualitative research was carried out, with a descriptive and exploratory approach, consisting of a case study, with the application of 172 questionnaires to professionals who integrate the family health strategy teams and a semi-structured interview with the manager of the Health Secretariat of the municipality of São Luís do Quitunde, Alagoas. The results point to a certain weakness in the training process of the teams' professionals, difficulties in filling out the printed forms, as well as in the use of the electronic system, significant lack of knowledge of the information storage processes, difficulties in unifying the patient records in the system, high index of duplicity of patient registrations, instabilities in the system and the difficulties and improvements provided by e-SUS AB from the perspective of management. It was possible to conclude that there is a need to carry out new training with professionals who work directly with the e-SUS AB strategy, as well as to sensitize professionals and management about the importance of the quality of health information to promote improvements in the registration process and retrieval of information, thus providing better decision-making by management, as well as subsidizing the development of public health policies for the municipality.