Adoção De Tecnologia Em Hospitais: O Caso Da Adoção Do Sistema Aghu Pelos Hospitais Universitários Do Brasil

Abstract

RESUMOEste estudo descreve a adoção do Aplicativo de Gestão para Hospitais Universitários (AGHU), que está em estágio de adoção e implantação em Hospitais Universitários Federais (HUF) do Brasil desde o ano 2010, por iniciativa do Ministério da Educação (MEC). Trata-se de pesquisa documental, exploratório-descritiva, realizada com um corpus de 15 documentos oficiais e institucionais. Os documentos elucidaram o surgimento do AGHU, suas características, objetivos esperados e fatores organizacionais e tecnológicos que influenciam esse processo. A análise de conteúdo foi feita com categorização a priori, a partir de dimensões do modelo de adoção de TIC de Bouwman et al. (2005). Os fatores organizacionais e tecnológicos encontrados nas fases de adoção e implementação do aplicativo foram: estratégia, tomada de decisão, compatibilidade e acessibilidade. Concluiu-se que a adoção e implementação de tecnologias devem considerar fatores organizacionais e tecnológicos. Também é imprescindível planejar adequadamente e ter conhecimento prévio de interesses e necessidades organizacionais, a fim de gerar benefícios esperados com a adoção de determinada TIC.Palavras-chave: Adoção de Tecnologias. AGHU. Administração Hospitalar. ABSTRACTThis study describes the adoption of the Management Application for University Hospitals (AGHU), which is on adoption and implementation stages at Federal University Hospitals (HUF) in Brazil since 2010, by an initiative of the Ministry of Education (MEC). This documentary research is exploratory-descriptive, with a corpus of 15 official and institutional documents. The documents had elucidated the emergence of the AGHU, its characteristics, expected objectives and organizational and technological factors that had influenced this process. The content analysis was done with a priori categorization, based on the dimensions of the ICT adoption model of Bouwman et al. (2005). The organizational and technological factors founded in the adoption and implementation phases were: strategy, decision making, compatibility and accessibility. The results showed that the adoption and implementation of technologies should consider organizational and technological factors. It is also imperative an accurately plan and prior knowledge about organizational interests and needs in order to generate expected benefits from the adoption of a given ICT.

The Large-Scale Implementation of a Health Information System in Brazilian University Hospitals: Process and Outcomes

“…In line with its purpose of ensuring improvements in public health, SUS established, in 2010, the National Program for the Restructuring of Federal University Hospitals (REHUF-Programa Nacional de Reestruturação dos Hospitais Universitários Federais). The objective of REHUF was to "create material and institutional conditions so that the federal university hospitals can fully perform their functions regarding the dimensions of teaching, research and extension and healthcare" [9]. Brazil has 50 federal university hospitals integrated into the SUS and linked to 35 Federal Institutions of Higher Education [10].…”

“…Brazilian university hospitals (HU-Hospital Universitário) play a fundamental role in the country's healthcare system, providing medical assistance, conducting scientific research, and promoting the education of healthcare professionals. These hospitals are considered centers for training human resources, and developing technology for healthcare and are heterogeneous in terms of their capacity, technological resources, and scope of care [9].…”

“…As part of the centralized management actions, there is the national implementation of a computerized hospital information system called "Management Application for University Hospitals" (AGHU -Aplicativo de Gestão para Hospitais Universitários). The system aims to standardize the care and administrative practices of the university hospitals in the federal network and to allow the creation of national indicators, facilitating the development of common improvement programs for all these hospitals [9].…”