Utilização dos sistemas de informação em saúde em municípios gaúchos de pequeno porte

Abstract

OBJECTIVE:To describe the use of health information systems in towns with fewer than 10,000 inhabitants. METHODS:Study conducted in the state of Rio de Grande do Sul, Southern Brazil, between 2003 and. A self-administered questionnaire was sent to municipal managers, containing 11 single-choice questions, three multiplechoice questions and three open questions on the structure available, use of information, indicators valued and satisfaction with the systems. The questionnaire was answered by managers in 127 of the municipalities in this state with fewer than 10,000 inhabitants (37.7%). The responses were tabulated in an electronic spreadsheet and the differences between respondent and nonrespondent municipalities were evaluated using the chi-square test, taking the signifi cance level to be p < 0.05. RESULTS:All the municipalities had computers available (mean of three per municipality) and 94% had internet access. The personnel responsible for information system inputs and analysis were public employees (59%) who also performed other tasks. The systems most used related to budget control and transfer of funds. Data analysis and generation of information used in local planning was carried out in 59.1% of the municipalities. The indicators cited as important for local planning were the same ones used in arrangements agreed with the state, but there was diffi culty in understanding the terms "indicators" and "statistical data". Only 4.7% were fully satisfi ed with the information obtained from the health information systems. CONCLUSIONS:Two realities coexisted: municipalities that perceived that inputs to health information systems were a task to be complied with because of orders from central levels, in contrast with municipalities that saw the potential for these systems but had diffi culty in using them.

Barreiras do uso da Informação em Saúde na tomada de decisão municipal: uma Revisão de Literatura

“…Em estudo realizado por Vidor e colaboradores (20) , treinamento adequado para a equipe de saúde e pela falta de motivação (9) .…”

Oral health assessment from the perspective of the municipal manager

“…It is of the utmost importance that the management uses indicators, besides those requested by the federal government, important features for organization, monitoring and evaluation of the local work process. If the manager understands that he needs to know only what the official government asks him, then his need is determined by that 25 .…”

Coordenação de unidades de saúde da família por enfermeiros: desafios e potencialidades

“…The information generated subsidizes the planning of healthcare actions, both for services and for the management. (13) In addition to activities that involve working with healthcare management processes, nurses who take on the role of coordinator attach various administrative functions to their job, working in various workflows within the unit and exercising a certain centrality in decision making within the unit, as indicated by the comments below. The observations made in the field contributed to the analysis of this result, demonstrating the performance of administrative-type activities, by nurses, where all administrative processes are performed by nurses or under their supervision.…”