Desafios de iniciativas governamentais de implementação em ampla escala de sistemas de informação em saúde
DOI:
https://doi.org/10.5433/1981-8920.2022v27n4p456Palavras-chave:
Sistema de informação em saúde, Tecnologia da informação em saúde, Implementação nacional, Administração pública, GovernoResumo
Objetivo: A implementação nacional de sistemas de informação em saúde tem ocorrido internacionalmente e sido considerada um processo complexo permeado de desafios. Este estudo objetiva analisar os fatores que afetaram os resultados de iniciativas governamentais desta natureza.
Metodologia: Metodologicamente, empreendeu-se um mapeamento da literatura científica por meio do Knowledge Development Process – Constructivist (Proknow-C). Os artigos identificados a partir deste processo foram submetidos à análise de conteúdo com o uso de procedimentos de codificação e categorização.
Resultados: Os resultados mostram um conjunto de 19 categorias que reúnem aspectos sociotécnicos que afetaram a implementação dos sistemas dos sistemas de informação em saúde internacionalmente. Estes aspectos estão relacionados ao cenário nacional mais amplo em que o sistema foi introduzido (nível macro), às instituições onde os sistemas foram implementados e suas peculiaridades locais (nível meso) e aos atributos dos indivíduos, tecnologia e processos de saúde envolvidos (nível micro).
Conclusões: Diferentes aspectos intra e internível (macro, meso e micro) relacionam-se moldando os processos de implementação dos sistemas e seus resultados. Apesar de abrangerem estudos vinculados a iniciativas de implementação de sistemas de informação em saúde em países distintos, apresentando estados de desenvolvimento de tecnologias diversos, os desafios registrados, bem como os fatores críticos de sucesso e as boas práticas reportadas, guardam semelhança.
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Copyright (c) 2023 Clarissa Carneiro Mussi, Ricardo Luz, Dioni da Rosa Damázio, Ernani Marques dos Santos, Violeta Sun
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