Implementation of a digital tool for population management in Primary Health Care
DOI:
https://doi.org/10.11606/s1518-8787.2023057005321Keywords:
Territorialization in Primary Care, Community Health Workers, Primary Health Care, Electronic Health Records, Population Health ManagementAbstract
OBJECTIVE: Describe the implementation of a digital diagnostic and territorial monitoring tool in primary healthcare.
METHODS: Quantitative and qualitative study, developed in 14 basic healthcare units in São
Paulo, with community health workers, coordinators, nurses, and physicians. Data collection occurred in four phases: analysis of the instruments used by the team for territory management; development of the digital tool; training and implementation; and evaluation after 90 days using focus groups. Descriptive analyses were conducted by calculating absolute and relative
frequencies to treat quantitative data. Qualitative data were subjected to content analysis.
RESULTS: Three hundred thirty-four professionals participated in the study. In the first step, territory management’s main challenges were filling out various instruments, system failures, data inconsistency, internet infrastructure/network, and lack of time. Therefore, a digital tool was developed consisting of 1) a spreadsheet recording the number of family members and markers of health conditions, date of visit, and number of return visits; 2) a spreadsheet with a
summary of families visited, not visited, and refusals; and 3) a panel with a summary of the data generated instantly. In the evaluation, after the initial use of the tool, the themes that emerged were integration of the tool into daily work, evaluation of the digital tool implementation process, and improvement and opportunities for improvement.
CONCLUSIONS: Faced with the challenges faced by family healthcare teams when filling out systems and managing the territory, the tool developed provided greater reliability and agility in data visualization, reduced the volume of instruments, and optimized the work process.
References
Ministério da Saúde (BR). Portaria nº 4.279/2010. Estabelece diretrizes para a organização da Rede de Atenção à Saúde no âmbito do Sistema Único de Saúde (SUS). Diário Oficial União. 30 dez 2010.
Coelho Neto FC, Andreazza R, Chioro A. Integração entre os sistemas nacionais de informação em saúde: o caso do e-SUS Atenção Básica. Rev Saude Publica. 2021;55(93):1-10. https://doi.org/10.11606/s1518-8787.2021055002931
Evangelista MJO, Guimarães AMDN, Dourado EMR, Vale FLB, Lins MZS, Matos MAB, et al. O planejamento e a construção das Redes de Atenção à Saúde no DF, Brasil. Cienc Saude Colet. 2022;24(6):2115-24. https://doi.org/10.1590/1413-81232018246.08882019
Mendes EV, Matos MAB, Evangelista MJO, Barra RP. A construção social da atenção primária à saúde. 2a ed. Brasília, DF: CONASS; 2019.
Ministério da Saúde (BR), Sociedade Beneficente Israelita Brasileira Albert Einstein, Instituto Israelita de Responsabilidade Social. PLANIFICASUS: guia Workshop 2 território e gestão de base populacional. Brasília, DF: Ministério da Saúde; 2019
[citado 27 dez 2022]. Disponível em: https://atencaobasica.saude.rs.gov.br/upload/arquivos/201908/13130839-guia-workshop-2.pdf
Bueno AS, Calliari ABT, Emmanouilidis J, Braz MA, Moura FRR, Brew MC, et al. Mapeamento georreferenciado de doenças crônicas em unidade de atenção primária de Porto Alegre. Rev Saude Cien. 2019;8(1):33-44. htps://doi.org/10.35572/rsc.v8i1.59
Cielo AC, Raiol T, Silva EN, Barreto JOM. Implantação da estratégia e-SUS Atenção Básica: uma análise fundamentada em dados oficiais. Rev Saude Publica. 2022;56(5):1-13. https://doi.org/10.11606/s1518-8787.2022056003405
Pinheiro ALS, Andrade KTS, Silva DO, Zacharias FCM, Gomide MFS, Pinto IC. Health management: the use of information systems and knowledge sharing for the decision making process. Texto Contexto - Enferm. 2016;25(3):e3440015. https://doi.org/10.1590/0104-07072016003440015
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. https://doi.org/10.1016/j.nedt.2003.10.001
Pedebos LA, Rocha DK, Tomasi Y. A vigilância do território na atenção primária: contribuição do agente comunitário na continuidade do cuidado. Saúde Debate. 2018;42(119):940-51. https://doi.org/10.1590/0103-1104201811912
Regeru RN, Chikaphupha K, Kumar MB, Otiso L, Taegtmeyer M. 'Do you trust those data?': a mixed-methods study assessing the quality of data reported by community health workers in Kenya and Malawi. Health Policy Plan. 2020;35(3):334-45. https://doi.org/10.1093/heapol/czz163
World Health Organization, Organisation for Economic Co-Operation and Development, The World Bank. Delivering quality health services: a global imperative for universal health coverage. Geneva: World Health Organization; 2018 [citado 28 dez 2022 ]. Disponível em: http://www.who.int/iris/handle/10665/272465
Braun R, Catalani C, Wimbush J, Israelski D. Community health workers and mobile technology: a systematic review of the literature. PLoS One. 2013;8(6):e65772. https://doi.org/10.1371/journal.pone.0065772
Mota DN, Torres RAM, Guimarães JMX, Marinho MNASB, Araújo AF. Tecnologias da informação e comunicação: influências no trabalho da estratégia Saúde da Família. J Health Inform. 2018;10(2):45-9.
World Health Organization. mHealth: use of appropriate digital technologies for public health: report by the Director-General In: Seventy-first world health assembly [Internet]; 2018 May 21-27; Geneva: World Health Organization; 2018 [citado 28 dez 2022]. (Paper A71/20). Disponível em: https://apps.who.int/iris/handle/10665/274134
World Health Organization. Global strategy on digital health 2020-2025. Geneva: World Health Organization; 2021 [citado 28 dez 2022]. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/344249/9789240020924-eng.pdf?sequence=1&isAllowed=y
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Copyright (c) 2023 Debora Paulino da Silva Almeida, Paulo Leandro de Oliveira Junior, Glauber Alves dos Prazeres, Lorrayne Belotti, Jessica Domingues, Natalia Martins Bonassi, Ilana Eshriqui, Renata Soares Martins, Leticia Yamawaka de Almeida, Daiana Bonfim
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