Primary care information systems

Abstract Primary Care Information System (P-Care) is used at the first level health facility (FKTP) for the service of patients of the National Health Insurance. The purpose of this study was to determine the success of using the P-Care information system by evaluating the system using the End User Computing Satisfaction (EUCS) Model. This is a cross-sectional survey research with Primary Care information system objects. The variables studied were the user satisfaction factors of the p-care information system including content aspects, accuracy, format, ease of use, and timeliness. The research subjects were primary care information system operators with 61 FKTPs as samples. Data were analyzed using descriptive analytical methods. P-care application user satisfaction index was 75.5 (satisfied category). This shows that respondents generally have received the primary care information system. The lowest index on A1 (system accuracy), C1 (accuracy of information), and T1&2 (timeliness of information). The lowest average user satisfaction index is on aspects of system accuracy and timeliness. To improve the index of primary care information system user satisfaction, the BPJS needs to improve system monitoring, increase feedback and increase report output. FKTP can develop a bridging P-Care system and structuring the medical record system to be more effective and efficient. Keywords : information systems, user satisfaction, primary care, EUCS Model Abstrak Sistem Informasi Primary Care (P-Care) digunakan pada fasilitas kesehatan tingkat pertama (FKTP) untuk pelayanan pasien Jaminan Kesehatan Nasional (JKN). Kepuasan pengguna aplikasi P-Care merupakan faktor penting dalam kinerja sistem informasi. Tujuan penelitian ini adalah mengetahui keberhasilan penggunaan sistem informasi p-care dengan melakukan evaluasi sistem menggunakan End User Computing Satisfaction (EUCS) Model. Jenis penelitian adalah penelitian survey bersifat cross sectional dengan obyek sistem informasi Primary Care. Variabel yang diteliti adalah faktor kepuasan pengguna sistem informasi p-care meliputi aspek content, accuracy, format, ease of use, dan timeliness. Subyek penelitian adalah operator sistem informasi primay care dengan 61 sampel FKTP. Data dianalisis dengan cara diskriptif analitik. Indeks kepuasan pengguna aplikasi P-care adalah 75,5 (kategori puas). Hal ini menunjukkan bahwa responden secara umum sudah menerima sistem informasi primay care. Indeks terendah pada A1 (akurasi sistem), C1 (ketepatan informasi), dan T1&2 (ketepatan waktu informasi). Rata-rata indeks kepuasan pengguna paling rendah pada aspek akurasi sistem dan ketepatan waktu. Untuk meningkatkan indeks kepuasan pengguna sistem informasi primary care, maka pihak BPJS perlu meningkatkan monitoring sistem, meningkatkan feedback dan penambahan output laporan. FKTP dapat mengembangkan sistem bridging p-care dan penataan sistem rekam medis untuk pelayanan pasien yang lebih efektif dan efisien. Kata kunci : sistem informasi, kepuasan pengguna, primary care, EUCS Model

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How data provided by the Brazilian information system of primary care have been used by researchers

Health Informatics Journal ◽

10.1177/1460458219882273 ◽

2019 ◽

Vol 26 (3) ◽

pp. 1617-1630

Author(s):

Fernando Rocha Lucena Lopes ◽

Karolinne Souza Monteiro ◽

Silvana Santos

Keyword(s):

Primary Care ◽

Information System ◽

Information Systems ◽

Health Workers ◽

Health Indicators ◽

Quality Of Data ◽

Other Information ◽

Care Information ◽

Epidemiological Profile ◽

Object Of Study

In this article, we have investigated how researchers use the data provided by the Brazilian Information System of Primary Care . We also searched, for the first time, studies that evaluated the quality and reliability of the information provided by the Primary Care Information System. An integrative review of the literature was performed using the keywords ‘information systems, primary care and SIAB’ on search databases, and 53 of 174 articles were selected. These publications were classified into two large subgroups: those using the Primary Care Information System as ‘data source’ and those that took it as the ‘object of study’. The first group included 35 studies, 18 of which used demographic and social health data records, and nine described data about diseases, specifically hypertension and diabetes. These data were used by researchers for association with health indicators (20%) or comparison with other information systems (17%), sample or population calculus (9%), estimation of prevalence and characterization of the epidemiological profile of a population (26%) or, more generally, to carry out the assessment of health status (29%). The Primary Care Information System as the ‘object of study’ group included 18 works, describing the knowledge and practices of professionals in relation to the information system. These researchers pointed out issues in the process of production and information consolidation, mainly due to the lack of training and supervision of community health workers and bureaucratization of their work process. Although some issues in the quality of data provided by the Primary Care Information System were reported by researchers, these findings were not corroborated by two studies that assessed the reliability of information disclosed by this system. Despite changes in the Brazilian health policies, the issue of data quality in health information systems continues to be a challenge preventing data from being used for decision-making and knowledge production.

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