Electronic Unified Health System: opportunities for improvement

This study aimed to develop and evaluate a prototype with opportunities for improvement for the e-SUS Primary Care module, integrated in the proprietary system used at the research site, with a view to improving the health information system. It is an applied research, with a qualitative approach, in the action-research modality. The population consisted of all (30) Community Health Agents assigned to six Family Health Centers in the city of Ribeirão Preto, State of São Paulo, Brazil and six computer experts, who agreed to participate in the research by signing the Informed Consent Form. The study was developed in three stages. Stage 1 - Knowledge brought by the Community Health Agent (CHA): observation, by the researcher, of the execution of professional activities in the Electronic Unified Health System of Primary Health Care and unstructured interview, between May and July 2016; Stage 2 - Construction of the prototype with opportunities for improvement for the e-SUS AB module. We used the AXURE RP Pro 7.0 software. Stage 3- Evaluation of the prototype by the CHA and computer experts. An evaluation instrument was developed considering the specifications described by ISO/IEC 25010, 9241 and 14598 with the parameters: poor, fair, good and excellent. The results show the importance of knowing the aspects related to the way of working, or behavior, that can influence the final quality of the data inserted in the Health Information Systems. In the same way, such systems aim to obtain inputs for the definition of the requirements and goals of usability, in order to meet the different user roles identified, and also reinforces the relevance of looking at own systems, acquired in the private market or developed in the municipality. The rapprochement between the researcher and the people involved in the investigated situation allowed for the detection of gaps between the indispensable components to carry out the actions that aim to consolidate computerization in health and, above all, to outline potential solutions to the problems identified.

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Capacitação de agentes comunitários de saúde: integração entre universidade e atenção básica

REVISTA BRASILEIRA DE EXTENSÃO UNIVERSITÁRIA ◽

10.36661/2358-0399.2020v11i3.11506 ◽

2020 ◽

Vol 11 (3) ◽

pp. 349-359

Author(s):

Amanda Brait Zerbeto ◽

Leonardo De Carvalho ◽

Thaís Amanda Rossa ◽

Daniel De Paula

Keyword(s):

Health System ◽

Continuing Education ◽

Community Health ◽

Engineering Students ◽

Health Workers ◽

Unified Health System ◽

Local Problems ◽

Health Concept ◽

Institutional Relations ◽

Training Community

O Projeto Rondon tem criado oportunidades, especialmente na saúde, para que universitários interajam com comunidades vulneráveis, socializando saberes e discutindo soluções coletivamente. O Agente Comunitário de Saúde (ACS) é um personagem fundamental na implementação do Sistema Único de Saúde (SUS), fortalecendo a integração entre os serviços de saúde e a comunidade. Mesmo com muitos avanços, a formação dos ACS permanece um desafio. Este estudo relata a experiência de um projeto de extensão na elaboração, desenvolvimento e realização de uma capacitação para ACS no município de Lindoeste, Paraná. As oficinas foram elaboradas multidisciplinarmente por acadêmicos de enfermagem, nutrição, psicologia e engenharia ambiental. Adotou-se o conceito ampliado de saúde, abordando conceitos do SUS, promoção e prevenção, educação ambiental, nutrição, humanização, além de demandas locais. A utilização de metodologias ativas e de temas relacionados à comunidade permitiram a troca de saberes, criando um espaço em que todos puderam expor suas opiniões e assim buscar soluções para os problemas locais. O desconhecimento dos ACS sobre os conceitos do SUS foi um desafio para o aprofundamento da discussão, moldando o debate muitas vezes num modelo pedagógico clássico. Um ponto positivo foi a integração e colaboração entre os ACS a partir do entendimento dos impactos que o processo de trabalho pode trazer ao município. A partir da capacitação dos ACS, ficou evidente a importância de os projetos de extensão estarem em consonância com as necessidades do território que, no presente trabalho, revelou a necessidade de elaboração e realização da educação continuada dos ACS. Palavras-chave: Sistema Único de Saúde; Atenção Primária à Saúde; Educação Continuada; Relações Comunidade-Instituição Training community health workers: integration between university and primary healthcare Abstract: The Rondon Project has provided opportunities, especially in the health area, for university students to interact with vulnerable communities, share knowledge, and discuss solutions collectively. The Community Health Worker (CHW) plays a key role in implementing the Brazilian Unified Health System (Sistema Único de Saúde - SUS), strengthening the integration between health services and the community. Even with many advances, the education of CHWs remains a challenge. This study reports an extension project's experience in elaborating, developing, and accomplishing training for CHW in Lindoeste, Paraná state, Brazil. The workshops were developed in a multidisciplinary manner by nursing, nutrition, psychology, and environmental engineering students. The expanded health concept was adopted, addressing SUS concepts, health promotion, prevention, environmental education, nutrition, humanization, and local demands. The use of active learning methods and community-related themes allowed for knowledge sharing, creating an environment where everyone could express their opinions and seek solutions to local problems. CHW's lack of knowledge about SUS concepts was a challenge to deepen the discussion, often shaping the debate in a traditional way. A positive point was the integration and collaboration among CHW, which were carried out in understanding the value of the collaborative workflow for their community. This experience highlighted the importance of the extension project being in tune with the demand of the territory, which in the present work revealed the need to elaborate and carry out continuing education of the CHW. Keywords: : Unified Health System; Primary Health Care; Continuing Education; Community Institutional Relations

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Referral and counter-referral for the integrality of care in the Health Care Network

Physis Revista de Saúde Coletiva ◽

10.1590/s0103-73312021310105 ◽

2021 ◽

Vol 31 (1) ◽

Author(s):

Cleise Cristine Ribeiro Borges Oliveira ◽

Elaine Andrade Leal Silva ◽

Mariluce Karla Bomfim de Souza

Keyword(s):

Health Care ◽

Content Analysis ◽

Qualitative Study ◽

Health System ◽

Family Health ◽

Ethics Committee ◽

The State ◽

Healthcare Network ◽

Unified Health System ◽

Health Care Network

Abstract The objective was to analyze the functioning of the referral and counter-referral system for integral care in the Healthcare Network. Qualitative study performed through interviews with 66 participants - managers, workers and users of a town of the state of Bahia, Brazil, and upon approval by the Ethics Committee, opinion number nº 334.737. The material was analyzed using the Content Analysis proposed by Bardin, finished in 2014. Various conceptions of referral and counter-referral were identified, as follows: referral of users, user’s broader view; non-fragmented care; and integral care. For the users, the difficulties and facilities in the flows are concentrated in the Regulation and Scheduling Center and Family Health Units. It is concluded that, to enable the establishment of the network in an integral way, it is necessary to identify important strategies provided by the Unified Health System (SUS) and strengthen these strategies, as well as to identify any drawbacks to remedy them.

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Periodic Medical Examinations in the Russian Federation: Challenges of Data Recording in the National Occupational Health System (Experience of the Sverdlovsk Region)

ЗДОРОВЬЕ НАСЕЛЕНИЯ И СРЕДА ОБИТАНИЯ - ЗНиСО / PUBLIC HEALTH AND LIFE ENVIRONMENT ◽

10.35627/2219-5238/2020-333-12-43-49 ◽

2020 ◽

pp. 43-49

Author(s):

AS Shastin ◽

VB Gurvich ◽

VG Gazimova ◽

VM Baratov ◽

TS Ustyugova ◽

...

Keyword(s):

Information System ◽

Occupational Health ◽

Health System ◽

Health Information ◽

Russian Federation ◽

Health Information System ◽

Data Recording ◽

State Health ◽

The Russian Federation ◽

Medical Examinations

Background: As of today, there is no unified health information system that registers and systematizes the results of periodic medical examinations of workers exposed to occupational hazards in the Russian Federation. Our objective was to examine the results of periodic medical examinations in the Sverdlovsk Region over a five-year period. Materials and methods: We reviewed medical reports and conclusions issued by regional health facilities in 2015–2019 and submitted to the Regional Occupational Health Center of the Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers, and analyzed completeness and timeliness of their submission. Results: We established that occupational health assessment based on the results of periodic medical examinations is complicated by late and incomplete data reporting by healthcare facilities of the Sverdlovsk Region. Conclusions: Our findings prove the importance of creating a “Periodic Medical Examination” subsystem of the unified state health information system. Providing access to standardised results of periodic medical examinations based on a single digital platform to all professional participants of the national occupational health system will enable data recording, analysis and assessment at the interregional and intersectoral levels, as well as at the level of business entities, and facilitate their use for the purposes of workers’ health risk management. Timeliness of reporting and completeness of date entry in the “Periodic Medical Examination” subsystem (or a Federal Registry of Periodic Medical Examinations) may be monitored and verified by local Rospotrebnadzor bodies to be connected to the unified state health information systems of constituent entities of the Russian Federation.

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Information System Management in Health Institutions of Kosovo: Case Study

Journal of International Cooperation and Development ◽

10.36941/jicd-2021-0013 ◽

2021 ◽

Vol 4 (2) ◽

pp. 54

Author(s):

Afrim Loku ◽

Nadire Shehu Loku ◽

Lindita Loku

Keyword(s):

Information System ◽

Health System ◽

Health Information ◽

Health Information System ◽

Care Quality ◽

System Quality ◽

Fully Integrated ◽

Concept Model ◽

Health Institutions

Introduction: The main point in this paper is dedicated to the role and importance of the information system in public institutions with emphasis on health system: system preparation, establishment, implementation, and its application.Objective: The aim of this study is to increase the awareness and importance of health information system in health institutions and management and, to present a concept model of health information system to health institutions in Kosovo. Results: Presented Health Information System model shows the benefits and the role if implemented. The main aspects this concept takes in consideration is overall network, strategic flexibility and cost-reducing. Conclusion: This study highlights the benefits possible when new electronic health information system is fully integrated in health system of Kosovo. This case study illustrates the importance of developing new health information system that meets the actual challenges of health system, improve the system quality, usage and care quality. Received: 21 February 2021 / Accepted: 5 August 2021 / Published: 5 November 2021

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The Development of a Computerized Health Information System to Facilitate Program Planning/Evaluation and Enhanced First Nations Control of Community Health Services

Can J Public Health ◽

10.1007/bf03403889 ◽

1997 ◽

Vol 88 (3) ◽

pp. 207-209 ◽

Cited By ~ 4

Author(s):

Roger J. Johnson

Keyword(s):

Information System ◽

Health Services ◽

Community Health ◽

First Nations ◽

Health Information ◽

Program Planning ◽

Health Information System ◽

Community Health Services

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Title: Perspectives on an Iterative and Bidirectional Information System in Western Kenya and Its Role in Improving Health Outcomes

10.21203/rs.3.rs-174324/v1 ◽

2021 ◽

Author(s):

Beverly M. Ochieng ◽

Dan C. Kaseje

Keyword(s):

Information System ◽

Information Systems ◽

Health Outcomes ◽

Health System ◽

Information Sharing ◽

Health Information ◽

Qualitative Data ◽

Health Information System ◽

Health Facilities ◽

And Control

Abstract Background A perennial problem in information systems is the unidirectional flow of information. Bidirectional information systems are mechanisms by which consumers and providers generate, discuss and use information at each level of data collection. This paper describes opportunities in the health service delivery system for bidirectional information flow that can be established as part of the health information system to inform decisions, planning, and action by both providers and consumers of care. Methods The study was quasi-experimental and involved pre and post-intervention, cross-sectional surveys at intervention and control sites. The intervention was a Community Based Health Information System. Quantitative and qualitative data were collected. The surveys covered five health facilities in the intervention sites and five in the control sites in each of the six study districts. Five clients were interviewed at each intervention and control health facility. Communities served by the selected health facilities were included in household cluster sample surveys. Thirty clusters of 10 households, each with under-five children, were included in each community served by the selected health facilities. Quantitative data were cross-tabulated to compare health outcomes at intervention and control sites. A content analysis was performed on the qualitative data; themes and sub-themes that identified opportunities for bidirectional information-sharing were identified. Results We identified five nodal points in the health system that provide opportunities for bidirectional information sharing at the household, community, and health facility levels. Immunization coverage, skilled delivery, water treatment, and latrine use improved more at the intervention than control sites. Where all of the mechanisms were implemented, there was better performance in outcomes. Conclusion A conscious engagement of service providers and consumers in dialogue, using available health system information to iteratively inform decisions and actions, improves health outcomes.

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