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Revista Cubana de Información en Ciencias de la Salud
versión On-line ISSN 2307-2113
Resumen
GODINHO PEGO, Lidianny Aparecida et al. Implementation of Electronic Medical Records by physicians and nurses in Primary Health Care. Rev. cuba. inf. cienc. salud [online]. 2023, vol.34 Epub 01-Dic-2023. ISSN 2307-2113.
Objective:
To evaluate the implementation of the Electronic Citizen's Record of the e-SUS strategy in Primary Health Care by physicians and nurses from two health macro-regions in Minas Gerais.
Methods:
Estudio de método mixto explicativo secuencial cuantitativo-cualitativo. Data collection took place through an online form. An analysis and judgment matrix were built to evaluate and weigh the evaluative questions in the collection instrument.
Results:
In general, the degree of implementation of each of the functionalities (assistance and management) was classified as not adequate, but there is a difference when comparing the professions. The data show that medicine, when compared to nursing, uses the medical record with a lower score, indicating that physicians reported using the electronic medical record less than nurses.
Conclusions:
Despite major government efforts to expand the implementation of electronic medical records, its implementation, in general, is still not adequate. Thus, the use of electronic medical records as a potential qualifier of health data should be encouraged towards the management and coordination of care.
Palabras clave : Electronic Patient Record; Primary Health Care; Medical Informatics; Health Information Systems; Health Staff.