Computerization of primary health care: the manager as a change agent
Tarcísio Laerte Gontijo, Paola Karol Martins Lima, Eliete Albano de Azevedo Guimarães, Valéria Conceição de Oliveira, Humberto Ferreira de Oliveira Quites, Vinícius Silva Belo, Ricardo Bezerra Cavancante
Abstract
OBJECTIVE: To analyze factors associated with the implementation of software systems of the e-SUS Primary Care strategy in municipalities of Minas Gerais. METHODS: This is a cross-sectional study conducted with municipal managers of the e-SUS Primary Care strategy. A sample of cities stratified according to population size was selected. Descriptive, bivariate, and multivariate analyzes were performed to identify factors associated with the implementation of the systems. RESULTS: In 49.1% (95%CI: 39.5-58.8) of the municipalities investigated, some of the e-SUS Primary Care systems were implemented. Time working as a strategy manager (OR: 3.03) and training for Primary Care professionals in the municipality (OR: 2.28) were associated with the implementation of the systems. CONCLUSION: The presence of a trained manager leading the implementation process impacted the implementation of the e-SUS AB strategy software systems in the municipalities of Minas Gerais. It is also essential to highlight the need to improve the technological infrastructure for the computerization of Primary Care.