Ambivalent implications of health care information systems: a study in the Brazilian public health care system

Revista de Administração de Empresas

João Porto De Albuquerque²  Edmir P. V. Prado¹  Gabriel Raja Machado² 

[1] ,Universidade de São Paulo Instituto de Ciências Matemáticas e de Computação Departamento de Sistemas de ComputaçãoSão Carlos SP ,Brazil

关键词: Health care information systems;    social implications;    Brazil;    public health care;    information technology;    Sistemas de informação de saúde;    implicações sociais;    Brasil;    sistema de saúde pública;    tecnologia da informação;    Sistemas de información de salud;    implicaciones sociales;    Brasil;    sistema de salud pública;    tecnología de la información;   

DOI  :  10.1590/S0034-75902011000100006

来源: SciELO

【 摘 要 】

This article evaluates social implications of the "SIGA" Health Care Information System (HIS) in a public health care organization in the city of São Paulo. The evaluation was performed by means of an in-depth case study with patients and staff of a public health care organization, using qualitative and quantitative data. On the one hand, the system had consequences perceived as positive such as improved convenience and democratization of specialized treatment for patients and improvements in work organization. On the other hand, negative outcomes were reported, like difficulties faced by employees due to little familiarity with IT and an increase in the time needed to schedule appointments. Results show the ambiguity of the implications of HIS in developing countries, emphasizing the need for a more nuanced view of the evaluation of failures and successes and the importance of social contextual factors.

【 授权许可】

CC BY   
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