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电子SUS初级保健创新在家庭健康团队中的推广。

Diffusion of the e-SUS Primary Care innovation in Family Health Teams.

作者信息

Silva Talita Ingrid Magalhães, Cavalcante Ricardo Bezerra, Santos Regina Consolação Dos, Gontijo Tarcísio Laerte, Guimarães Eliete Albano de Azevedo, Oliveira Valeria Conceição de

机构信息

Universidade Federal de São João Del Rei. Divinópolis, Minas Gerais, Brazil.

出版信息

Rev Bras Enferm. 2018 Nov-Dec;71(6):2945-2952. doi: 10.1590/0034-7167-2018-0053.

DOI:10.1590/0034-7167-2018-0053
PMID:30517397
Abstract

OBJECTIVE

To analyze the diffusion of e-SUS Primary Care innovation in Family Health Teams.

METHOD

A qualitative approach case study, based on Innovation Diffusion Theory and Technology Acceptance Model. We conducted 62 interviews and observation of professionals from Family Health Teams in six municipalities of Minas Gerais State, between March 2016 and January 2017. The data were treated through Categorical Thematic Content Analysis and, systematized, with Atlas.ti software .

RESULTS

It was verified that although the e-SUS Primary Care strategy is recognized as a technological innovation, situations predominate that weaken its acceptance as: incompatibilities with the work process; sudden deployment, poor training; work overload; resistance; and negative impacts on health care.

CONCLUSION

The diffusion of the e-SUS Primary Care strategy as a technological innovation has presented potential situations of its rejection, conforming as challenges to be overcome.

摘要

目的

分析电子统一医疗系统基层医疗创新在家庭健康团队中的推广情况。

方法

采用基于创新扩散理论和技术接受模型的定性案例研究方法。2016年3月至2017年1月期间,我们对米纳斯吉拉斯州六个市的家庭健康团队的专业人员进行了62次访谈和观察。数据通过分类主题内容分析进行处理,并使用Atlas.ti软件进行系统化整理。

结果

经证实,尽管电子统一医疗系统基层医疗策略被视为一项技术创新,但仍存在诸多削弱其接受度的情况,如:与工作流程不兼容;突然部署、培训不足;工作负担过重;抵触情绪;以及对医疗保健产生负面影响。

结论

电子统一医疗系统基层医疗策略作为一项技术创新的推广出现了可能被拒斥的情况,这构成了有待克服的挑战。

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