初级卫生保健的计算机化：管理者作为变革推动者。
Computerization of primary health care: the manager as a change agent.
作者信息
Gontijo Tarcísio Laerte, Lima Paola Karol Martins, Guimarães Eliete Albano de Azevedo, Oliveira Valéria Conceição de, Quites Humberto Ferreira de Oliveira, Belo Vinícius Silva, Cavancante Ricardo Bezerra
机构信息
Universidade Federal de São João Del Rei. Divinópolis, Minas Gerais, Brazil.
Universidade Federal de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil.
出版信息
Rev Bras Enferm. 2021 Apr 16;74(2):e20180855. doi: 10.1590/0034-7167-2018-0855. eCollection 2021.
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.
目的
分析米纳斯吉拉斯州各市电子统一卫生系统初级保健战略软件系统实施的相关因素。
方法
这是一项针对电子统一卫生系统初级保健战略市政管理人员开展的横断面研究。选取了按人口规模分层的城市样本。进行描述性、双变量和多变量分析以确定与系统实施相关的因素。
结果
在49.1%（95%置信区间：39.5 - 58.8）接受调查的市中，部分电子统一卫生系统初级保健系统已实施。担任战略管理人员的时长（比值比：3.03）和该市初级保健专业人员的培训（比值比：2.28）与系统实施相关。
结论
有经过培训的管理人员引领实施过程，对米纳斯吉拉斯州各市电子统一卫生系统初级保健战略软件系统的实施产生了影响。还必须强调改善初级保健计算机化技术基础设施的必要性。
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