Desafios de iniciativas governamentais de implementação em ampla escala de sistemas de informação em saúde

Clarissa Carneiro Mussi; Ricardo Luz; Dioni da Rosa Damázio; Ernani Marques dos Santos; Violeta Sun

doi:10.5433/1981-8920.2022v27n4p456

Autores/as

Clarissa Carneiro Mussi Universidade do Sul de Santa Catarina - UNISUL https://orcid.org/0000-0003-0367-4345
Ricardo Luz Universidade do Sul de Santa Catarina - UNISUL https://orcid.org/0000-0002-6966-7327
Dioni da Rosa Damázio Universidade do Sul de Santa Catarina - UNISUL https://orcid.org/0000-0001-6209-6798
Ernani Marques dos Santos Universidade Federal da Bahia - UFBA https://orcid.org/0000-0001-8618-9489
Violeta Sun Universidade de São Paulo - USP https://orcid.org/0000-0003-1739-5312

DOI:

https://doi.org/10.5433/1981-8920.2022v27n4p456

Palabras clave:

Sistema de información en salud, Tecnología de la información en salud, Implementación nacional, Administración pública, Gobierno

Resumen

Objetivo: La implementación nacional de sistemas de información en salud se ha llevado a cabo a nivel internacional y se considera un proceso complejo permeado de desafíos. Este estudio tiene como objetivo analizar los factores que han afectado los resultados de iniciativas gubernamentales de esta naturaleza.
Metodología: Metodológicamente, se realizó una revisión bibliográfica utilizando el Proceso de Desarrollo del Conocimiento - Constructivista (Proknow-C). Los artículos identificados a través de este proceso fueron sometidos a un análisis de contenido utilizando procedimientos de codificación y categorización.
Resultados: Los resultados revelan un conjunto de 19 categorías que abarcan aspectos sociotécnicos que afectaron la implementación de sistemas de información en salud a nivel internacional. Estos aspectos están relacionados con el contexto nacional más amplio en el que se introdujo el sistema (nivel macro), las instituciones donde se implementaron los sistemas y sus peculiaridades locales (nivel meso), y los atributos de individuos, tecnología y procesos de salud involucrados (nivel micro).
Conclusiones: Varios aspectos intra e internivel (macro, meso y micro) están interconectados, dando forma a los procesos de implementación del sistema y sus resultados. A pesar de cubrir estudios relacionados con la implementación de sistemas de información en salud en diferentes países, cada uno con diferentes niveles de desarrollo tecnológico, los desafíos registrados, los factores críticos de éxito y las mejores prácticas informadas muestran similitudes.

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Biografía del autor/a

Clarissa Carneiro Mussi, Universidade do Sul de Santa Catarina - UNISUL

Doctor en Administración por la Universidade de São Paulo (USP). Profesor del Programa de Posgrado en Administración de la Universidade do Sul de Santa Catarina (UNISUL), Florianópolis, Brasil.

Ricardo Luz, Universidade do Sul de Santa Catarina - UNISUL

Magíster en Administración de Empresas por la Universidade do Sul de Santa Catarina (UNISUL). Profesor de la Faculdade São Luiz (FSL), Brusque, Brasil.

Dioni da Rosa Damázio, Universidade do Sul de Santa Catarina - UNISUL

Magíster en Administración por la Universidade do Sul de Santa Catarina (UNISUL). Docente de cursos técnicos ofrecidos por el Serviço Nacional de Aprendizagem Comercial (SENAC), Florianópolis, Brasil.

Ernani Marques dos Santos, Universidade Federal da Bahia - UFBA

Doctor en Administración por la Universidade de São Paulo (USP). Profesor del Centro de Postgrado en Administración de la Universidade Federal da Bahia (UFBA), Salvador, Brasil.

Violeta Sun, Universidade de São Paulo - USP

Doctor en Administración por la Universidade de São Paulo (USP). Profesor del curso de Sistemas de Información de la Universidade de São Paulo (USP), São Paulo, Brasil.

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