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e-SUS AB in the city of Rio de Janeiro: design and implementation of the information health system

Abstract

Background

The municipality of Rio de Janeiro has the second largest Primary Health Care (PHC) network in Brazil. The implementation of the Unified Health System-PHC application program (e-SUS AB) in the municipality was planned according to the profile found in the different health territories, called Programmatic Areas (PA).

Objective

To report the experience of municipal management professionals between 2017 and 2020.

Method

Document analysis and verification of data from the Municipal Health Department were carried out.

Results

Implementation of the Citizens' Electronic Medical Record (PEC) of the e-SUS AB occurred gradually in the PA in the municipality. There were challenges regarding data migration to feed the Primary Health Care Information System (SISAB) reports and systematization of the implementation guidelines, flow, and feed of information into the system. However, they provided a learning curve for management and health teams, both in the implementation and operationalization of the system. The implementation of the system in the city was efficient and presents medium- and long-term benefits, both for the population and for health teams and managers.

Conclusion

Although the e-SUS AB is integrated in Rio de Janeiro, it is necessary to constantly monitor and develop interoperability protocols for the effectiveness of health information within the municipality.

Keywords:
Primary Health Care; eHealth strategies; electronic health records; information technology administration

Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro Avenida Horácio Macedo, S/N, CEP: 21941-598, Tel.: (55 21) 3938 9494 - Rio de Janeiro - RJ - Brazil
E-mail: cadernos@iesc.ufrj.br