Avaliação do uso de prontuários por gestores e profissionais da atenção básica em Municípios do Sertão da Paraibano

Abstract

Introduction: The expansion of Family Health Estrategy in Brazil requires a construction of indicators that will evaluate the coherence of the approach effectively carried through and their guiding principles. The register in patient records is important for managers in health because it represents an indicator of quality in primary care. It can also work as an instrument of legal and ethical support for the professionals in charge of patient care, and helps in diagnosis and choosing of treatment. Objective: Evaluate the use of patient records by employees and managers of Primary Care in cities of hinterland of Paraiba state. Methodology: A semi-structured questionnaire with questions about biodemographic data and practical actions of healthcare professionals and managers towards the use of patient records was applied. Descriptive analysis was performed for all variables. Results: From analysis of the questionnaires, seven thematic categories that reflects the position of the group on the use of health records and their variables emerged: the need for a computerized system; incentive for use of records and information system; insatisfaction with manual registers; lack of knowledge of information systems; desire to classify all phases of care; uncertainty with regard to computerized system; and devaluation of records in Health. Conclusion: Managers and professionals must understand the importance of the use of patient records, in all their forms of presentation, for the process of health assistance managing as well as they should develop the stimuli in themselves and in their colleagues to make correct use of this instrument.