MONITORAMENTO E AVALIAÇÃO DE SISTEMAS DE PRONTUÁRIO ELETRÔNICO EM HOSPITAIS PÚBLICOS E PRIVADOS DA REGIÃO DE ETHEKWINI, KWAZULU NATAL
DOI:
https://doi.org/10.47820/jht.v2i4.45Palavras-chave:
Monitoramento, Avaliação, Gestão da Mudança, RES, hospital público, hospital privadoResumo
O monitoramento e a avaliação do sistema de registros eletrônicos de saúde é um dos aspectos mais essenciais para avaliar o impacto da utilização da tecnologia no setor da saúde. O estudo examinou como os hospitais monitoraram e avaliaram a implementação e operação de sistemas de EHR em KwaZulu Natal, África do Sul. De acordo com a Estratégia Digital Nacional para a África do Sul (2019-2024:26), não há um processo definido detalhando o plano de monitoramento e avaliação em saúde pública e privada; O monitoramento e a avaliação ainda estão sendo desenvolvidos, concentrando-se nas ações necessárias para o cumprimento dos marcos estratégicos de intervenção. O estudo adotou o Leading Change Model (LCM) em integração com o Technology Acceptance Model (TAM). Os modelos foram adotados no estudo para avaliar o monitoramento e a avaliação na implantação e operação de sistemas de prontuário eletrônico nos hospitais públicos e privados da Área eThekwini. Utilizou-se o estudo transversal e o desenho qualitativo de estudo de caso para comparar o monitoramento e a avaliação da implantação de sistemas de prontuário eletrônico em hospitais públicos e privados. A população deste estudo é composta por três grupos, ou estratos. O primeiro grupo é composto por pessoal de gerenciamento de registros, administradores de pacientes e funcionários de arquivamento ou de enfermaria que lidam principalmente com a administração hospitalar. Em termos de monitoramento da produtividade, ambos os hospitais monitoraram a eficiência dos usuários na utilização do sistema, mas não houve uma estratégia adequada documentada.
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