Computerization of primary health care in Brazil: the network of actors.

Computerization of primary health care in Brazil: the network of actors.
Rev Bras Enferm. 2019 Mar-Apr;72(2):337-344
Authors: Cavalcante RB, Esteves CJDS, Gontijo TL, Brito MJM, Guimarães EAA, Barbosa SP
Abstract
OBJECTIVE: To analyze the network of human and non-human actors involved in the computerization of primary health care in the Brazilian federal government.
METHOD: A qualitative study that used as a theoretical reference the actor-network theory and as a methodological reference the cartography of controversies. Data analysis was carried out using Gephi software, and through the extraction of reports, informed by the actor-network theory.
RESULTS: We found a network of 288 connections among 33 actors, composed mainly of nonhuman influencers of computerization. These actors are distributed throughout 3 inter-related communities, and manage the network by defining obligations, penalties, conflicts and intentionalities, thus influencing the success of the intended computerization.
FINAL CONSIDERATIONS: The network of actors at the federal level generates situations that, in many cases, hamper the successful implementation of a nationwide computerization strategy.
PMID: 31017194 [PubMed - in process]

Source: Revista Brasileira de Enfermagem - February 28, 2019 Category: Nursing Authors: Cavalcante RB, Esteves CJDS, Gontijo TL, Brito MJM, Guimarães EAA, Barbosa SP Tags: Rev Bras Enferm Source Type: research