Os sistemas de informação em saúde e seu apoio à gestão e ao planejamento do SUS : uma análise de estados brasileiros

Abstract

The expansion of the use of the Information Systems (IS) in various areas of society and concomitantly the evolution of the needs in the health field resulted in the use of these Technologies to computerize data in the field of health, with the aim of processing them in a centralized way and also easily obtain information that can subsidize governmental actions. Therefore, this study aims to answer the following research issue: How are the Health Information System offered by DATASUS contributing to the management and planning of SUS? In order to answer that it was opt to use the qualitative approach, having as a research strategy the case study, being the studied cases the Health State s Secretary (HSS) of Rio Grande do Sul and the Health State s Secretary of Paraná. The researched Information Systems in these states were the Information System about Mortality (ISM) and the Information System in Decentralized Hospital (ISDH). This paper allowed verifying the existence of institutional factors which influenced either the conception or the system s use, making it possible to state the Strong presence of the coercive pressures to send the data of the investigatory systems monthly to the Federal government, because the dispatch leads to government cutbacks in the secretaries. Both investigatory IS are extensively used in the HSS seen, having specific areas responsible for the data processing. Due to the IS contributions it was found that the investigated systems contribute to the management and planning of the Unique Health System (UHS) management. However, these ISs present limitations regarding questions of quality of the information and impossibility of data interaction, which end up delimiting the action of the managers based on their evidences. These fragmented information subside in a satisfactory way the activities of sectors individual in the monitoring and position of specific actions, not providing the possibility of thinking in health in a bigger scale, involving intersectional politics aiming to promote better health conditions to the population.