O uso do registro eletrônico de saúde por profissionais da assistência em um hospital geral de Minas Gerais e seu impacto na gestão de recursos humanos

Abstract

The present research aimed to analyze the performance of an instrument developed to check the usability of an electronic health record by the health professionals of an emergency general hospital in the city of Belo Horizonte, Minas Gerais, where 308 questionnaires were collected, and 299 were used because they were complete. In the analyzed sample, sub setting a sample of physicians and nurses, was found a good evaluation of the electronic health record by the two groups, probably related to a kind of younger professionals, experienced with communication and information technology issues, and confident in the use of the system under evaluation. It was also found a significant difference between the nurse and medical groups upon the appreciation of almost all items, the former giving a better appreciation of the EHR while the last pointed more frequently negatives observations about the interface of the EHR. These findings deserve some reflection form human resource managers, mainly inside hospitals. These organizations are notables for the difficulties in managing their services and for the hard and complex professional relations they harbor. Relations that are deeply modeled by two strong forces: - knowledge and hierarchy. It is inside these complex organizations that the evolution process from a paper medical record to an electronic medical record is better observed. A transformation process that pressures the more tangible aspect of the medical patient relation, a critical component of the assistance, these last the ultimate reason for the existence of the hospital organization. This process takes great amounts of investments and risks, and only can succeed justifying all the time and money spent if the medical group gives its approval to the electronic medical record and adopts it. For these reason human resources managers should deeply understand the complex factors involved in the relation between the medical physician and the electronic medical record. At the end of this research we can conclude that it is essential for human resource managers to understand the real needs of the medical users, challenged to modify their secular heuristic of work, being forced or persuaded to use these systems, which can bring benefits but also can carry considerable risks. The human resource manager that keep a good knowledge about the competences of the organization's workers has a fundamental participation on counseling about the best technological solution to choose, for what he needs to know the factors that make a system better or worse for his team, since interface characteristics of ones system could make the adoption succeed or fail.