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

Informatización de la atención primaria a la salud en Brasil: la red de actores

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.

Descriptors:
Nursing Informatics; Medical Informatics; Primary Health Care; Information Technology; Family Health

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