The Care management Information system for the home Care Network (SI
                    GESCAD): support for care coordination and continuity of care in the Brazilian
                    Unified health system (SUS)

Pires, Maria Raquel Gomes Maia; Gottems, Leila Bernarda Donato; Vasconcelos Filho, José Eurico; Silva, Kênia Lara; Gamarski, Ricardo

doi:10.1590/1413-81232015206.00152014

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Free Themes • Ciênc. saúde coletiva 20 (6) • June 2015 • https://doi.org/10.1590/1413-81232015206.00152014 copy

The Care management Information system for the home Care Network (SI GESCAD): support for care coordination and continuity of care in the Brazilian Unified health system (SUS)

Authorship SCIMAGO INSTITUTIONS RANKINGS

The present article describes the development of the initial version of the Brazilian Care Management Information System for the Home Care Network (SI GESCAD). This system was created to enhance comprehensive care, care coordination and the continuity of care provided to the patients, family and caretakers of the Home Care (HC) program. We also present a reflection on the contributions, limitations and possibilities of the SI GESCAD within the scope of the Home Care Network of the Brazilian Unified Health System (RAS-AD). This was a study on technology production based on a multi-method protocol. It discussed software engineering and human-computer interaction (HCI) based on user-centered design, as well as evolutionary and interactive software process (prototyping and spiral). A functional prototype of the GESCAD was finalized, which allowed for the management of HC to take into consideration the patient's social context, family and caretakers. The system also proved to help in the management of activities of daily living (ADLs), clinical care and the monitoring of variables associated with type 2 HC. The SI GESCAD allowed for a more horizontal work process for HC teams at the RAS-AD/SUS level of care, with positive repercussions on care coordination and continuity of care.

Home Care; Information System; Work Process in Health; Care; Information Technology

Scope	Functional requirements
Administrative module	– To register Health Unit (HU) data. – To register Health Team (HT) data. – To register the data of health professionals. – To register the login and password according to “health professional” or “system administrator”. – To link HU and HT by level of care within the same municipality. – To add HU and HT by state municipality.
Care provided to HC patients, their family and caretakers	– To register HC patients: to record patient identification data, including full name, date of birth, gender, CPF (individual taxpayer number), SUS card no., and full address. – To record care provided to patients, their families and caretakers: the system must record all the information inserted according to the Diagnosis Phase protocol. – To calculate the KATZ index and Braden Scale score: to generate patient KATZ index and value and risk for pressure ulcer, based on the values inserted in the IS and rules of the IS. – To calculate patients’ type of HC: to classify patients as HC 1, HC 2 or HC 3 based on the data inserted in the IS and rules of the IS. – To emit warnings on risk factors so that type of HC can be modified on the “Management Care” display: to emit a warning regarding risk variables so that type of HC on the “Management Care” display, according to the data inserted in the IS and rules of the IS. – To allow for changes in the patient's situation using the variables selected in the “Management Care” display. – To select nursing diagnoses and interventions listed by the IS by human need. – To update patient assessments on the SI GESCAD patient care record by date and health professional. – To register HC patient care history on the electronic patient record by date and health professional. – Generate a printed version of the electronic patient record and standardized nursing care for HC users by date of visitation and health professional. – To allow for user migration between RAS health teams. – To schedule team visits to HC users. – To allow health teams to reschedule visits.
Reports module	– To generate managerial reports: extract reports from HU, HT and professionals registered by level of care, municipality and state. – To generate monitoring and assessment reports: To generate a list of users by type of HC, by teams and level of care. To display level of adherence by nurses to standardized nursing care. – To generate clinical management and continuity of care: To print versions of electronic records by dimension, conduct history and standardized nursing care. To extract user data using an Excel spreadsheet.

ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Collaborations

MRGM Pires contributed to the project conception, data analysis and interpretation, and drafting of the manuscript. LBD Gottems, JE Vascon-celos Filho, KL Silva and R Gamarski critically reviewed the article and added intellectual content to the final version for publication.