ABSTRACT
Purpose:
to investigate the perception of Speech Therapy professionals and graduating of a low and medium complexity's service regarding the use of electronic Medical Records in clinical practice.
Methods:
51 users participated of PE, of which, 45 graduating of 6th and 8th period (G1) and 6 speech therapists (G2). All answered a survey directed. For the statistical analysis, it was used the Fisher's exact test and the calculation of absolute and relative frequencies of the answers.
Results:
the use of Medical Records as standardized and institutional electronic tool was considered by students and speech therapists, respectively as organized and dynamic (60,00% and 33,33%), of an easy handling (80,00% and 83,33%) and efficient regarding the physical medical records (60,00% and 66,67%). As for the use/benefit, it was considered a facilitator for clinical care (G1=82,22%; G2=100,00%), benefiting users and professionals (G1=80,00%; G2= 100,00%).
Conclusion:
the participants considered the Medical Records as an appropriate institutional and standardized electronic tool, more effective compared to physical medical records and that benefited the clinical attendance of speech therapy in the service of low and medium complexity. It was verified that there were differences in the way users perceive the Medical Records. The professionals were more satisfied the appropriateness of this tool to the needs of care to register the clinical course and content of the data entered in this record and less satisfied with the existence of faults, compared to graduates.
Keywords:
Medical Records Systems, Computerized; Information Technology; Health Personnel; Clinical Clerkship; Speech, Language and Hearing Sciences
