Author:

• Gabriel Valdes - Valdes, G. - <gabrielv1990@hotmail.com>
ORCID: https://orcid.org/0000-0002-9554-9463

Co-author(s):

• Albert Schiaveto De Souza - Souza, A.S - <albertss@hotmail.com>
ORCID: https://orcid.org/0000-0003-0017-672X

Abstract:

The use of eletronic health records (EHR) on primary healthcare (PHC) aims for better integration of services and care quality. One of most the critical points of brazilian PHC is access. Objective: analyze through datathe third evaluation cycle of the brazilian Program for Improving Access and Quality of Primary Care (PMAQ-AB) the relationship between the use of electronic health records and the parameters of access of the participant teams. Method: Cross-sectional analytical study with secondary data. Data38,865 primary care teams, 30,346 health units and 140,444 interviewed users were evaluated. Results: The use of EHR was associated with greater care for non-programmed demands (OR 1.664; 95%CI 1.485–1.866), risk and vulnerability assessment (OR 1.329; 95%CI 1.122–1.574) and use of protocols for clinical conducts (OR 1.656; 95%CI 1.530–1.793), in addition to a greater possibility of scheduling consultation by telephone (OR 3.179; 95%CI 3.030–3.335). Services using EHR are more likely to be the patients first contact (OR 1.226; 95%CI 1.171–1.283) and to be sought after in face of urgent health problem (OR 1.198; 95%CI 1.161–1.236). Conclusion: The results point to a concrete possibility of improving access through computerization.

Keywords:

Primary Health Care; Health Services Accessibility; Eletronic Health Records

Content:

Access Issue in Scielo

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