The Brazilian Unified National Health System (SUS) Primary Health, its informatics and information systems and the free software: perspectives and possibilities / Sistemas de informática e informação da atenção básica do Sistema Único de Saúde e o software livre: possibilidades e perspectivas

AUTOR(ES)

Carlos Tato Cortizo

DATA DE PUBLICAÇÃO

2007

RESUMO

The Primary Health Care of the Brazilian Unified National Health System (SUS) is defined by the Health Ministry as a set of actions and services in the individual and collective scopes developed through managerial sanitary and social participative practices by means of complex actions in the attention and care of thee health of the population within their territory based on the principles of universality, integrality and equity . The health informatics system of the basic attention are strategic tools of management and managery of the health status of the population at each level of sanitary responsibility. The core of operation of the informatics system is the software .The researched literature reports the health and informatics system software to present inflexibility for change, high cost and low efficacy, fragility concerning privacy and safety, lack of technological and health patterns and difficulties in scalability . The software is also depicted as being refractory to local languages and cultures, and to induce technological trap of the health informatics systems. Within this context the aim of the study was the identification and analysis of the contributions and limitations of free software for the informatics and information systems of the primary health of SUS. METODOLOGY: Exploratory qualitative study comparing two municipalities making use of free software and private software in their SUS primary health system based on the criteria obtained from the literary review. RESULTS: The use of free software in the basic attention of the SUS of Campinas and São Paulo presents limitations in the following topics used as analysis criteria: education, safety, privacy and open patterns. The use of free software proved advantageous for the surveyed municipalities in the following topics: costs, scalability, technologic autonomy, stability, adaptation of the software to the local language and culture and impact on the quality of health services. CONCLUSION: Free software is a viable, robust and flexible technological alternative that offers new perspectives for th construction of information and informatics systems of the primary health care.

ASSUNTO(S)

collective health saúde coletiva atenção básica primary health care software livre free software open source linux primary care saúde pública health informatics gnu código aberto linux atenção primária gnu public health informática em saúde

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