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Analysis of Medical Records Management in Brazilian Basic Healthcare Units: A Qualitative Approach

Authors:
Rodolfo Barriviera
Carlos Maziero
Celita Trelha

Keywords: Electronic Medical Record; Qualitative Research; Basic Healthcare Units; Cloud Computing.

Abstract:
Researchers around the world have searched for ways to control access of Electronic Medical Records (EMR) in the healthcare environment, from primary to tertiary sectors. Each country, state and city has particular means of controlling that access. However, there are places where there is no digital control, and this is the reality of several Brazilian regions. The objectives of this work were to understand how Basic Healthcare Units (BHU) control access to patients' medical records, to verify the existence of both paper and electronic medical records, and to compare the situation in BHUs with the current legislation. A qualitative research was conducted through semi-structured interviews with 29 employees from BHUs in five regions of the city of Londrina - Paraná (Brazil). Afterwards, the content analysis proposed by Bardin was carried out. The results show that the healthcare environments studied in this research lack computerization and electronic control of patients' medical records and they still use paper medical records. This research makes it possible to compare the reality practiced in the BHU with the current legislation. The paper seeks an understanding of the requirements of the healthcare servers to support future research into the implementation of computational models in electronic records and access control effectively applicable in the healthcare context. The findings of this qualitative research provide deeper knowledge of the reality of healthcare environments, the employees' behavior, patients’ behavior and the interaction between these elements and the medical records.

Pages: 46 to 51

Copyright: Copyright (c) IARIA, 2017

Publication date: October 8, 2017

Published in: conference

ISSN: 2519-8491

ISBN: 978-1-61208-597-5

Location: Athens, Greece

Dates: from October 8, 2017 to October 12, 2017