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This study analyzes the implementation of electronic health record (EHR) in primary health care (PHC) in the city of Rio de Janeiro, Brazil, from the perspective of the National Humanization Policy. Using an exploratory qualitative methodology, semi-structured interviews were conducted with key actors involved in the EHR implementation process during the three historical phases identified: private systems (2009), e-SUS Atenção Básica (e-SUS Basic Health Care in Portuguese, a national platform developed and provided by Brazil’s Ministry of Health) (2018), and return to private systems (2021). The results demonstrate that EHR promoted significant changes in care practices and work process reorganization. However, important limitations were identified in aspects such as knowledge exchange, communicative capacity, shared responsibility of care, and user participation. It was observed that the system prioritized professional autonomy over user empowerment, not incorporating functionalities that promote effective user participation in the care process. The study concludes that, although EHR implementation represented a significant advancement in service computerization and modernization, with positive impacts on work organization and care quality, its transformative potential can still be expanded through the development of functionalities that promote greater integration between different levels of care, strengthen user empowerment, and incorporate more dynamic communication tools, contributing to a truly humanized care model aligned with the principles of the Brazilian Unified Health System.

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Electronic Medical Records and How the Process of Care Can Improve with the Technology of Registries

  • 章节

  • 发表日期：

    2026年

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  • Patrícia Pássaro da Silva Toledo,
  • Egléubia Andrade de Oliveira,
  • Cesar Luiz Silva Junior,
  • Gisela Cordeiro Pereira Cardoso,
  • Elizabeth Moreira dos Santos

摘要

This study analyzes the implementation of electronic health record (EHR) in primary health care (PHC) in the city of Rio de Janeiro, Brazil, from the perspective of the National Humanization Policy. Using an exploratory qualitative methodology, semi-structured interviews were conducted with key actors involved in the EHR implementation process during the three historical phases identified: private systems (2009), e-SUS Atenção Básica (e-SUS Basic Health Care in Portuguese, a national platform developed and provided by Brazil’s Ministry of Health) (2018), and return to private systems (2021). The results demonstrate that EHR promoted significant changes in care practices and work process reorganization. However, important limitations were identified in aspects such as knowledge exchange, communicative capacity, shared responsibility of care, and user participation. It was observed that the system prioritized professional autonomy over user empowerment, not incorporating functionalities that promote effective user participation in the care process. The study concludes that, although EHR implementation represented a significant advancement in service computerization and modernization, with positive impacts on work organization and care quality, its transformative potential can still be expanded through the development of functionalities that promote greater integration between different levels of care, strengthen user empowerment, and incorporate more dynamic communication tools, contributing to a truly humanized care model aligned with the principles of the Brazilian Unified Health System.