Use of Information Technology in evaluation of access and quality Primary Health Care in Brazil: qualitative study (Preprint)

Abstract

The increased applicability of information technology for evaluating health policies, programs, and care requires advancements in understanding trends, influences, its use by evaluators, and the implications for quality standards of evaluation.

This study aimed to assess the applicability of information technology in evaluation the Access and quality of primary health care in Brazil considering international quality standards.

We conducted a qualitative case study during the External Evaluation of Brazil’s National Program for Improving Primary Care Access and Quality. Data collection consisted of interviews, focus groups, and document analysis. Seven technicians from the Ministry of Health and 47 researchers from various high education and research institutions across the country participated in the study. Data were categorized using the software Atlas.ti, according to the quality standards of the Joint Committee on Standards for Education Evaluation, followed by Bardin’s content analysis.

Results related to feasibility, thematic scope, field activity management, standardized data collection, data consistency, and transparency, demonstrate improvements and opportunities for advancements in evaluation mediated by the use of Information Technology, favoring the emergence of new practices and remodeling of existing ones, taking into account the multiple components required by the complex assessment of access and quality in primary health care. Difficulty in operating, inoperative system, and lack of investment in equipment and human resources are challenges to increase the effectiveness of information technology in evaluation.

The strategic and intelligent use of information technology offered evaluators a greater opportunity to stakeholder engagement, to insert different organizational, operational, and methodological components, capable of triggering influences and confluences, with connections in collaborative and synergistic networks to increase the quality and allow the development of a more consistent and efficient evaluation with greater possibility of incorporating the results into public health policies.