Computerization of primary health care in Brazil: the network of actors

ABSTRACT Objective: To analyze the network of human and non-human actors involved in the computerization of primary health care in the Brazilian federal government. Method: A qualitative study that used as a theoretical reference the actor-network theory and as a methodological reference the carto...

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Bibliographic Details
Main Authors: Ricardo Bezerra Cavalcante, Cristiano José da Silva Esteves, Tarcísio Laerte Gontijo, Maria José Menezes Brito, Eliete Albano de Azevedo Guimarães, Simone de Pinho Barbosa
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2019-04-01
Series:Revista Brasileira de Enfermagem
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000200337&lng=en&tlng=en
Description
Summary:ABSTRACT Objective: To analyze the network of human and non-human actors involved in the computerization of primary health care in the Brazilian federal government. Method: A qualitative study that used as a theoretical reference the actor-network theory and as a methodological reference the cartography of controversies. Data analysis was carried out using Gephi software, and through the extraction of reports, informed by the actor-network theory. Results: We found a network of 288 connections among 33 actors, composed mainly of nonhuman influencers of computerization. These actors are distributed throughout 3 inter-related communities, and manage the network by defining obligations, penalties, conflicts and intentionalities, thus influencing the success of the intended computerization. Final considerations: The network of actors at the federal level generates situations that, in many cases, hamper the successful implementation of a nationwide computerization strategy.
ISSN:1984-0446