Made available in DSpace on 2015-04-16T14:48:47Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 753666 bytes, checksum: 92b93be44332b807eeb674a45c0c66e0 (MD5) Previous issue date: 2008-06-20 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The case study was used in this research work that had the purpose to reach a deeper knowledge about the development and use of the electronic patient record, taking in consideration basically their barriers and challenges. The electronic patient record (EPR) must be understood in its inter-relationship with other organizational actors, such as the Federal Medical Association, Regional Medical Association, representative members of society, in addition to the medical profession, especially physicians and health services providers. In order to accomplish the study objectives an attempt was made to a) use the Activity Theory to understand how the medical practice must be used and applied as a strategy for the development and use of technological tools in the health care field; b) know the evolution of development and use of the patient health record as registered in the literature, c): know, through representatives of CFM, CRM e other representative medical organizations what is the level of their participation and how are they involved and collaborating with the certification of electronic health applications, among other questions. A social and humanist approach to computational information systems was used in this research because it is believed that only through the social involvement and participation of individuals and groups in a process of participative and collaborative development it is possible to reach a technical solution that can have efficacy. The interview and the qualitative content analysis were used for the interpretation and analysis of data that were collected during the research development. / O estudo de caso é utilizado nesta pesquisa com o propósito de se aprofundar o conhecimento sobre o desenvolvimento e uso do prontuário eletrônico, envolvendo, sobretudo, suas barreiras e obstáculos. O prontuário eletrônico do paciente (PEP) deve ser compreendido na sua inter-relação com outros atores, a exemplo do Conselho Federal de Medicina (CFM), Conselhos Regionais de Medicina (CRM s), sociedades de representação, além dos profissionais de saúde, sobretudo os médicos e prestadores de serviços. Para se alcançar este objetivo, foram seguidos tais critérios: a) utilizar a Teoria da Atividade visando compreender como a prática médica deve ser considerada e aplicada como uma estratégia para o desenvolvimento e uso de ferramentas tecnológicas na área de saúde; b): conhecer a evolução do desenvolvimento e uso do prontuário eletrônico do paciente através de uma extensa revisão bibliográfica, c) conhecer através de lideranças do CFM, CRM e órgãos de representação da atividade médica, qual o nível de participação dos médicos e como estão envolvidos e colaborando nas certificações dos projetos de desenvolvimento e aplicações do PEP, entre outras questões. O estudo adotou uma visão mais social e humanista dos sistemas de informação computacionais, pois, só através de um envolvimento social com a participação de indivíduos e grupos em um processo de desenvolvimento participativo e colaborativo pode-se chegar a uma solução técnica eficaz. A entrevista e a analise de conteúdo qualitativa foram utilizadas para a interpretação das informações colhidas durante o desenvolvimento da pesquisa.

This thesis is concerned with a research project conducted with a Swedish company to provide recommendations for developing a prototypical information system for the company. The system’s goal was to consolidate data regarding the company’s supply chain and packaging conditions in order to find improvements in packaging development. The thesis employed the use of Soft Systems Methodology to aid with the system development process. A qualitative explorative study was designed for this purpose. Soft Systems Methodology was used after exploring alternative methodologies. This was chosen as the researchers found it important to engage the case company in the system development process. Four semi-structured interviews and two workshops with the relevant officials were the main methods of collecting data. Models such as a rich picture, CATWOE and PQR formula were utilized during the research to visualize important aspects of the system development process. As a result of the research, the researchers were able to provide the company with recommendations for how to further proceed with the development process. Another result of the study was that Soft Systems Methodology was able to unlock tacit information. The methodology also allowed for a consideration of the implementation of an iterative process to support the development. The results of this research suggest that introducing and making use of Soft Systems Methodology is very stimulating in an environment not already using it. The research provided insights needed for progress towards a successful implementation of a new information system, and contributes a real-world SSM case in a corporate environment. The researchers also suggest future opportunities for research that could further build on the work presented in the thesis.