Análise da implantação do projeto Tiss em João Pessoa-PB, na visão da classe médica

Abstract

Brazil is currently experiencing the implementation of one of the largest governmental projects in the field of Information Technology IT, namely the project locally known by the acronym TISS Information Transfer in Complementary Health. The aforementioned project has been designed by the Federal Government through the ANS Agência Nacional de Saúde (National Health Agency), and aims to standardize and divulge information within that sector of the Government. Yet, in recent years, a number of important projects in the field of IT initiated in Brazil have been unsuccessful due to the lack of effective participation of relevant stakeholders. In that context, the present study examined the implementation of the TISS project in the João Pessoa City, state of Paraíba, through the vision of Medical Doctors - considered the main social actors in the process - due to their role as generators and disseminators of knowledge. A case-study was carried out with the participation of 18 doctors, members of João Pessoa´s supplementary health care system. Data were gathered through semi-structured interviews, and were qualitatively analyzed using the Grounded Theory. That methodological procedure permitted the extraction of the elements which served as a basis for the elaboration of a theoretical proposition. Although with limited discussion and training, interviewees readily identified the objectives of the TISS Project, as well as situation they perceived as unwanted in the implementation process. Lastly, interviewees evaluated the use of information technology, the issue of information systems security, and their level of participation in the TISS project. Through our study we hope to stimulate and assist both governmental institutions and professionals involved with the elaboration of IT projects.