Gestão inteligente da saúde pública: um estudo sobre o uso dos dados do PEC do E-SUS na atenção básica de São João do Tigre-PB.

Abstract

Despite advances in public health management, evidence-based decision-making remains limited, particularly in small municipalities. This study aimed to analyze how information from the e-SUS Electronic Citizen Record (PEC) is provided and used in the decision-making process of São João do Tigre-PB, identifying strategies to improve service quality. A descriptive-exploratory, mixed-methods approach was adopted, including document analysis of PEC records (Jan-Sep/2025), a literature review, and a semi-structured questionnaire applied to nine primary care professionals. Findings indicate unanimous recognition of the importance of data (100%), yet limited incorporation of information into planning (56% reported “never or rarely”), hindered by insufficient training and difficulties interpreting indicators. Analysis of PEC modules also revealed inefficiencies, such as concentration of appointments among physicians and nurses (80.3%), delayed vaccinations (761 overdue doses), and care gaps among older adults (83% without a medical visit for over ten months). The study concludes that systematic use of PEC data can enhance efficiency, equity, and problem-solving capacity in primary care, particularly through continuous professional training and the development of dashboards to support data interpretation.