DEVELOPMENT OF TECHNICAL-TECHNOLOGICAL SOLUTIONS TO IMPROVE HEALTH PROFESSIONALS’ ADHERENCE TO FOOT EXAMINATION IN PEOPLE WITH DIABETES MELLITUS IN PRIMARY HEALTH CARE.
“Diabetes Mellitus”, “Diabetic Foot”, “Disease Prevention”, “Barriers to Access to Health Services”, “Digital Health”.
Diabetic foot is among the most common complications of Diabetes Mellitus (DM) and may lead to serious consequences for individuals, ranging from chronic lesions and infections to lower limb amputations. Regular foot examinations enable early detection of alterations and timely management, significantly contributing to the prevention of associated complications. Although national and international guidelines recommend routine foot assessment in people with diabetes, this practice is still insufficiently incorporated into Primary Health Care services. The main barriers to its adoption include insufficient technical knowledge, lack of professional training, time constraints, work overload, and the unavailability of appropriate tools. In this context, this study aims to understand the reasons behind the low adherence of Primary Health Services professionals to diabetic foot examinations, as well as to propose technological solutions that support the qualification and expansion of this care practice. The research will be carried out in three stages. Initially, a situational diagnosis will be conducted using both quantitative and qualitative approaches, through questionnaires and focus groups with physicians and nurses from the Primare Health Care network in a municipality in Northeastern Brazil. In the second stage, technical-technological interventions aimed at improving diabetic foot screening will be developed. These may include applications, digital flowcharts, integrated clinical protocols, clinical decision-support tools, and multimodal educational materials. Finally, the third stage will consist of a pilot implementation of these digital tools within the Primary Health Care context. Considering the growing consolidation of digital health as a strategy to enhance clinical monitoring, this proposal seeks not only to identify existing barriers but also to develop and test feasible and replicable technological solutions capable of preventing severe complications, such as ulcers and amputations. By strengthening the technical and structural capacities of Primary Health Care, the project aims to promote comprehensive, effective, and low-cost care for people with diabetes, in alignment with the principles of the Brazilian Unified Health System (SUS).