Banca de DEFESA: CÍCERA RENATA DINIZ VIEIRA SILVA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : CÍCERA RENATA DINIZ VIEIRA SILVA
DATE: 30/03/2023
TIME: 14:30
LOCAL: DEFESA REMOTA - https://meet.google.com/wjw-bdjg-bfj
TITLE:

DIGITAL HEALTH IN PRIMARY HEALTH CARE IN THE TIME OF COVID-19: PERSPECTIVES FOR QUALITY ASSESSMENT AND IMPROVEMENT

KEY WORDS:

Digital health; Health Technologies; Quality of care; Health Assessment; Primary Health Care; COVID-19.

PAGES: 122
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

The COVID-19 pandemic brought social, economic and health impacts, which required rapid adaptation of health systems not only from a quantitative point of view, but also in terms of quality. In this context, digital health has gained strength in Primary Health Care (PHC) and has significantly highlighted the importance of timely and accurate information as a decision-making instrument for short, medium and long-term needs. This study aimed to highlight the scope of digital health strategies and relevant aspects for their evaluation in PHC, from the COVID-19 pandemic. With the development of a literature review of the scoping review type, and a methodological study with a qualitative approach, we sought to apprehend the state of the art of digital health and its impact on the quality of care in PHC in the world, and to develop a model for its evaluation in Brazil. The scoping review was based on the Joanna Briggs Institute manual, guided by the PRISMA Extension for Scoping Reviews. A systematic and comprehensive, three-step search was performed in June and July 2021 in multidisciplinary health sciences and gray literature databases and eligible data were analyzed using thematic analysis. The methodological study, carried out between June 2021 and March 2022 followed the steps of literature review, model elaboration, model validation and elaboration of the indicator matrix. The review included 44 studies. Six thematic groupings were identified: Characterization and geographical distribution of studies; Nomenclatures of the adopted digital strategies; Types of Information and Communication Technologies; Characteristics of digital strategies in Primary Health Care; Impacts on the quality of care; Benefits, limitations and challenges of digital strategies in Primary Health Care. The results revealed positive and negative impacts of remote strategies on the quality of care in PHC, but above all some inability to take advantage of the potential of technologies, which can demonstrate differences in the organization of the rapid and emergency implementation of digital strategies in the world. The modeling took as assumptions the context, antecedents in digital health, delimitation of the evaluative research and qualifying attributes of PHC. It incorporated into its activities, technical (scope of actions and accuracy), organizational (organization of care and management) and relational (interpersonal) dimensions in the care and management processes of care. Thus, given the importance of digital health in the current global health situation, and the possibility of integrating and advancing this strategy after the pandemic, primary care must strengthen its response capacity, expand the use of information and communication technologies, managing changeable challenges in an adaptive and evidence-based way. It is reinforced that the guidance, planning and execution of actions that gear digital health need to be evaluated in order to reach an understanding of how decisions, actions and investments are contributing to the improvement of access and quality of services and the health of populations.

BANKING MEMBERS:
Externo à Instituição - ALUISIO GOMES DA SILVA JUNIOR - UFF
Externo ao Programa - 2495698 - JOSE DINIZ JUNIOR
Externo à Instituição - LUIZ AUGUSTO FACCHINI - UFPel
Externo ao Programa - 3083298 - RENAN CIPRIANO MOIOLI
Presidente - 1245215 - SEVERINA ALICE DA COSTA UCHOA