Modelo de avaliação de maturidade digital para instituições brasileiras de saúde

• Ano de defesa: 2020
• Autor(a) principal: Costa, Claudio Giulliano Alves Da [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Digital Health; Evaluation Methods; Maturity Models; Saúde Digital; Modelos De Avaliação; Modelos De Maturidade
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=10927489; https://hdl.handle.net/11600/64771

Introduction: The World Health Organization (WHO) defines Digital Health (DH) as “the use of information and communications technology in support of health and health-related fields”. Monitoring the progression of DH is essential, in according to the resolution of WHO about DH. For addressing this issue, many evaluation methods were created by authors, institutions and/or companies; they are IT evaluation methods, maturity models or digital maturity indexes. Objective: Develop and evaluate a digital maturity assessment model for national healthcare organizations. Literature Review: Thirty-two digital maturity evaluation methods were reviewed; the majority are complex, expensive and heavy to use; criteria were established, and these methods were assessed; none achieved all criteria. Materials and Methods: From review and critical analysis, a new digital maturity assessment was developed, named by Digital Maturity Index for Healthcare Organizations (IMDIS – in Portuguese) and validated thru a research conducted to 107 healthcare organizations; finally, the database was analyzed statistically as a sample of digital maturity level of Brazilian healthcare organizations. Results: From IMDIS development in its dimensions (Technology Adoption and Digital Journey Readiness) and its domains (Services and Applications, Infrastructure and Architecture, Analytics, Structure and Culture, and Strategy and Governance), it was possible to identify the digital maturity reality of healthcare organizations evaluated. The analysis of the database shows an averaged percentage of 44% of digital maturity, being 0 to 25% as Traditional phase (15,89% of organizations), 26 to 50% as Evolution phase (48,6%), 51% to 75% as Sophistication phase (33,6%) and 76% to 100% as Innovation phase (1,87%). Conclusion: the IMDIS showed to be able to join digital maturity indicatives, through a clear, self-evaluated and on-line method, very useful for healthcare organizations. It achieved 11 of 15 evaluation criteria and it was able to digital evaluation of 107 organizations, presenting aspects such as distancing between technology adoption and digital journey readiness indexes. Moreover, it presented low technology adoption for patient safety and need to address the digital journey.