Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19
| Autor(a) principal: | |
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| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , |
| Tipo de documento: | Outros |
| Idioma: | eng |
| Título da fonte: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
| Texto Completo: | http://hdl.handle.net/10362/140757 |
Resumo: | ©Cícera Renata Diniz Vieira Silva, Rayssa Horácio Lopes, Osvaldo de Goes Bay Jr, Claudia Santos Martiniano, Miguel Fuentealba-Torres, Ricardo Alexandre Arcêncio, Luís Velez Lapão, Sonia Dias, Severina Alice da Costa Uchoa. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 31.05.2022. |
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Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19Scoping ReviewHealth InformaticsSDG 3 - Good Health and Well-being©Cícera Renata Diniz Vieira Silva, Rayssa Horácio Lopes, Osvaldo de Goes Bay Jr, Claudia Santos Martiniano, Miguel Fuentealba-Torres, Ricardo Alexandre Arcêncio, Luís Velez Lapão, Sonia Dias, Severina Alice da Costa Uchoa. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 31.05.2022.BACKGROUND: The COVID-19 pandemic brought social, economic, and health impacts, requiring fast adaptation of health systems. Although information and communication technologies were essential for achieving this objective, the extent to which health systems incorporated this technology is unknown. OBJECTIVE: The aim of this study was to map the use of digital health strategies in primary health care worldwide and their impact on quality of care during the COVID-19 pandemic. METHODS: We performed a scoping review based on the Joanna Briggs Institute manual and guided by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) Extension for Scoping Reviews. A systematic and comprehensive three-step search was performed in June and July 2021 in multidisciplinary health science databases and the gray literature. Data extraction and eligibility were performed by two authors independently and interpreted using thematic analysis. RESULTS: A total of 44 studies were included and six thematic groups were identified: characterization and geographic distribution of studies; nomenclatures of digital strategies adopted; types of information and communication technologies; characteristics of digital strategies in primary health care; impacts on quality of care; and benefits, limitations, and challenges of digital strategies in primary health care. The impacts on organization of quality of care were investigated by the majority of studies, demonstrating the strengthening of (1) continuity of care; (2) economic, social, geographical, time, and cultural accessibility; (3) coordination of care; (4) access; (5) integrality of care; (6) optimization of appointment time; (7) and efficiency. Negative impacts were also observed in the same dimensions, such as reduced access to services and increased inequity and unequal use of services offered, digital exclusion of part of the population, lack of planning for defining the role of professionals, disarticulation of actions with real needs of the population, fragile articulation between remote and face-to-face modalities, and unpreparedness of professionals to meet demands using digital technologies. CONCLUSIONS: The results showed the positive and negative impacts of remote strategies on quality of care in primary care and the inability to take advantage of the potential of technologies. This may demonstrate differences in the organization of fast and urgent implementation of digital strategies in primary health care worldwide. Primary health care must strengthen its response capacity, expand the use of information and communication technologies, and manage challenges using scientific evidence since digital health is important and must be integrated into public service.Instituto de Higiene e Medicina Tropical (IHMT)UNIDEMI - Unidade de Investigação e Desenvolvimento em Engenharia Mecânica e IndustrialEscola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPRUNSilva, Cícera Renata Diniz VieiraLopes, Rayssa Horáciode Goes Bay, OsvaldoMartiniano, Claudia SantosFuentealba-Torres, MiguelArcêncio, Ricardo AlexandreLapão, Luís VelezDias, SoniaUchoa, Severina Alice da Costa2022-06-24T22:27:48Z2022-05-312022-05-31T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttp://hdl.handle.net/10362/140757eng2292-9495PURE: 44521108https://doi.org/10.2196/35380info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-22T18:02:51Zoai:run.unl.pt:10362/140757Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:33:39.769881Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
| dc.title.none.fl_str_mv |
Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19 Scoping Review |
| title |
Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19 |
| spellingShingle |
Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19 Silva, Cícera Renata Diniz Vieira Health Informatics SDG 3 - Good Health and Well-being |
| title_short |
Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19 |
| title_full |
Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19 |
| title_fullStr |
Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19 |
| title_full_unstemmed |
Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19 |
| title_sort |
Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19 |
| author |
Silva, Cícera Renata Diniz Vieira |
| author_facet |
Silva, Cícera Renata Diniz Vieira Lopes, Rayssa Horácio de Goes Bay, Osvaldo Martiniano, Claudia Santos Fuentealba-Torres, Miguel Arcêncio, Ricardo Alexandre Lapão, Luís Velez Dias, Sonia Uchoa, Severina Alice da Costa |
| author_role |
author |
| author2 |
Lopes, Rayssa Horácio de Goes Bay, Osvaldo Martiniano, Claudia Santos Fuentealba-Torres, Miguel Arcêncio, Ricardo Alexandre Lapão, Luís Velez Dias, Sonia Uchoa, Severina Alice da Costa |
| author2_role |
author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Instituto de Higiene e Medicina Tropical (IHMT) UNIDEMI - Unidade de Investigação e Desenvolvimento em Engenharia Mecânica e Industrial Escola Nacional de Saúde Pública (ENSP) Comprehensive Health Research Centre (CHRC) - Pólo ENSP RUN |
| dc.contributor.author.fl_str_mv |
Silva, Cícera Renata Diniz Vieira Lopes, Rayssa Horácio de Goes Bay, Osvaldo Martiniano, Claudia Santos Fuentealba-Torres, Miguel Arcêncio, Ricardo Alexandre Lapão, Luís Velez Dias, Sonia Uchoa, Severina Alice da Costa |
| dc.subject.por.fl_str_mv |
Health Informatics SDG 3 - Good Health and Well-being |
| topic |
Health Informatics SDG 3 - Good Health and Well-being |
| description |
©Cícera Renata Diniz Vieira Silva, Rayssa Horácio Lopes, Osvaldo de Goes Bay Jr, Claudia Santos Martiniano, Miguel Fuentealba-Torres, Ricardo Alexandre Arcêncio, Luís Velez Lapão, Sonia Dias, Severina Alice da Costa Uchoa. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 31.05.2022. |
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2022 |
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2022-06-24T22:27:48Z 2022-05-31 2022-05-31T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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http://hdl.handle.net/10362/140757 |
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eng |
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eng |
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2292-9495 PURE: 44521108 https://doi.org/10.2196/35380 |
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application/pdf |
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