Postgraduate in Collective Health, Federal University of Rio Grande Do Norte, Natal, Brazil.
Health School, Federal University of Rio Grande Do Norte, Natal, Brazil.
BMC Geriatr. 2024 Jun 10;24(1):507. doi: 10.1186/s12877-024-05120-z.
Population aging is forcing the transformation of health care. Long-term care in the home is complex and involves complex communication with primary care services. In this scenario, the expansion of digital health has the potential to improve access to home-based primary care; however, the use of technologies can increase inequalities in access to health for an important part of the population. The aim of this study was to identify and map the uses and types of digital health interventions and their impacts on the quality of home-based primary care for older adults.
This is a broad and systematized scoping review with rigorous synthesis of knowledge directed by the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The quantitative data were analyzed through descriptive statistics, and the qualitative data were analyzed through basic qualitative content analysis, considering the organizational, relational, interpersonal and technical dimensions of care. The preliminary results were subjected to consultation with stakeholders to identify strengths and limitations, as well as potential forms of socialization.
The mapping showed the distribution of publications in 18 countries and in the Sub-Saharan Africa region. Older adults have benefited from the use of different digital health strategies; however, this review also addresses limitations and challenges, such as the need for digital literacy and technological infrastructure. In addition to the impacts of technologies on the quality of health care.
The review gathered priority themes for the equitable implementation of digital health, such as access to home caregivers and digital tools, importance of digital literacy and involvement of patients and their caregivers in health decisions and design of technologies, which must be prioritized to overcome limitations and challenges, focusing on improving quality of life, shorter hospitalization time and autonomy of older adults.
人口老龄化正在迫使医疗保健转型。家庭中的长期护理复杂且涉及与初级保健服务的复杂沟通。在这种情况下，数字健康的扩展有可能改善家庭初级保健的可及性；然而，技术的使用可能会增加一部分人口获得健康的不平等。本研究旨在确定和绘制数字健康干预措施的使用和类型及其对老年人家庭初级保健质量的影响。
这是一项广泛而系统的范围审查，通过扩展后的系统评价和荟萃分析优先报告项目（PRISMA-ScR）指南严格综合知识。通过描述性统计对定量数据进行分析，通过基本定性内容分析对定性数据进行分析，考虑护理的组织、关系、人际和技术维度。初步结果提交利益相关者咨询，以确定优势和局限性以及潜在的社会化形式。
该映射显示了在 18 个国家和撒哈拉以南非洲地区发表的出版物分布情况。不同的数字健康策略使老年人受益；然而，本综述还探讨了限制和挑战，例如数字扫盲和技术基础设施的需求。除了技术对医疗保健质量的影响。
该综述收集了公平实施数字健康的优先主题，例如获得家庭护理人员和数字工具、数字扫盲的重要性以及患者及其护理人员在健康决策和技术设计中的参与，这些必须优先考虑以克服限制和挑战，重点是提高生活质量、缩短住院时间和老年人的自主性。
