Department of Public Health, Federal University of Rio Grande do Norte, Natal, Brazil.
Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil.
Front Public Health. 2024 Jul 16;12:1304148. doi: 10.3389/fpubh.2024.1304148. eCollection 2024.
INTRODUCTION: The use of Information and Communication Technologies in the field of health is increasing across the world, demarcating the field of digital health. The goal of this study is to formulate and validate a matrix of indicators, design assessment scripts and indicate data collection techniques for assessing the quality of digital health care in Brazilian Primary Health Care (PHC). METHODOLOGY: This is a validation study divided into three phases: preparation of the instrument, analysis of validity and pilot study. The instrument was prepared based on the PHC assessment model from a literature review; the analysis of validity used the Delphi technique associated with the nominal group and the evidence from the literature reference. In the pilot study, audio-recorded interviews were conducted with strategic primary care actors. RESULTS: The matrix of indicators "QualiAPS Digital-Brazil" introduces a set of 37 indicators, distributed into three distinct components and their respective dimensions. The component "Structure" includes the dimension "Resources"; the component "Processes" includes the dimensions "Technical," "Organizational" and "Relational"; and the component "Results" includes the dimensions "Short-Term Results" and "Medium-Term Results." The general values obtained for CVI and IRR were 0.89 and 1.00; respectively. Therefore, it was possible to design assessment scripts and indicate qualitative data collection techniques for assessing digital health in Brazilian PHC. CONCLUSION: The instrument presented was validated regarding its relevance, content and theoretical support to evaluate the quality of digital health care, supporting decision-making by managers and health professionals in the search for improving remote primary care provided to the population.
简介:全球范围内,信息和通信技术在卫生领域的应用正在不断增加,这标志着数字卫生领域的出现。本研究旨在制定和验证一个指标矩阵,设计评估脚本,并指出用于评估巴西初级卫生保健(PHC)中数字医疗保健质量的数据集技术。
方法:这是一项验证性研究,分为三个阶段:仪器的准备、有效性分析和试点研究。该仪器是基于文献综述中的 PHC 评估模型而编写的;有效性分析使用了德尔菲技术,与名义小组分析和文献参考证据相结合。在试点研究中,与战略初级保健参与者进行了录音访谈。
结果:指标矩阵“QualiAPS Digital-Brazil”引入了一组 37 个指标,分为三个不同的组件及其各自的维度。“结构”组件包括“资源”维度;“流程”组件包括“技术”、“组织”和“关系”维度;“结果”组件包括“短期结果”和“中期结果”维度。CVI 和 IRR 的总体值分别为 0.89 和 1.00;因此,可以设计评估脚本,并指出用于评估巴西 PHC 中数字健康的定性数据收集技术。
结论:该工具在相关性、内容和理论支持方面均经过验证,可用于评估数字医疗保健的质量,为管理者和卫生专业人员提供决策支持,以寻求改善向民众提供的远程初级保健服务。
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