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数字健康与初级卫生保健质量:一项调查案例研究。

Digital Health and Primary Health Care Quality: A Survey Case Study.

作者信息

Figueirêdo Renan Cabral de, Silva Ísis de Siqueira, Xavier Pedro Bezerra, Araújo Aguinaldo José de, Silva Amanda Jéssica Bernardo da, Silva Cícera Renata Diniz Vieira, Santos Walterlânia Silva, Silva Josemario de Abreu, Uchôa Severina Alice da Costa

机构信息

Department of Collective Health, Federal University of Rio Grande do Norte, Natal 59078-900, RN, Brazil.

Center of Health Sciences, Federal University of Rio Grande do Norte, Nata 59012-570, RN, Brazil.

出版信息

Int J Environ Res Public Health. 2025 Jun 27;22(7):1015. doi: 10.3390/ijerph22071015.


DOI:10.3390/ijerph22071015
PMID:40724083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12294361/
Abstract

BACKGROUND: Digital health, especially in Primary Health Care (PHC), has been expanding rapidly, encompassing various technologies to improve care. This study aims to evaluate the integration of digital technologies in PHC, identifying barriers and facilitators in a Brazilian capital in an urban context. METHODS: A survey with a questionnaire based on a validated model was used, involving physicians and nurses from Basic Health Units. The analysis included descriptive statistics and association tests in the SPSS software, with a significance level of 5%. RESULTS: The findings show the presence of computers and the use of e-SUS/Electronic Citizen Record in all units, highlighting WhatsApp, telephone calls, and other digital media as the main used tools. It was observed that there was limited digital infrastructure, a lack of adequate training for professionals or specific protocols for the organization of digital actions and statistical associations with the performance of digital health actions. CONCLUSIONS: It is recommended to strengthen policies for professional qualification and investments in infrastructure, aiming at the continuity and improvement of the use of Information and Communication Technologies in PHC. These findings offer comparable insights for similar contexts in Brazil in urban PHC settings and countries with equivalent socioeconomic contexts and analogous public health systems.

摘要

背景:数字健康,尤其是在初级卫生保健(PHC)领域,一直在迅速扩展,涵盖了各种旨在改善医疗服务的技术。本研究旨在评估数字技术在初级卫生保健中的整合情况,确定巴西一座城市市区背景下的障碍和促进因素。 方法:采用基于经过验证的模型的问卷调查,调查对象包括基层卫生单位的医生和护士。分析包括在SPSS软件中进行描述性统计和关联测试,显著性水平为5%。 结果:研究结果显示所有单位都配备了计算机并使用电子统一卫生系统/电子居民记录,突出了WhatsApp、电话和其他数字媒体作为主要使用工具。据观察,数字基础设施有限,缺乏针对专业人员的充分培训或数字行动组织的具体规程,以及与数字健康行动绩效的统计关联。 结论:建议加强专业资格认证政策和基础设施投资,以实现初级卫生保健中信息通信技术使用的持续和改进。这些研究结果为巴西城市初级卫生保健环境以及具有同等社会经济背景和类似公共卫生系统的国家的类似情况提供了可比的见解。

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本文引用的文献

[1]
Access to healthcare services during the COVID-19 pandemic: a cross-sectional analysis of income and user-access across 16 economically diverse countries.

BMC Public Health. 2024-10-1

[2]
Patient satisfaction and digital health in primary health care: a scoping review protocol.

Front Public Health. 2024

[3]
Preparation and validation of the instrument "QualiAPS digital-Brazil" for assessing digital health care in primary health care: a required tool.

Front Public Health. 2024

[4]
The Information and Communication Technology Maturity Assessment at Primary Health Care Services Across 9 Provinces in Indonesia: Evaluation Study.

JMIR Med Inform. 2024-7-18

[5]
Digital home care interventions and quality of primary care for older adults: a scoping review.

BMC Geriatr. 2024-6-10

[6]
Alignment and specifics of Brazilian health agencies in relation to the international premises for the implementation of digital health in primary health care: a rhetorical analysis.

Front Sociol. 2024-2-8

[7]
Strengths, Weaknesses, Opportunities, and Threats Analysis of the Use of Digital Health Technologies in Primary Health Care in the Sub-Saharan African Region: Qualitative Study.

J Med Internet Res. 2023-9-7

[8]
The Digital Divide in Brazil and Barriers to Telehealth and Equal Digital Health Care: Analysis of Internet Access Using Publicly Available Data.

J Med Internet Res. 2023-7-21

[9]
[Digital health and the platformization of the Brazilian Government].

Cien Saude Colet. 2023-7

[10]
Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review.

J Med Internet Res. 2023-4-5

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