Digital health interventions and quality of home-based primary care for older adults: A scoping review protocol

Silva, Ísis de Siqueira; Silva, Cícera Renata Diniz Vieira; Lopes, Rayssa Horácio; Araújo, Aguinaldo José de; Figueirêdo, Renan Cabral de; Júnior, Osvaldo de Góes Bay; Lapão, Luís Velez; Xavier, Pedro Bezerra; Uchôa, Severina Alice da Costa

doi:10.3389/fpubh.2022.1022587

Cited by 3 publications

(1 citation statement)

References 38 publications

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“…Digital health technologies offer tangible opportunities to meet the challenges of the health system and improve the reach and quality of care and services. Digital health has been the subject of research and can be used from highly complex health services to home-based primary care ( 33 , 34 ). Its use, with proper management, guidance and coordination, facilitates direct communication with users, expands coverage and access to information, care and self-care.…”

Section: Digital Health Contextmentioning

confidence: 99%

Preparation and validation of the instrument “QualiAPS digital—Brazil” for assessing digital health care in primary health care: a required tool

de Figueirêdo,

de Siqueira Silva,

de Araújo

et al. 2024

Front. Public Health

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IntroductionThe 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).MethodologyThis 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.ResultsThe 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.ConclusionThe 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.

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Section: Digital Health Contextmentioning

confidence: 99%

Preparation and validation of the instrument “QualiAPS digital—Brazil” for assessing digital health care in primary health care: a required tool

de Figueirêdo,

de Siqueira Silva,

de Araújo

et al. 2024

Front. Public Health

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Ethical acceptability of telemedicine: Nursing home resident's perspective on telemedical consultations

Sira,

Groß,

Wilhelmy

2024

DIGITAL HEALTH

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Objective The use of telemedicine in health care has recently expanded, and with it the need to evaluate its use from an ethical perspective. Studies investigating the ethical acceptability of telemedical consultations (TC) in nursing homes are lacking, and in particular, the perspectives and experiences of older adults with TC are underrepresented. The objective of this study is to identify ethically relevant parameters in the acute care of nursing home residents using TC and to derive recommendations. Methods A combination of qualitative research methods was employed to gain a comprehensive understanding of the research topic. These included semi-structured face-to-face interviews and participant observations. Due to the phased design of the cluster-randomized controlled intervention trial in the overarching study project, our investigations were carried out in phases before and after the implementation of the telemedical systems in the nursing homes. Results We identified various ethical challenges associated with the use of TC, including those related to autonomy, participation, privacy, self-conception, beneficence, security and justice. Our analysis indicates that the use of TC for nursing home residents is ethically acceptable, provided that several recommendations to promote acceptability are considered. Conclusion Our findings provide insights into the variety of ethical challenges that can arise when using TC in nursing homes to provide care for older adults while also providing information on how these challenges can be addressed. Furthermore, these findings provide guidance for further research to improve the care of residents in nursing homes from an ethical perspective.

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Digital home care interventions and quality of primary care for older adults: a scoping review

de Siqueira Silva,

de Araújo,

Lopes

et al. 2024

BMC Geriatr

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Background 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. Methods 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. Results 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. Conclusions 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.

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Digital health interventions and quality of home-based primary care for older adults: A scoping review protocol

Cited by 3 publications

References 38 publications

Preparation and validation of the instrument “QualiAPS digital—Brazil” for assessing digital health care in primary health care: a required tool

Preparation and validation of the instrument “QualiAPS digital—Brazil” for assessing digital health care in primary health care: a required tool

Ethical acceptability of telemedicine: Nursing home resident's perspective on telemedical consultations

Digital home care interventions and quality of primary care for older adults: a scoping review

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