TY - JOUR
T1 - Digital home care interventions and quality of primary care for older adults
T2 - a scoping review
AU - de Siqueira Silva, Ísis
AU - de Araújo, Aguinaldo José
AU - Lopes, Rayssa Horácio
AU - Silva, Cícera Renata Diniz Vieira
AU - Xavier, Pedro Bezerra
AU - de Figueirêdo, Renan Cabral
AU - Brito, Ewerton William Gomes
AU - Lapão, Luís Velez
AU - Martiniano, Cláudia Santos
AU - de Araújo Nunes, Vilani Medeiros
AU - da Costa Uchôa, Severina Alice
N1 - Funding Information:
This study was partly financed by the Coordena\u00E7\u00E3o de Aperfei\u00E7oamento de Pessoal de N\u00EDvel Superior\u2014Brasil (CAPES)\u2014Finance Code 001.
Publisher Copyright:
© The Author(s) 2024.
PY - 2024/12
Y1 - 2024/12
N2 - 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.
AB - 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.
KW - Digital health
KW - Geriatric care
KW - Home-based primary care
KW - Primary health care
KW - Quality in healthcare
KW - Scoping review
UR - http://www.scopus.com/inward/record.url?scp=85195623909&partnerID=8YFLogxK
U2 - 10.1186/s12877-024-05120-z
DO - 10.1186/s12877-024-05120-z
M3 - Review article
C2 - 38858634
AN - SCOPUS:85195623909
SN - 1471-2318
VL - 24
JO - BMC Geriatrics
JF - BMC Geriatrics
IS - 1
M1 - 507
ER -