Saúde digital e qualidade do cuidado primário domiciliar para pessoas idosas: um protocolo de scoping review

Abstract

Home primary care has expanded, accompanying the increase in the elderly population and the need to respond to the greater demand of their chronic conditions and health weaknesses. At this level of care, digital health is considered an important tool for improving care, whose expansion had a greater impetus with the COVID-19 pandemic and subsequent isolation/social distancing measures, for this group considered at risk for complications and hospitalizations in as a result of COVID-19. The objective of this study is to elaborate a scoping review protocol to identify, map and evaluate the uses and impacts of digital health on the quality of home primary care for elderly people in different regions of the world. It is a scope review protocol, developed from the theoretical perspective of Arksey and O'malley, with updates from Levac; Peters and their collaborators. It will be based on the Joanna Briggs Institute manual and guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). White literature data will be extracted from multidisciplinary health databases such as: Virtual Health Library, LILACS, PubMed, Scopus, Web of Science, CINAHL and Embase. Gray literature will be searched through Google Scholar, Open grey, “Gray Matters: a practical tool for researching health-related gray literature”, ProQuest Dissertations and Theses Global and Preprints for Health Sciences [medRXiv]. No date limits or language restrictions will be set. Quantitative data will be analyzed using descriptive statistics and qualitative data using thematic analysis. The review results will deal with impacts, challenges, opportunities and gaps found in publications related to the use of digital technologies in home primary care for the elderly. A stakeholder consultation will be carried out for suggestions on other strategies for disseminating the results, in addition to that in journals and scientific events, as well as on the applicability of the study. The organization of this protocol will increase the methodological rigor, quality, transparency and accuracy of the scoping review, reducing the risk of bias. As a contribution, it is expected that the review can bring relevant subsidies to managers and caregivers to improve primary home care by digital means as a public health policy.