TECNOLOGIAS, DESAFIOS E BARREIRAS PARA A TRANSFORMAÇÃO DIGITAL NA SAÚDE: UMA REVISÃO DE LITERATURA
DOI:
https://doi.org/10.22408/reva722022110923-38Resumo
A adoção de novas tecnologias digitais na saúde pode proporcionar a prestação de serviços mais seguros e de alta qualidade aos pacientes, bem como tornar o negócio mais eficiente. Por outro lado, sua adoção pode demandar redefinições dos processos, das formas de interação entre clientes, profissionais da saúde e organizações; e do próprio modelo de negócio, de forma que o processo de transformação digital na saúde pode ser bastante desafiador. Com isso, o presente estudo objetivou conhecer o estado da arte da pesquisa em transformação digital na saúde, as principais tecnologias digitais estudadas neste contexto, bem como as principais barreiras e desafios à adoção das respectivas tecnologias. Portanto, uma revisão da literatura com análise de conteúdo foi realizada, abrangendo os documentos obtidos nas bases ISI Web of Science e Scopus. A análise da amostra de 54 documentos revelou que a tecnologia mais explorada pela literatura é o ‘prontuário eletrônico’ (i.e., EMR, EHR, EPR e DMR), seguido do IoT. E a principal barreira ou desafio se relaciona com o fator ‘tecnologia e infraestrutura’, com destaque para os problemas de segurança de dados e privacidade. Este trabalho ainda apresentou soluções para algumas das dificuldades identificadas.
Palavras-chave: Transformação Digital, Tecnologias Digitais, Barreiras e Desafios, Revisão de literatura.
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AGARWAL, R.; GAO, G. G.; DESROCHES, C.; JHA, A. K. Research Commentary—The Digital Transformation of Healthcare: Current Status and the Road Ahead. Information Systems Research, v. 21, n. 4, p. 796-809, 2010.
AKHILA, G. A survey on health prediction using human activity patterns through smart devices. International Journal of Engineering & Technology, v. 7, p. 226-229, 2018.
ANWAR, M.; JOSHI, J.; TAN, J. Anytime, anywhere access to secure, privacy-aware healthcare services: issues, approaches and challenges. Health Policy and Technology, v.4, p.299–311, 2015.
BAI, X. et al. On the Prevention of Fraud and Privacy Exposure in Process Information Flow. INFORMS Journal on Computing, v.24, n.3, p.416-432, 2012.
BARRIER. In: COLLEGIATE DICTIONARY. Merriam Webster Online. Merriam-Webster. Incorporated. [19--]. Disponível em: < https://www.merriam-webster.com/ >. Acesso em: 1 ago. 2019.
BASATNEH, R.; NAJAFI, B.; ARMSTRONG, D. G. Health sensors, smart home devices, and the Internet of Medical Things: an opportunity for dramatic improvement in care for the lower extremity complications of diabetes. Journal of Diabetes Science and Technology, v. 12, p. 577-586, 2018.
BAUER, J. C. Rural America and the Digital Transformation of Health Care: New Perspectives on the Future. J. LEGAL MED., v. 23, p. 3-83, 2002.
BAUER, J.C., BROWN, W.T. The digital transformation of oral health care. Teledentistry and electronic commerce. J Am Dent Assoc., v. 132, p. 204–209, 2001.
BEANEY, P; HATFIELD, R.; HUGHES, A. et al. Creating digitally ready nurses in general practice. Nursing Management, e1840, 2019.
BENNIS, S. et al. Digital Transformation in Home Care: A Case Study. J Healthc Inf Manag., v. 21, n. 4, 2007.
BOOTH, R. G. The transformative power of social media: considerations for practice and emerging leader. Healthcare Management Forum, v. 30, n. 3, p. 138-141, 2017.
BRAUNSTEIN, M. L.; DERTMER, D. Interoperable informatics for health enterprise
transformation. Journal of Enterprise Transformation, v. 6, p. 110-119, 2016.
CHALLENGE. In: COLLEGIATE DICTIONARY. Merriam Webster Online.
Merriam-Webster. Incorporated. [19--]. Disponível em: < https://www.merriam-webster.com/ >. Acesso em: 1 ago. 2019.
CHERNYSHEV, M.; ZEADALLY, S.; BAIG, Z. Healthcare data breaches: implications for digital forensic. Journal of Medical Systems, v. 3, n. 7, 2019.
COILE JUNIOR, R. C. The digital transformation of health care. Physician Executive, v. 26, n. 1, p. 8-15, 2000.
DELGADO, J. A. M. et al. Competencias digitales clave de los profesionales sanitarios. Educación Médica, 2019.
DIMITROV, D. V. Medical Internet of Things and Big Data in Healthcare. Healthcare
Informatics Research, v. 22, n. 3, p. 156-163, 2016.
DUGSTAD, J. et al. Towards successful digital transformation through co-creation: a
longitudinal study of a four-year implementation of digital monitoring technology in residential care for persons with dementia. BMC Health Services Research, v. 19, n. 366, 2019.
EDEN, R. et al. Effects of eHealth on hospital practice: synthesis of the current literature. Australian Health Review, v. 42, p. 568–578, 2018.
ELEZAC, O.; TOLE, D.; BACI, N. Big Data in e-Government Environments: Albania as a case study. Academic Journal of Interdisciplinary Studies, v. 7, n. 2, 2018.
FADDIS, A. The digital transformation of healthcare technology management. Biomedical Instrumentation and Technology, v. 52, p.34-38, 2018.
FENTON, S. H. et al. Health Information Management: changing with time. IMIA Yearbook of Medical Informatics, v. 26, p.72-77, 2017.
GASTALDI, L. et al. Managing the exploration-exploitation paradox in healthcare: Three complementary paths to leverage on the digital transformation. Business Process Management Journal, v. 24, p.1200-1234, 2018.
GOPAL, G.; SUTER-CRAZZOLARA, C.; TOLDO, L., EBERHARDT, W. Digital
transformation in healthcare–architectures of present and future information technologies. Clinical Chemistry and Laboratory Medicine, v. 57, p. 328–335, 2019.
GRAY, P. et al. Realizing Strategic Value Through Center-Edge Digital Transformation in Consumer-Centric Industries. MIS Quarterly Executive, v. 12, 2013.
HAGGERTY, E. Healthcare and digital transformation. Network Security, p. 7-11, 2017.
HAYRINEN, K.; SARANTO, K.; NYKANEN, P. Definition, structure, content, use and impacts of electronic health records: a review of the research literature. Int J Med Inform, v. 77, n. 5, p. 291-304, 2008.
KARAMPELA, M.; OUHBI, S.; ISOMURSU, M. Personal health data: A systematic mapping study. International Journal of Medical Informatics, v. 118, p. 86-98, 2018.
KOUTSOS, T. M.; MENEXES, G. C.; DORDAS, C. A. An efficient framework for conducting systematic literature reviews in agricultural sciences. Science of The Total Environment, v .682, p. 106-117, 2019.
LAGREW JUNIOR, D. C.; JENKINS, T. R. The future of obstetrics/gynecology in 2020: a clearer vision. Why is change needed? American J of Obstetrics & Gynecology, v. 212, n. 1, 2015.
LIM, J. E. Y. S.; FULHAM, M.; FENG, D. F. Electronic medical records. In: Biomedical information technology. D. D. Feng, Ed., ed Burlington, MA, USA: Academic Press - Elsevier, p. 29-46, 2008.
LOIZOU, G. D. Animal-Free Chemical Safety Assessment. Front. Pharmacol., v. 7, n. 218, 2016.
MATHUR, A. et al. A framework using Big Data analysis on human activity patterns for health prediction. International Journal of Mechanical Engineering and Technology, v. 8, p. 775-787, 2017.
OKOLI, C. A Guide to Conducting a Standalone Systematic Literature Review.
Communications of the Association for Information Systems, v. 37, n. 43, 2015.
OLSEN, J. T.; PRINZ, A.; SMARADOTTIR, B. Simulation of eHealth scenarios with role-play supported by an interactive smartphone application. Studies in Health Technology and Informatics, v. 257, p.418, 2019.
PURCAREA, T. V. Creating the ideal patient experience. Journal of Medicine and Life, v. 9, p. 380-385, 2016.
ROGERS, D. L. Transformação digital: repensando o seu negócio para a era digital: 1. Ed. São Paulo: Autêntica Business, 2017.
SANDHU, C.; QURESHI, A.; EMILI, A. Panomics for Precision Medicine. Trends in
Molecular Medicine, v. 24, n. 1, 2018.
SCHALLMO, D.; WILLIAMS, C. A.; BOARDMAN, L. Digital transformation of business models—Best practice, enablers, and roadmap. Int. J. Innov. Manag, v. 21, 2017.
SCOTT, P; NAKKAS, H.; RODERICK, P. Protocol for a scoping review to understand how interorganisational electronic health records affect hospital physician and pharmacist decisions. BMJ Open, v. 9, 2019.
SCOTT, I. A., SULIVAN, C., STAIB, A. Going digital: A checklist in preparing for
hospital-wide electronic medical record implementation and digital transformation. Australian Health Review, v. 43, p. 302-313, 2019.
SMARR, L. Quantifying your body: a how-to guide from a systems biology perspective. Biotechnology Journal, v. 7, p. 980-991, 2012.
STRAMETZ, R. et al. Entwicklung einer Handlungsempfehlung zum Umgang mit Risiken in der Patientenversorgung durch Entwicklungen im Rahmen der digitalen Transformation. Z. Evid. Fortbild. Qual. Gesundh. wesen (ZEFQ), 2019.
STURESSON, L.; GROTH, K. Clinicians' Selection Criteria for Video Visits in Outpatient Care: Qualitative Study. Journal of Medical Internet Research, 2018a.
STURESSON, L.; GROTH, K. Effects of the Digital Transformation: Qualitative Study on the Disturbances and Limitations of Using Video Visits in Outpatient Care. Journal of Medical Internet Research, v. 20, 2018b.
SULLIVAN, C. et al. Pioneering digital disruption: Australia's first integrated digital tertiary hospital. Medical Journal of Australia, v. 205, p.386-389, 2016.
TANG, P. C. et al. Personal Health Records: Definitions, Benefits, and Strategies for
Overcoming Barriers to Adoption. Journal of the American Medical Informatics Association, v. 13, n. 2, 2006.
THIMBLEBY, H. Three laws for paperlessness. Digital Health, v. 5, p. 1–16, 2019.
VERSCHUUREN, M.; VAN OERS, H. Population Health Monitoring: Climbing the
Information Pyramid. Springer International Publishing: 2019, 209 p.
WARRAICH, H. J.; CALIFF, R. M.; KRUMHOLZ, H. M. The digital transformation of medicine can revitalize the patient-clinician relationship. npj Digital Medicine, v. 1, n. 49, 2018.
WILLIAMS, P. A. H. et al. Improving digital hospital transformation: development of an outcomes-based infrastructure maturity assessment framework. JMIR Medical Informatics, v. 7, 2019.
WORDLE. Disponível em: < http://www.wordle.net >. Acesso em: 24 jul. 2019.
YASSINE, A.; SINGH, S.; ALAMRI, A. Mining Human Activity Patterns from Smart Home Big Data for Health Care Applications. IEEE Access, v.5, 2017, p. 13131- 13141.
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