Matriz de indicadores para tecnologias em saúde na gestão do cuidado as doenças crônicas na Atenção Primária à Saúde: revisão integrativa

Abstract

The prevalent increase in non-communicable chronic diseases has generated a demand for transformations in social responses, expressed also by the way in which health systems are organized to offer services, thus imposing a transition in health care. In this sense, it was essential to rethink the care for chronic diseases, prioritizing caregiving acts, subjects' autonomy and aggregation of technologies. Aiming to build a matrix of indicators for health technologies in the management of care for chronic diseases in the context of Primary Health Care (PHC), through an integrative review. This is an exploratory, descriptive study, under a qualitative approach, of the integrative review (IR) type. RI followed the six phases of the process of preparing the integrative review. The research question was defined using the PICo strategy and searches were performed in the following databases: LILACS, Scielo, Cochrane Library, CINAHL, Scopus, Web of Science, Embase and PubMed, using descriptors from DeCS and MeSH, as well as AND and OR keywords and Boolean operators. Data collection was carried out by screening the articles by reading the title and abstract, with two reviewers, independently, following the inclusion and exclusion criteria, as well as the Rayyan online software. In addition, an instrument was used to extract data from the included studies. Included studies were assessed for quality using the CASP checklist. In the data analysis, qualitative discursive analysis was used, through thematic categories. For the construction of the matrix of indicators, the evidence obtained from the IR was used, as well as the experience and knowledge of the researchers. 32 articles were analyzed, most indexed in PubMED (38%), published in English (72%) and in the year 2019 (19%). According to the CASP, 63% of the studies were included in category A. 12 technological indicators were identified, the most prevalent being: user-centered care, acceptability and feasibility. The articles were divided into three thematic categories, namely: Health technology that promotes comprehensive care; Health Technology as a Self-Care Empowerment Tool and Health Technology and Management. Health technology promotes comprehensive care, as the association of technologies, such as telemonitoring and bonding, has collaborated to the production of care. The use of health technology provides the empowerment of self-care, as it contributes to the user's autonomy. The use of health technologies in health systems is essential, as it has the potential to facilitate or even solve many of the challenges that are faced. The construction of the matrix showed the importance of using well-developed health technologies to promote comprehensive care. The research made it possible to build a matrix of indicators for the management of chronic disease care in PHC, as well as demonstrating the advantages of using health technologies for health care and comprehensive care.