Ecossistema digital de saúde : conectando bancos de dados verificados com a prática clínica e a experiência do paciente

Abstract

Introduction: Databases allow the comparison of different clinical treatments in multiple areas of medicine and the efficient use of resources. Patient-reported outcomes (PRO) collect data directly from patients. This data is used in clinical practice, aiding decision-making. There are currently studies highlighting the importance of multichannel communication (WhatsApp, email, SMS) with healthcare professionals and especially patients. Multichannel communication is known as omnichannel in retail and makes it possible to integrate different communication channels with the aim of improving the experience of the end customer, be they a patient, a healthcare professional or a shopping customer. In addition to the means of communication, the daily practice of healthcare professionals requires different activities and generates unstructured data. These activities include video call consultations, recording consultations and controlling follow-up and monitoring questionnaires. The existence of several separate systems for different activities in medical practice can result in complexities and bottlenecks in use by healthcare professionals and patients.Objective: To present the Digital Health Ecosystem (DHE) that unifies scientific research with medical practice in omnichannel communication and mechanisms for authenticity and integrity verification of collected and stored data. Methodology: The system equirements and needs were met utilizing the Iconix development methodology. Microsoft Net was used to develop software. Usability, usefulness and user satisfaction with the system were measured using the Post-Study System Usability Questionnaire (PSSUQ). Results: Omnichannel communication was utilized to contact patients and healthcare professionals autonomously. A single system enabled the carrying out of patient-reported outcome data collection, telemedicine, image storage, and notes from patient consultations. The data was collected through structured questionnaires via link and chatbot. The functionalities created in the HDE allowed for the integrity and authenticity verification of the data collected and stored. [resumo fornecido pelo autor]