Helianthe S. M. Kort

Resumo: A expansão da telemedicina e das tecnologias de eHealth tem impulsionado os serviços de diagnóstico por imagem domiciliar. Esses serviços podem beneficiar pacientes, ampliando o acesso aos cuidados de saúde. Além de reduzir deslocamentos, favorecem maior conforto, continuidade do cuidado e eficiência assistencial. Objetivo: Mapear a percepção de stakeholders sobre a realização de serviços de diagnóstico por imagem em domicílio, considerando sua viabilidade técnica, operacional e regulatória. Método: Estudo qualitativo fundamentado em workshop colaborativo remoto (Google Meet, junho de 2025) com stakeholders do setor de diagnóstico por imagem domiciliar. A coleta de dados integrou simulações operacionais, discussões temáticas e a técnica Think-Aloud, com posterior processamento em software MAXQDA e análise temática indutiva. Resultados: A análise temática revelou uma percepção positiva dos stakeholders, que destacaram ganhos significativos no tempo resposta e no conforto do paciente. Discussão: As reflexões apontam que o serviço é uma solução estratégica para superar barreiras geográficas e reduzir gastos no sistema de saúde, embora exija protocolos rigorosos de segurança de dados. Conclusão: Conclui-se que o diagnóstico domiciliar é viável e promissor, servindo de base para a criação de diretrizes centradas no usuário e adaptadas às necessidades do Sistema Único de Saúde (SUS).

Resumo: A crescente demanda por serviços de saúde mais acessíveis e centrados no usuário tem impulsionado o uso de tecnologias de e-Health no contexto domiciliar. Objetivo: Explorar a visão de stakeholders acerca do emprego de tecnologias de e-Health em serviços de diagnóstico por imagem em domicílio, a partir da análise de um workshop colaborativo. Método: Estudo qualitativo, baseado na metodologia de workshop colaborativo, realizado em 06 de junho de 2025, via Google Meet, com stakeholders dos serviços de diagnóstico por imagem em domicílio. O workshop incluiu simulações, sessão temática, sessão interativa e aplicação do método Think-Aloud. Os dados foram gravados, transcritos e analisados no software MAXQDA, por meio de análise temática indutiva. Resultados: A adoção de tecnologias para apoiar os serviços de diagnóstico por imagem em domicílio esteve associada à utilidade percebida e à facilidade de uso. Evidenciaram-se desafios relacionados ao planejamento estratégico, à avaliação de custos e à integração de dados em saúde. Também emergiram requisitos para uma ferramenta ideal, como a possibilidade de escolha do profissional, a priorização de atendimentos e a integração com o sistema público de saúde. Conclusão: A implementação desses serviços depende da integração entre tecnologias, sistemas e atores, além do desenvolvimento de soluções centradas no usuário.

The study aimed to assess patient satisfaction with the provision of a home diagnostic imaging service in Brazil. This observational, cross-sectional study combines quantitative and qualitative approaches. Data were analyzed from an online satisfaction survey conducted by a company specializing in home diagnostic imaging, primarily for older adults. Patient satisfaction responses from February 2022 to June 2023 were examined across six aspects: scheduling, response time, staff courtesy, attention and care, hygiene and attire, and overall satisfaction. Additionally, an open-ended question gathered patient comments. Descriptive analyses and Bardin's content analysis were performed. A total of 1,045 consultations were identified, with all satisfaction metrics receiving an average score above 9.6. Most comments were positive, highlighting the care provided by professionals, particularly humanized care and professionalism during the service. However, some patients reported challenges, such as scheduling delays and difficulties responding to the survey. The high satisfaction with the service and patient perspectives underscore the importance of home diagnostic services in expanding access to healthcare and promoting health equity.

Expanding access to diagnostic services through home-based imaging represents a promising strategy to reduce barriers to healthcare, particularly by eliminating the need for patient travel. For this model to be viable, diagnostic equipment must be portable, and its success depends in part on patient acceptance. Despite the growing implementation of home imaging services, there is a lack of evidence in the literature regarding patient perceptions of this modality across different exam types. Therefore, the present study aimed to assess the perceptions of patients who underwent home-based imaging diagnostics. This qualitative interview study was conducted with patients who underwent home-based imaging diagnosis. The interviews were conducted by phone between May and July 2024, with up to three contact attempts. When necessary, a proxy answered on behalf of the patient. Aspects such as positive and negative points, reliability, preference, preparation, and quality of care were analyzed. The interviews were recorded, transcribed, and analyzed using inductive analysis. Thirty-four patients and their proxies participated in the study, with the majority of patients being older adults. Four types of imaging exams were performed in the home setting. Participants’ perceptions were predominantly positive, emphasizing the convenience of avoiding travel, the high quality of care provided, confidence in the accuracy of the exams, and the quality of the equipment used. However, some concerns emerged, such as fear in receiving professionals at home, the need for faster result access, and better home infrastructure for exams. The insights gained from this study provide valuable guidance for the development of regulatory frameworks and operational strategies for home-based imaging services. By addressing the identified needs and concerns of end users, these findings can support the improvement of public policies, while also informing on how to effectively plan and manage such services to enhance satisfaction, adherence, and broader implementation.

In health care, the use of nursing technological innovations, particularly technological products, is rapidly increasing; however, these innovations do not always align with nursing practice. An explanation for this issue could be that nursing technological innovations are developed and implemented with a top-down approach, which could subsequently limit the positive impact on practice. Cocreation with stakeholders such as nurses can help address this issue. Nowadays, health care centers increasingly encourage stakeholder participation, which is known as a bottom-up cocreation approach. However, little is known about the experience of nurses and their managers with this approach and the innovations it results in within the field of nursing care. This study aims to explore nurses' and their managers' experiences with a bottom-up cocreation approach in order to assess the impact of this way of working and the resulting nursing technological innovations in an academic hospital. This insight can also inform decisions on whether the bottom-up cocreation approach should be more widely disseminated. A qualitative study using semistructured interviews was conducted with 15 participants, including cocreator nurses, end-user nurses, and their managers. First, the data were thematically analyzed. In addition, a strengths, weaknesses, opportunities, and threats analysis was conducted. The various experiences of the participants were described in 3 main themes: enhanced attractiveness of the nursing profession, feeling involved due to a cocreation environment, and experienced benefits and challenges in using cocreated products. In addition, numerous strengths and opportunities perceived by the participants were identified as associated with the bottom-up cocreation approach and resulting useful products within nursing care; for example, cocreation contributed to job satisfaction and substantially contributed to the ease of use of the innovations that were developed. The findings underscore that cocreation with nurses enhances the appeal of the nursing profession and aligns nursing technological innovations with practical nursing challenges. Embracing a culture of cocreation has the potential to foster a culture of continuous improvement and innovation in nursing care.

「福祉科技與服務管理學刊」創辦於2012年12月，由中華福祉科技與服務管理學會發行，旨在提供老人福祉科技(gerontechnology)及高齡者照護服務與管理之相關學者、產業界和從業人員，以中文發表研發成果或實務經驗之平台，期能促進跨領域知識交流與傳播，提升整體研究水平與相關產業發展，進而為高齡化社會衍生之各種問題提出具體解決方案，提升高齡者之生活品質。

「福祉科技與服務管理學刊」創辦於2012年12月，由中華福祉科技與服務管理學會發行，旨在提供老人福祉科技(gerontechnology)及高齡者照護服務與管理之相關學者、產業界和從業人員，以中文發表研發成果或實務經驗之平台，期能促進跨領域知識交流與傳播，提升整體研究水平與相關產業發展，進而為高齡化社會衍生之各種問題提出具體解決方案，提升高齡者之生活品質。