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Alignment and specifics of Brazilian health agencies in relation to the international premises for the implementation of digital health in primary health care

A rhetorical analysis

Bibliographic Data

ID13075838
AuthorsAguinaldo José de Araújo (0000-0002-3697-1269, Universidade Federal do Rio Grande do Norte, corresponding author), Ísis de Siqueira Silva (0000-0002-2403-2504, Universidade Federal do Rio Grande do Norte), Renan Cabral de Figueirêdo (0000-0001-5172-3733, Universidade Federal do Rio Grande do Norte), Rayssa Horácio Lopes (0000-0001-7041-4792, Universidade Federal do Rio Grande do Norte), Cícera Renata Diniz Vieira Silva (0000-0002-0928-8368, Universidade Federal de Campina Grande), Osvaldo Goes Bay Júnior (0000-0002-1017-2346, Universidade Federal do Rio Grande do Norte), Richard Lester (0000-0003-1759-2236, University of British Columbia), Severina Alice Da Costa Uchoa (0000-0002-2531-9937, Universidade Federal do Rio Grande do Norte)
Year2024
Volume9
Pages1303295-1303295
Publication date2024-02-08
Open AccessYes
TypeARTICLE
VenueFrontiers in Sociology (JOURNAL)
Journal identifiersISSN: 2297-7775 • E-ISSN: 2297-7775
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fsoc.2024.1303295
PMID38390288
OpenAlexW4391648226
LanguageEN
Citations received4
References cited24

Digital health and sustainable development goals have had strong impacts with the COVID-19 pandemic. In Brazil, the health crisis scenario required changes in social welfare programs and policies, based on recommendations from international agencies, such as the UN and WHO. This study aims to analyze the alignment of the arguments of Brazilian and international organizations for the adoption of digital health in Primary Health Care based on the COVID-19 pandemic. This is a qualitative documentary study of the rhetorical analysis type, based on Perelman and Obrechts-Tyteca's Theory of Argumentation. The search for documents was carried out by two independent researchers, between December 2021 and June 2022, through the websites of the World Health Organization, the Pan American Health Organization, the Brazilian Ministry of Health, and the Federal Councils of Medicine and Brazilian nursing, with the terms "digital health," "telehealth," "telemedicine," "e-health," "telehealth," "telenursing," "telemedicine," and "digital health." Twenty official documents were analyzed and identified in terms of context, authorship, authenticity, reliability, nature, and key concepts. The international and Brazilian arguments emphasize the applicability of Information and Communication Technologies (ICTs) in the health field. In logical arguments, based on the structure of reality, international agencies emphasize the overlap between health needs and the conditions for the applicability of ICTs. In Brazil, however, there was a need to regulate the digital practices of health professionals. In the international discourse, in the structuring of reality, there are illustrations of the relationship between the context of the health crisis caused by COVID-19 and the concrete conditions for the applicability of digital health; while in the Brazilian discourse, the need to strengthen an environment conducive to digital health is explicit. The Brazilian alignment in relation to the international premises is evident. Yet, there is a need, socially and economically sustainable, to strengthen the inclusion of digital health in PHC policy

Context (archaeology · Digital health · Geography · Global health · Health care · HRHIS · International health · Political science · Public relations · Sociology · Telehealth · Telemedicine · Healthcare during COVID-19 Pandemic · Law · Mobile Health and mHealth Applications · Telemedicine and Telehealth Implementation · Health Policy

  • Preparation and validation of the instrument “QualiAPS digital—Brazil” for assessing digital health care in primary health care

    Open Access•Renan Cabral de Figueirêdo, Ísis de Siqueira Silva et al.•Frontiers in Public Health•2024

  • Digital Health and Primary Health Care Quality

    Open Access•Renan Cabral de Figueirêdo, Ísis de Siqueira Silva et al.•International Journal of…•2025

  • Digital health in Primary Health Care in Brazil

    Open Access•Gustavo Soibelman, Marcelo Fornazin et al.•Saúde em Debate•2025

  • Saúde digital na Atenção Primária à Saúde no Brasil

    Open Access•Gustavo Soibelman, Marcelo Fornazin et al.•Saúde em Debate•2025

  • Impact of the digital divide in the age of Covid-19

    Open Access•Anita Ramsetty, Cristin Swords Adams et al.•Journal of the American Medical…•2020

  • Global Telemedicine Implementation and Integration Within Health Systems to Fight the Covid-19 Pandemic

    Open Access•Robin Ohannessian, T A Duong et al.•JMIR Public Health and Surveillance•2020

  • Perfil dos teleatendimentos realizados pelo núcleo telessaúde-Pará de 2018 a 2019

    Open Access•Michelle Amaral Gehrke, Paola dos Santos Dias et al.•Revista Brasileira de Medicina de…•2023

  • Operationalizing mHealth to improve patient care

    Open Access•Kevin Bardosh, Melanie Murray et al.•Globalization and Health•2017

  • A territorialização da Atenção Básica à Saúde do Sistema Único de Saúde do Brasil

    Open Access•Rivaldo Mauro De Faria•Ciência & Saúde Coletiva•2020

  • Tecnologias móveis em saúde

    Open Access•Lívia Luize Marengo, Alan Martinez Kozyreff et al.•Revista Panamericana de Salud…•2022

  • On the imperative of thinking through the ethical, health equity, and social justice possibilities and limits of digital technologies in public health

    Open Access•Oralia Gómez-Ramírez, Ihoghosa Iyamu et al.•Canadian Journal of Public Health•2021

  • Uma análise sobre o desenvolvimento de tecnologias digitais em saúde para o enfrentamento da Covid-19 no Brasil e no mundo

    Open Access•Ianka Cristina Celuppi, Francisco Javier Castejón Oliva et al.•Cadernos de Saude Publica•2021

  • Incorporação de telessaúde na atenção primária à saúde no Brasil e fatores associados

    Open Access•Thiago Dias Sarti, Ana Paula Santana Coelho Almeida•Cadernos de Saude Publica•2022

  • Atenção primária à saúde em tempos de Covid-19

    Open Access•Maria Guadalupe Medina, Lígia Giovanella et al.•Cadernos de Saude Publica•2020

  • Desafios e oportunidades para telessaúde em tempos da pandemia pela Covid-19

    Open Access•Rosângela Caetano, Angélica Baptista Silva et al.•Cadernos de Saude Publica•2020

  • O papel da argumentação em processos deliberativos nas instâncias de controle social do Sistema Único de Saúde

    Open Access•Jorge Da Cunha Lima•Interface - Comunicação Saúde…•2020

Citations per year2
Citation span2024 - 2025 (2)
Highly citedNo

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