Literacia digital de cidadãos e profissionais de saúde no contexto de soluções baseadas em eHealth
uma revisão sistemática da literatura
DOI:
https://doi.org/10.47681/rca.v11i.68301Palavras-chave:
literacia digital, eHealth, mHealth, pacientes, profissionais de saúdeResumo
Literacia digital consiste na capacidade de utilizar tecnologias digitais de maneira eficaz. Dada sua importância na contemporaneidade, o objetivo deste estudo foi analisar como a literatura aborda a literacia digital de cidadãos e de profissionais da saúde com relação ao uso de soluções baseadas em saúde eletrônica (eHealth). Trata-se de uma revisão sistemática da literatura que seguiu o protocolo PRISMA. Os achados demonstraram que houve um crescimento no número de publicações relacionadas à literacia digital aplicada ao contexto da saúde no período de 2019 a 2023. Diante dos resultados obtidos, esta revisão pode ser útil a gestores e formuladores de políticas públicas da área da saúde no que se refere à adoção de sistemas eHealth. Ademais, este estudo oferece contribuições à sociedade e motiva a criação de políticas públicas que invistam na capacitação e literacia digital, tanto dos profissionais de saúde quanto dos cidadãos usuários dos serviços públicos de saúde.
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ADDOTEY-DELOVE, M.; SCOTT, R. E.; MARS, M. Healthcare Workers’ Perspectives of mHealth Adoption Factors in the Developing World: Scoping Review. International Journal of Environmental Research and Public Health, [s. l.], v. 20, n. 2, p. 1244, 2023. Disponível: https://doi.org/10.3390/ijerph20021244. Acesso em: 22 fev. 2026.
AIROLA, E. Learning and Use of eHealth Among Older Adults Living at Home in Rural and Nonrural Settings: Systematic Review. Journal of medical Internet research, [s. l.], v. 23, n. 12, 2021. Disponível em: https://doi.org/10.2196/23804. Acesso em: 22 fev. 2026.
ALVIANI, R.; PURWANDARI, B.; EITIVENI, I.; PURWANINGSIH, M. Factors Affecting Adoption of Telemedicine for Virtual Healthcare Services in Indonesia. Journal of Information Systems Engineering and Business Intelligence, [s. l.], v. 9, n. 1, p. 47–69, 2023. Disponível em: http://dx.doi.org/10.20473/jisebi.9. Acesso em: 22 fev. 2026.
AMES, H. M.; GLENTON, C.; LEWIN, S.; TAMRAT, T.; AKAMA, E.; LEON, N. Clients’ perceptions and experiences of targeted digital communication accessible via mobile devices for reproductive, maternal, newborn, child, and adolescent health: a qualitative evidence synthesis. Cochrane database of systematic reviews, [s. l.], v. 10, 2019. Disponível em: https://doi.org/10.1002/14651858.cd013447. Acesso em: 22 fev. 2026.
BORGES DO NASCIMENTO, I. J.; ABDULAZEEM, H.; VASANTHAN, L. T. et al. Barriers and facilitators to utilizing digital health technologies by healthcare professionals. NPJ digital medicine, [s. l.], v. 6, n. 1, p. 161, 2023. Disponível em: https://doi.org/10.1038/s41746-023-00899-4. Acesso em: 22 fev. 2026.
BRØRS, G. et al. Psychometric properties of the Norwegian version of the electronic Health Literacy Scale (eHEALS) among patients after percutaneous coronary intervention: cross-sectional validation study. Journal of medical Internet research, [s. l.], v. 22, n. 7, 2020. Disponível em: https://doi.org/10.2196/17312. Acesso em: 22 fev. 2026.
DE LEEUW, J. A.; WOLTJER, H.; KOOL, R. B. Identification of factors influencing the adoption of health information technology by nurses who are digitally lagging: in-depth interview study. Journal of medical Internet research, [s. l.], v. 22, n. 8, 2020. Disponível em: https://doi.org/10.2196/15630. Acesso em: 22 fev. 2026.
EL BENNY, M. et al. Application of the eHealth Literacy Model in Digital Health Interventions: Scoping Review. Journal of medical Internet research, [s. l.], v. 23, n. 6, 2021. Disponível em: https://doi.org/10.2196/23473. Acesso em: 22 fev. 2026.
EYSENBACH, G. What is e-health? Journal of medical Internet research, [s. l.], v. 3, n. 2, 2001. Disponível em: https://doi.org/10.2196/jmir.3.2.e20. Acesso em: 22 fev. 2026.
FAROOQ, Z.; IMRAN, A.; IMRAN, N. Preparing for the future of healthcare: Digital health literacy among medical students in Lahore, Pakistan. Pakistan journal of medical sciences, [s. l.], v. 40, 1Part-I, p. 14-19, 2024. Disponível em: https://doi.org/10.12669/pjms.40.1.8711. Acesso em: 22 fev. 2026.
GREER, D. B.; ABEL, W. M. Exploring feasibility of mHealth to manage hypertension in rural Black older adults: a convergent parallel mixed method study. Patient preference and adherence, [s. l.], v. 16, p. 2135-2148, 2022. Disponível em: https://doi.org/10.2147/ppa.s361032. Acesso em: 22 fev. 2026.
HANNEMANN, N.; GÖTZ, N. A.; SCHMIDT, L. et al. Patient connectivity with healthcare professionals and health insurer using digital health technologies during the COVID-19 pandemic: a German cross-sectional study. BMC medical informatics and decision making, [s. l.], v. 21, n. 250, 2021. Disponível em: https://doi.org/10.1186/s12911-021-01605-8. Acesso em: 22 fev. 2026.
HENGST, T. M.; LECHNER, L.; DOHMEN, D.; BOLMAN, C. A. The facilitators and barriers of mHealth adoption and use among people with a low socio-economic position: A scoping review. Digital Health, [s. l.], v. 9, 2023. Disponível em: https://doi.org/10.1177/20552076231198702. Acesso em: 22 fev. 2026.
HOSSEINI, Mohammad-Salar et al. Formulating research questions for evidence-based studies. Journal of Medicine, Surgery, and Public Health, [s. l.], v. 2, 2024. Disponível em: https://doi.org/10.1016/j.glmedi.2023.100046. Acesso em: 22 fev. 2026.
ISTEPANIAN, R. S. H. Mobile health (m-Health) in retrospect: the known unknowns. International journal of environmental research and public health, [s. l.], v. 19, n. 7, 2022. Disponível em: https://doi.org/10.3390/ijerph19073747. Acesso em: 22 fev. 2026.
JOSE, A.; TORTORELLA, G. L.; VASSOLO, R.; KUMAR, M.; MAC CAWLEY, A. F. Professional Competence and Its Effect on the Implementation of Healthcare 4.0 Technologies: Scoping Review and Future Research Directions. International Journal of Environmental Research and Public Health, [s. l.], v. 20, n. 1, 2023. Disponível em: https://doi.org/10.3390/ijerph20010478. Acesso em: 22 fev. 2026.
KOSKELAINEN, T.; KALMI, P.; SCORNAVACCA, E.; VARTIAINEN, T. Financial literacy in the digital age—A research agenda. Journal of Consumer Affairs, v. 57, n. 1, p. 507-528, 2023. Disponível em: https://doi.org/10.1111/joca.12510. Acesso em: 22 fev. 2026.
LIU, Hua-Xuan et al. Measuring a broad spectrum of eHealth skills in the Web 3.0 context using an eHealth Literacy Scale: Development and validation study. Journal of medical Internet research, [s. l.], v. 23, n. 9, 2021. Disponível em: https://doi.org/10.2196/31627. Acesso em: 22 fev. 2026.
LIU, K.; XIE, Z.; OR, C. K. Effectiveness of Mobile App-Assisted Self-Care Interventions for Improving Patient Outcomes in Type 2 Diabetes and/or Hypertension: Systematic Review and Meta-Analysis of Randomized Controlled Trials. JMIR mHealth and uHealth, [s. l.], v. 8, n. 8, 2020. Disponível em: https://doi.org/10.2196/15779. Acesso em: 22 fev. 2026.
LONGHINI, J.; ROSSETTINI, G.; PALESE, A. Digital Health Competencies Among Health Care Professionals: Systematic Review. Journal of medical Internet research, [s. l.], v. 24, n. 8, 2022. Disponível em: https://doi.org/10.2196/36414. Acesso em: 22 fev. 2026.
LUCAS, M.; MOREIRA, A. DigComp 2.1: Quadro europeu de competência digital para cidadãos: com oito níveis de proficiência e exemplos de uso. Aveiro: UA, 2017. Disponível em: http://hdl.handle.net/10773/21079. Acesso em: 23 out. 2024.
MACEDO, B. S. P.; YAMAGUCHI, M. U.; SANTOS, E. R.; DIAS, K. M.; APRILE, D. C. B.; LOPES, C. T. Digital health literacy of nursing or medical students: related factors. Acta Paulista de Enfermagem, [s. l.], v. 35, 2022. Disponível em: https://doi.org/10.37689/acta-ape/2022AO02647. Acesso em: 22 fev. 2026.
MACHLEID, Felix et al. Perceptions of Digital Health Education Among European Medical Students: Mixed Methods Survey. Journal of medical Internet research, [s. l.], v. 22, n. 8, 2020. Disponível em: https://doi.org/10.2196/19827. Acesso em: 22 fev. 2026.
MADANIAN, S. et al. Patients’ perspectives on digital health tools. PEC innovation, [s. l.], v. 2, 2023. Disponível em: https://doi.org/10.1016/j.pecinn.2023.100171. Acesso em: 22 fev. 2026.
MANYAZEWAL, T. et al. The potential use of digital health technologies in the African context: a systematic review of evidence from Ethiopia. NPJ digital medicine, [s. l.], v. 4, n. 125, 2021. Disponível em: https://doi.org/10.1038/s41746-021-00487-4. Acesso em: 22 fev. 2026.
MCLEAN, B. et al. Providing medical information to older adults in a web-based environment: systematic review. JMIR aging, [s. l.], v. 4, n. 1, 2021. Disponível em: https://doi.org/10.2196/24092. Acesso em: 22 fev. 2026.
MERTENS, L. et al. The guided use of an e-health tool to strengthen health literacy. A pilot study in a multicultural diabetes population in a primary care clinic in Brussels. PEC innovation, [s. l.], v. 1, 2022. Disponível em: https://doi.org/10.1016/j.pecinn.2022.100056. Acesso em: 22 fev. 2026.
MIALHE, F. L. et al. Evaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults. Revista Brasileira de Enfermagem, [s. l.], v. 75, n. 1, 2021. Disponível em: https://doi.org/10.1590/0034-7167-2020-1320. Acesso em: 22 fev. 2026.
NAKAS, D.; K., E. E. e-Health Literacy Levels of University Students in Turkey and Affecting Factors. International Journal of Caring Sciences, [s. l.], v. 13, n. 3, p. 2149-2159, 2020. Disponível em: https://www.internationaljournalofcaringsciences.org/docs/69_nakas_original_13_3.pdf. Acesso em: 23 out. 2024.
NAVARRO-MARTÍNEZ, O.; IGUAL-GARCÍA, J.; TRAVER-SALCEDO, V. Bridging the educational gap in terms of digital competences between healthcare institutions’ demands and professionals’ needs. BMC nursing, [s. l.], v. 22, 144, 2023. Disponível em: https://doi.org/10.1186/s12912-023-01284-y. Acesso em: 22 fev. 2026.
NAZEHA, N. et al. A Digitally Competent Health Workforce: Scoping Review of Educational Frameworks. Journal of medical Internet research, [s. l.], v. 22, n. 11, 2020. Disponível em: https://doi.org/10.2196/22706. Acesso em: 22 fev. 2026.
NORMAN, C. D.; SKINNER, H. A. eHealth Literacy: Essential Skills for Consumer Health in a Networked World. Journal of medical Internet research, [s. l.], v. 8, n. 2, 2006. Disponível em: https://doi.org/10.2196/jmir.8.2.e9. Acesso em: 22 fev. 2026.
OH, S. S. et al. Measurement of Digital Literacy Among Older Adults: Systematic Review. Journal of medical Internet research, [s. l.], v. 23, n. 2, 2021. Disponível em: https://doi.org/10.2196/26145. Acesso em: 22 fev. 2026.
PAGE, M. J. et al. A declaração PRISMA 2020: diretriz atualizada para relatar revisões sistemáticas. Revista panamericana de salud publica, [s. l.], v. 46, 2022. Disponível em: https://doi.org/10.26633/RPSP.2022.112. Acesso em: 22 fev. 2026.
PARAJULI, R. et al. Challenges and opportunities for implementing digital health interventions in Nepal: A rapid review. Frontiers in Digital Health, [s. l.], v. 4, 2022. Disponível em: https://doi.org/10.3389/fdgth.2022.861019. Acesso em: 22 fev. 2026.
PARK, Na-Young; JANG, S. App-Based Digital Health Equity Determinants According to Ecological Models: Scoping Review. Sustainability, [s. l.], v. 16, n. 6, 2024. Disponível em: https://doi.org/10.3390/su16062232. Acesso em: 22 fev. 2026.
REDDY, P.; SHARMA, B.; CHAUDHARY, K. Digital literacy: a review in the South Pacific. Journal of Computing in Higher Education, [s. l.], v. 34, p. 83-108, 2022. Disponível em: https://doi.org/10.1007/s12528-021-09280-4. Acesso em: 22 fev. 2026.
SCHECKEL, B. et al. Patient portals as facilitators of engagement in patients with diabetes and chronic heart disease: scoping review of usage and usability. Journal of Medical Internet Research, [s. l.], v. 25, 2023. Disponível em: https://doi.org/10.2196/38447. Acesso em: 22 fev. 2026.
SHIFERAW, K. B.; TILAHUN, B. C.; ENDEHABTU, B. F. Healthcare providers’ digital competency: a cross-sectional survey in a low-income country setting. BMC health services research, [s. l.], v. 20, 1021, 2020. Disponível em: https://doi.org/10.1186/s12913-020-05848-5. Acesso em: 22 fev. 2026.
SHUDAYFAT, T.; HANI, S. B.; AL QADIRE, M. Assessing digital health literacy level among nurses in Jordanian hospitals. Electronic Journal of General Medicine, [s. l.], v. 20, n. 5, 2023. Disponível em: https://doi.org/10.29333/ejgm/13466. Acesso em: 22 fev. 2026.
TEGEGNE, M. D. et al. Digital literacy level and associated factors among health professionals in a referral and teaching hospital: An implication for future digital health systems implementation. Frontiers in Public Health, [s. l.], v. 11, 2023. Disponível em: https://doi.org/10.3389/fpubh.2023.1130894. Acesso em: 22 fev. 2026.
TEGEGNE, M. D.; WUBANTE, S. M. Identifying Barriers to the Adoption of Information Communication Technology in Ethiopian Healthcare Systems. A Systematic Review. Advances in Medical Education and Practice, [s. l.], v. 13, p. 821-828, 2022. Disponível em: https://doi.org/10.2147/AMEP.S374207. Acesso em: 22 fev. 2026.
TESFA, G. A. et al. eHealth Literacy and its Associated Factors Among Health Professionals During the COVID-19 Pandemic in Resource-Limited Settings: Cross-sectional Study. JMIR formative research, [s. l.], v. 6, n. 7, 2022. Disponível em: https://doi.org/10.2196/36206. Acesso em: 22 fev. 2026.
THOMAS, V. et al. The Vinyasa Tool for mHealth Solutions: Supporting Human-Centered Design in Nascent Digital Health Ecosystems. JMIR Formative Research, [s. l.], v. 7, 2023. Disponível em: https://doi.org/10.2196/45250. Acesso em: 22 fev. 2026.
WALLE, A. D. et al. Exploring facilitators and barriers of the sustainable acceptance of e-health system solutions in Ethiopia: A systematic review. PLoS One, [s. l.], v. 18, n. 8, 2023. Disponível em: https://doi.org/10.1371/journal.pone.0287991. Acesso em: 22 fev. 2026.
WANG, C., WU, X., & QI, H. A Comprehensive Analysis of E-Health Literacy Research Focuses and Trends. Healthcare (Basel, Switzerland), [s. l.], v. 10, n. 1, 2021. Disponível em: https://doi.org/10.3390/healthcare10010066. Acesso em: 22 fev. 2026.
YANG, K.; HU, Y.; QI, H. Digital health literacy: bibliometric analysis. Journal of medical Internet research, [s. l.], v. 24, n. 7, 2022. Disponível em: https://doi.org/10.2196/35816. Acesso em: 22 fev. 2026.
ZAKERABASALI, S. et al. Mobile health technology and healthcare providers: systemic barriers to adoption. Healthcare Informatics Research, [s. l.], v. 27, n. 4, p. 267-278, 2021. Disponível em: https://doi.org/10.4258/hir.2021.27.4.267. Acesso em: 22 fev. 2026.
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