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.

Autor:	de Araújo AJ; Collective Health, Federal University of Rio Grande do Norte, Natal, Brazil., de Siqueira Silva Í; Collective Health, Federal University of Rio Grande do Norte, Natal, Brazil., de Figueirêdo RC; Family Health, Federal University of Rio Grande do Norte, Natal, Brazil., Lopes RH; Collective Health, Federal University of Rio Grande do Norte, Natal, Brazil., Silva CRDV; Technical School of Health of Cajazeiras, Federal University of Campina Grande, Campina Grande, Brazil., de Goes Bay Junior O; Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Natal, Brazil., Lester RT; Division of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, BC, Canada., da Costa Uchôa SA; Public Health Department, Federal University of Rio Grande do Norte, Natal, Brazil.
Jazyk:	angličtina
Zdroj:	Frontiers in sociology [Front Sociol] 2024 Feb 08; Vol. 9, pp. 1303295. Date of Electronic Publication: 2024 Feb 08 (Print Publication: 2024).
DOI:	10.3389/fsoc.2024.1303295
Abstrakt:	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. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 de Araújo, de Siqueira Silva, de Figueirêdo, Lopes, Silva, de Goes Bay Junior, Lester and da Costa Uchôa.)
Databáze:	MEDLINE
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