Aplicativo de informações de saúde centrado no paciente em atenção primária

Abstract

Family and Community Medicine is a medical specialty recognized by the Federal Council of Medicine (CFM) that consists of monitoring the individual during the stages of life, providing integral, comprehensive and continuous (longitudinal) care for people, families and community (GUSSO, 2018). One of the classic definitions of family medicine says that: “the general practitioner is a licensed medical graduate who gives personal, primary, and continuing care to individuals, families and a practice population, undertaking the continuous management of his patients with chronic, recurrent or terminal illnesses.”, described by the Leeuwenhort group in 1974. In addition, they define at the time that “prolonged contact with the sick person implies that the doctor will be able to use repeated opportunities to gather information at a and build up a relationship of trust which he can use professionally.” It is estimated that approximately 75-80% of health issues that require outpatient medical care can be solved in the context of Family Medicine, which is currently an important pillar of care in our country, whether in the private or public sector (Sistema Unico de Saude - SUS) (GUSSO, 2018). Other factors related to the practice of family medicine are the presence of multiple health conditions, drug treatment with polypharmacy, preventive and complementary exams, as well as schedules within their therapeutic plan. The information generated from the follow-up of the patient in medicine is stored in several sources such as: physical records, printed, electronic medical records, applications and mobile storage systems (pendrives) and among the various health agents (doctors and other professionals health professionals, patients, family members, clinics, hospitals and laboratories), both in the public and private sectors. In addition, it is common for patients who are under regular follow-up in a medical office not to have this information available when they require hospital care for an acute condition, causing difficulties in their emergency treatment or hospital admission. These characteristics described above relating to the performance of the role of family doctor, associated with the increasing involvement of the patient with their own follow-up, syndromic or etiological diagnoses and medical treatment; especially with the emergence of new information technologies, brings with it the need to create a health information system that solves these dilemmas. Furthermore, the transition of care continues to be a challenging point in healthcare systems due to a lack of coordination and efficient communication, as well as the absence of integration between Health Information Systems. The creation of an application for patients, that is easily accessible, functional and at the same time has simplicity and objectivity becomes a viable and efficient solution to solve some of these problems raised above.