{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:34:28Z","timestamp":1784550868588,"version":"3.55.0"},"reference-count":49,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,11]]},"abstract":"<title>RESUMO<\/title>\n<sec>\n<title>Objetivo.<\/title>\n<p>Identificar na literatura interven\u00e7\u00f5es digitais aplicadas no contexto da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade (APS) e avaliar seus impactos no acesso \u00e0 sa\u00fade por grupos populacionais minorit\u00e1rios.<\/p>\n<\/sec>\n<sec>\n<title>M\u00e9todos.<\/title>\n<p>Realizou-se uma revis\u00e3o sistem\u00e1tica de ensaios cl\u00ednicos randomizados que avaliaram interven\u00e7\u00f5es digitais no contexto da APS, tendo o acesso \u00e0 sa\u00fade como desfecho principal. A busca foi realizada nas bases PubMed, Scopus e LILACS at\u00e9 janeiro de 2025, sem restri\u00e7\u00f5es quanto a idioma, pa\u00eds ou ano. As interven\u00e7\u00f5es foram ainda analisadas segundo o modelo PROGRESS-Plus para identificar os marcadores sociais de vulnerabilidade contemplados nos estudos.<\/p>\n<\/sec>\n<sec>\n<title>Resultados.<\/title>\n<p>Foram inclu\u00eddos seis estudos, todos realizados nos Estados Unidos, que enfocaram popula\u00e7\u00f5es com vulnerabilidade de ra\u00e7a (pessoas negras, hisp\u00e2nicas\/latinas), sexo (mulheres), n\u00edvel de educa\u00e7\u00e3o (pessoas com baixa escolaridade) e n\u00edvel socioecon\u00f4mico (indiv\u00edduos de baixa renda). A maioria dos participantes (adultos com idade de 30 a 60 anos) apresentavam sobrepeso\/obesidade e comorbidades cr\u00f4nicas. Em todos os estudos, as solu\u00e7\u00f5es digitais foram integradas a pr\u00e1ticas interprofissionais, envolvendo nutricionistas, enfermeiros, farmac\u00eauticos, m\u00e9dicos e\/ou psic\u00f3logos, e foram bem-sucedidas em melhorar os desfechos cl\u00ednicos e ampliar o acesso \u00e0 sa\u00fade. Entretanto, foram relatadas barreiras de letramento digital e em sa\u00fade, assim como dificuldades no uso de recursos digitais, especialmente entre participantes com menor escolaridade.<\/p><\/sec>\n<sec>\n<title>Conclus\u00e3o.<\/title>\n<p>Transformar em equidade o potencial das interven\u00e7\u00f5es digitais exige superar barreiras como letramento limitado, baixa conectividade e desigualdade social, por meio de interven\u00e7\u00f5es com desenho participativo e pol\u00edticas p\u00fablicas orientadas por princ\u00edpios de justi\u00e7a social.<\/p>\n<\/sec>","DOI":"10.26633\/rpsp.2025.96","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T11:40:01Z","timestamp":1757590801000},"page":"1","source":"Crossref","is-referenced-by-count":1,"title":["Sa\u00fade digital e seus impactos no acesso \u00e0 aten\u00e7\u00e3o prim\u00e1ria por grupos minorit\u00e1rios: revis\u00e3o sistem\u00e1tica"],"prefix":"10.26633","volume":"49","author":[{"given":"Gabriela de Oliveira Laguna","family":"Silva","sequence":"first","affiliation":[{"name":"Hospital Moinhos de Vento, Departamento de Responsabilidade Social, Porto Alegre (RS), Brasil."},{"name":"gabrielasi.laguna@gmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel Ricardo","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Faculdade de Sa\u00fade P\u00fablica, S\u00e3o Paulo (SP), Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline Castro da","family":"Rocha","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Departamento de Responsabilidade Social, Porto Alegre (RS), Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela Tizianel","family":"Aguilar","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Departamento de Responsabilidade Social, Porto Alegre (RS), Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isadora D\u2019Avila","family":"Lottici","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Departamento de Responsabilidade Social, Porto Alegre (RS), Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andressa Dutra","family":"Dode","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Departamento de Responsabilidade Social, Porto Alegre (RS), Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Cezar","family":"Cabral","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Departamento de Sa\u00fade Digital, Porto Alegre (RS), Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ta\u00eds de Campos","family":"Moreira","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Departamento de Responsabilidade Social, Porto Alegre (RS), Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Eul\u00e1lia","family":"Vinad\u00e9 Chagas","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Departamento de Responsabilidade Social, Porto Alegre (RS), Brasil."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Whitehead M. 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