{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:09:44Z","timestamp":1789139384149,"version":"build-2803163510"},"reference-count":18,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,11]]},"abstract":"<title>RESUMEN<\/title>\n                  <sec>\n                    <title>Objetivos.<\/title>\n                    <p>Determinar el desempe\u00f1o comparativo entre el registro en papel y una aplicaci\u00f3n digital sin conexi\u00f3n a internet en brigadas de vacunaci\u00f3n en comunidades ind\u00edgenas amaz\u00f3nicas del Per\u00fa, 2025, considerando cuatro dimensiones: eficiencia operativa, calidad del dato, usabilidad y aceptaci\u00f3n. Asimismo, identificar perfiles diferenciados de usuarios.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>M\u00e9todos.<\/title>\n                    <p>Estudio comparativo mixto basado en 758 registros de tiempo (aplicaci\u00f3n = 429; papel = 329) y 30 encuestas estructuradas al personal de brigadas. Se aplicaron estad\u00edsticas descriptivas, pruebas bivariadas y modelos lineales generalizados (GLM, Poisson y Gamma) con IC95% para la medici\u00f3n de tiempos. El componente cualitativo incluy\u00f3 testimonios abiertos y an\u00e1lisis tem\u00e1tico asistido por inteligencia artificial, organizados seg\u00fan el modelo de Sittig y Singh. Finalmente, se desarroll\u00f3 un an\u00e1lisis de cl\u00faster que permiti\u00f3 identificar tipolog\u00edas de usuarios.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Resultados.<\/title>\n                    <p>El tiempo por registro fue menor con la aplicaci\u00f3n (3,21 vs. 4,61 min; \u221230,4%), con efecto consistente en los modelos (Poisson: IC95% 0,289-0,435; Gamma: 0,234-0,491). La aplicaci\u00f3n mejor\u00f3 la calidad del dato mediante validaciones (100% de percepci\u00f3n positiva) y mostr\u00f3 alta usabilidad y aceptaci\u00f3n, especialmente en usuarios m\u00e1s familiarizados con tecnolog\u00eda. El an\u00e1lisis de cl\u00faster identific\u00f3 tres perfiles (receptivo, h\u00edbrido y cauteloso), evidenciando la influencia de la edad tecnol\u00f3gica, la capacitaci\u00f3n y el contexto territorial en la adopci\u00f3n de la aplicaci\u00f3n.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Conclusiones.<\/title>\n                    <p>El uso de la aplicaci\u00f3n sin conexi\u00f3n a internet mejora la eficiencia operativa, la calidad del dato y la aceptaci\u00f3n en las brigadas de vacunaci\u00f3n. Los perfiles de adopci\u00f3n permiten orientar estrategias diferenciadas, fortalecer la capacitaci\u00f3n, optimizar el soporte t\u00e9cnico y facilitar la implementaci\u00f3n de sistemas h\u00edbridos en contextos de baja conectividad, con potencial de escalabilidad en vacunaci\u00f3n en todo el territorio nacional.<\/p>\n                  <\/sec>","DOI":"10.26633\/rpsp.2026.84","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:13:08Z","timestamp":1789135988000},"page":"1","source":"Crossref","is-referenced-by-count":0,"title":["Transformando las brigadas de vacunaci\u00f3n mediante una aplicaci\u00f3n digital sin conexi\u00f3n a internet: evidencia desde la Amazon\u00eda peruana, 2025"],"prefix":"10.26633","volume":"50","author":[{"given":"Magdalena Del Rosario","family":"Quepuy-Izarra","sequence":"first","affiliation":[{"name":"Ministerio de Salud del Per\u00fa, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana","family":"Zapata-Bedoya","sequence":"additional","affiliation":[{"name":"Organizaci\u00f3n Panamericana de la Salud, Washington D.C., Estados Unidos de Am\u00e9rica."},{"name":"solsilvana@gmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Enrique","family":"P\u00e9rez-Lu","sequence":"additional","affiliation":[{"name":"Ministerio de Salud del Per\u00fa, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Arce","sequence":"additional","affiliation":[{"name":"Organizaci\u00f3n Panamericana de la Salud, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Villanueva","sequence":"additional","affiliation":[{"name":"Organizaci\u00f3n Panamericana de la Salud, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen Elizabeth","family":"Birmingham","sequence":"additional","affiliation":[{"name":"Organizaci\u00f3n Panamericana de la Salud, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos","family":"Brev\u00e9","sequence":"additional","affiliation":[{"name":"Organizaci\u00f3n Panamericana de la Salud, Washington D.C., Estados Unidos de Am\u00e9rica."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karem Patricia","family":"Salinas-Camus","sequence":"additional","affiliation":[{"name":"Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tessa","family":"Lennemann","sequence":"additional","affiliation":[{"name":"Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piedad","family":"Huerta-Arneros","sequence":"additional","affiliation":[{"name":"Organizaci\u00f3n Panamericana de la Salud, Washington D.C., Estados Unidos de Am\u00e9rica."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"D\u2019Agostino","sequence":"additional","affiliation":[{"name":"Organizaci\u00f3n Panamericana de la Salud, Washington D.C., Estados Unidos de Am\u00e9rica."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Velandia","sequence":"additional","affiliation":[{"name":"Organizaci\u00f3n Panamericana de la Salud, Washington D.C., Estados Unidos de Am\u00e9rica."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","unstructured":"Banco Mundial. 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