Barreiras e facilitadores à implementação de uma ferramenta digital de detecção precoce de câncer de boca na atenção primária à saúde : um estudo qualitativo das percepções dos profissionais de saúde

Abstract

Oral cancer (OC) is a public health problem in Brazil due to its high morbidity and mortality. The impact of OC can be reduced through diagnosis at early stages, when the chances of cure are greater and the patient's prognosis is favorable. Primary Health Care (PHC) is the main gateway to the Unified Health System (SUS) and is responsible for screening and early diagnosis of the disease. Digital technologies have been incorporated as support tools for screening high-risk populations for the disease. This study aimed to analyze the perception of PHC professionals regarding barriers and facilitators to the implementation of the web-responsive platform "SobreVidas", designed for screening and monitoring populations at risk for OC. This is an intervention research with a qualitative approach in which a semi-structured script based on the COM-B and TDF theoretical models was used to interview eight PHC professionals in Espírito Santo, Brazil. The results identified as barriers work overload, duplicate records, lack of interoperability with existing electronic health records, and technological infrastructure limitations. As facilitators, the clinical specificity of the tool for screening high-risk groups for OC, agility in clinical records, and the potential for improving clinical practice were highlighted. It is concluded that the adoption of digital technologies in PHC requires strategies that address organizational, structural, and behavioral factors to favor their effective incorporation into health services