Aplicação da tecnologia blockchain na gestão de dados dos prontuários eletrônicos de pacientes: revisão integrativa da literatura

Isaque Benevides Castro Carvalho; Gustavo Wanderley Lopes Azevedo; Marcia Maria Pereira Rendeiro

doi:10.12957/sustinere.2023.68584

Autores

Isaque Benevides Castro Carvalho Universidade do Estado do Rio de Janeiro https://orcid.org/0009-0009-3706-9742
Gustavo Wanderley Lopes Azevedo Universidade do Estado do Rio de Janeiro. https://orcid.org/0009-0000-6813-2315
Marcia Maria Pereira Rendeiro Universidade do Estado do Rio de Janeiro https://orcid.org/0000-0002-0926-9597

DOI:

https://doi.org/10.12957/sustinere.2023.68584

Palavras-chave:

blockchain, prontuário eletrônico, gestão em saúde, confidencialidade,

Resumo

A gestão em saúde atualmente enfrenta desafios na forma como os dados dos pacientes são armazenados em prontuários. O sistema centralizado dificulta o acesso dos pacientes a suas informações confidenciais, prejudicando o controle sobre seus próprios registros de saúde. Muitas vezes, os pacientes desconhecem completamente as anotações feitas em seus prontuários. Esta pesquisa tem como objetivo identificar estudos sobre a aplicação da tecnologia blockchain na área da saúde, buscando soluções para melhorar o armazenamento e acesso aos prontuários. A revisão integrativa foi realizada em 2022, consultando publicações nas bases de dados eletrônicos MEDLINE, Web of Science e Scopus, resultando em 18.728 estudos encontrados. Após a aplicação dos critérios de exclusão, inclusão e qualidade, foram utilizados nesta revisão 83 estudos relevantes. Embora o número de estudos sobre blockchain em aplicações de saúde esteja em constante crescimento, algumas limitações ainda precisam ser superadas. Existem aplicações da tecnologia que ainda não encontraram soluções adequadas. Apesar do potencial e interesse na tecnologia blockchain, seu impacto no armazenamento de prontuários de pacientes ainda está na fase de documentação, e as aplicações de pesquisa e atendimento clínico ainda precisam ser mais desenvolvidas. A maioria dos estudos com base em soluções blockchain ainda se encontra em estágio de conceitos iniciais e, em alguns casos, operam com bases de dados de usuários restritas. No entanto, acreditamos que o futuro da tecnologia blockchain, que elimina intermediários, tem um potencial imenso para exercer um efeito positivo significativo no armazenamento de dados de pacientes na área da saúde.

Biografia do Autor

Isaque Benevides Castro Carvalho, Universidade do Estado do Rio de Janeiro

Possui graduação em Odontologia pela Universidade do Grande Rio (2001). Especialização em Prótese Dentária pela FOB/USP (2002), Especialização em Implantodontia pela OCEx (2009), Especialização em Periodontia pela OCEx/EsSEx (2011) e Mestre em Telemedicina e Telessaúde (2022). Atualmente é Major Dentista do Exército Brasileiro e Chefe da Seção de Pessoal da Odontoclínica Central do Exército (OCEx). Tem experiência na área de Odontologia atuando nos seguintes temas: Implantodontia, Prótese-Dentária e Radiologia. Atendimento na especialidade de Prótese Dentária no Centro de Especialidades Odontológicas (CEO) da Prefeitura Municipal de Macaé.

Gustavo Wanderley Lopes Azevedo, Universidade do Estado do Rio de Janeiro.

Possui graduação em Odontologia pela Universidade Estácio de Sá (2003), especialização em Dentística pela ABO - NITERÓI (2004), especialização em Cirurgia e Traumatologia Bucomaxilofacial pela UNIFOA (2007) e especialização em estomatologia pela OCEx (2014) Professor do curso de especialização em Estomatologia - OCEx/ ABOMI (2013/2014) Capitão - Dentista de carreira do Exército Brasileiro (Especialidade de Cirurgia e Traumatologia Bucomaxilofacial) exercendo atualmente a função de chefe da clínica de implantodontia da Odontoclínica Central do Exército. Discente do curso de Mestrado Profissional em Telessáude UERJ (2020).

Marcia Maria Pereira Rendeiro, Universidade do Estado do Rio de Janeiro

Possui graduação em ODONTOLOGIA pela Universidade do Grande Rio (1986), Mestrado em Odontologia (Odontologia Social) pela Universidade Federal Fluminense (1999) e Doutorado em Saúde Pública pela Escola Nacional de Saúde Pública (2011). Tem experiência na área de Gestão em Saúde Pública e Gestão de Projetos, atuando principalmente nos seguintes temas: Avaliação de Programas e Serviços de Saúde, Análise de Políticas Públicas de Saúde, Telemedicina, Teleodontologia e Telessaúde. Professora Associada da UERJ. Atualmente é Coordenadora Executiva da Universidade Aberta do SUS/MS/UERJ; Consultora do Programa Telessaúde Brasil/MS, Núcleo UERJ, Coordenadora Adjunta Mestrado Profissional em Telemedicina e Telessaúde/UERJ. ISFTeH WG Teledentistry Coordinator. Foi Coordenadora do Portal Radar ODS/CEE/FIOCRUZ. Foi Superintendente de Ensino Superior, Pesquisa e Inovação da Secretaria de Ciência, Tecnologia e Inovação / Estado RJ.

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