Atena: A Public Primary Healthcare Environment Supported by an Implementation Science Approach

Abstract

Public primary healthcare environments are facing grand challenges related to digital transformations. This is reported from many studies, in several countries, and observed from diverse areas. The present war against the Covid-19 pandemic has shown the required utilization of combined information and communications technology approaches. In this paper we present the Atena research work, which is a proposal development that focus on a public primary healthcare system digital transformation. The approach of implementation science is observed through our scientific studies of methods to gather the digital data, and recommendation strategies to facilitate healthcare personal, and using the evidence-based practice from the Atena. Study scenarios provide interesting view of several elements which can help to enhance a wider discussion about technologies and their scientific implementation. We considered wearable devices used by different groups of voluntaries. Vital digital signals from these voluntaries were gathered to afterwards be evaluated by professionals inside the healthcare premises. To provide a better understanding of these people´s behaviors, a recommendation system (RS) is being conceived as a support tool, utilizing their digital vital signals. Another element from the proposal is a simulator-based architecture. This component highlights people´s movement and predictable scenarios of contamination. A common daily monitoring scenario can be enhanced from these simulations’ experiences. After our initial results, it is possible to affirm that the Antena proposal provides a valuable approach to face several efforts in digital transformation in public primary healthcare structures. This transformation can be verified in the present pandemic scenario. Experiences from this research indicates that the adoption of some computational technologies requires major changes on the present behavior from governments and citizens.