Palavras-chave
pesquisa em serviços de saúde
pesquisa em sistemas de saúde pública
políticas de pesquisa em saúde
Como Citar
Resumo
Introdução. A pandemia de COVID-19 evidenciou fragilidades e desigualdades nos sistemas de saúde da Ibero-América, ressaltando a necessidade de definir prioridades de pesquisa que fortaleçam a resiliência, a inovação e a equidade no período pós-sindemia.
Objetivos. Identificar, por meio de consenso de especialistas, as prioridades de pesquisa em sistemas e serviços de saúde na Ibero-América após a sindemia de COVID-19. Metodologia. Realizou-se um eDelphi (Delphi eletrônico) modificado entre setembro de 2022 e março de 2023. Foram enviadas 228 convites; 167 pessoas aceitaram participar (73,2 %). Na 1ª rodada, 99 especialistas (43,7 %) geraram 164 propostas, agrupadas em seis dimensões. Na 2ª rodada, 66 participantes (39,5 %) avaliaram a importância dos temas em escala Likert de 1 a 5. Por fim, na 3ª rodada, 66 especialistas (39,5 %) concluíram a avaliação final. Consideraram-se prioritários os temas pontuados com 4 ou 5 por pelo menos 70% dos participantes; utilizou-se a amplitude interquartílica (AIQ) para medir o nível de consenso. Resultados. Identificaram-se 59 temas prioritários organizados em seis dimensões temáticas: (1) modelos organizacionais e planejamento em crises sanitárias; (2) resposta a ameaças ambientais com enfoque One Health; (3) equidade e ética na alocação de recursos; (4) vigilância, prevenção e controle de doenças transmissíveis e zoonoses; (5) participação cidadã e de pacientes; e (6) inovação e tecnologias em emergências de saúde pública. A AIQ indicou alto consenso para a maioria dos temas. Conclusões. Este consenso ibero-americano oferece um marco estratégico para orientar a agenda de pesquisa em sistemas e serviços de saúde no período pós-sindemia. Contribui para orientar políticas, financiamento e cooperação internacional, fortalecendo a resiliência dos sistemas e promovendo a equidade regional.
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Copyright (c) 2024 Clara Bermudez Tamayo, Tomas López Peña, Ana Eduviges Sancho Jiménez, Jackeline Alger, Malvina Hortensia de León Méndez , Jaime Jiménez Pernett