O Paradoxo da Subutilização: Uma provocação sociotécnica sobre o uso sustentável de Tecnologias Digitais em Saúde (TDS)
Resumo
Este artigo provoca a comunidade de Sistemas de Informação a reinterpretar a subutilização de Tecnologias Digitais em Saúde (TDS) no período pós-pandemia sob uma lente sociotécnica. O estudo combina uma Revisão Quasi-Sistemática da Literatura (RQSL; n=184) e uma survey exploratória com profissionais da rede de saúde (n=123). Os achados foram resumidos em três Dimensões de Engajamento Digital: Qualidade e Valor da Tecnologia, Competência e Adequação Humana, e Contexto e Prontidão Organizacional. Com base na Agile Governance Theory, argumenta-se que o uso sustentável de TDS depende menos de persuasão individual e mais de coordenação organizacional, aprendizagem, suporte, integração e adaptação contínua.
Referências
Bestsennyy, O.; Gilbert, G.; Harris, A.; Rost, J. Telehealth: A quarter-trilliondollar post-COVID-19 reality? McKinsey & Company, 2021.
Damschroder, L. J. et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science, v. 4, n. 50, 2009.
Davis, F. D. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, v. 13, n. 3, p. 319-340, 1989.
Diretoria Geral de Telessaúde (DGT) de Pernambuco. [s.d.]. Disponível em: portal institucional [link]. Acesso em: 2 abr. 2026.
Cane, J.; O’Connor, D.; Michie, S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implementation Science, v. 7, art. 37, 2012.
Cherns, A. Principles of sociotechnical design revisited. Human Relations, v. 40, n. 3, p. 153–161, 1987.
Greenhalgh, T. et al. Beyond adoption: a new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies. Journal of Medical Internet Research, v. 19, n. 11, e367, 2017.
Luna, A. J. H. de O. Agile Governance Theory. 2015. Tese (Doutorado em Ciência da Computação) - Centro de Informática, Universidade Federal de Pernambuco, Recife, 2015.
Luna, A. J. H. de O.; Marinho, M. L. M.; Moura, H. P. Agile governance theory: operationalization. Innovations in Systems and Software Engineering, v. 16, n. 3, p. 344, 2020.
Luna, A. J. H. de O.; Riccio, E. L.; Moura, H. P.; Marinho, M. L. M. Agile Governance Manifesto contemporary reading: Unveiling an Appreciative Agenda. Journal of Information Systems and Technology Management, v. 20, e202320006, 2023.
Markus, M. L. Power, politics, and MIS implementation. Communications of the ACM, v. 26, n. 6, p. 430–444, 1983.
May, C.; Finch, T. Implementing, embedding, and integrating practices: an outline of normalization process theory. Sociology, v. 43, n. 3, p. 535-554, 2009.
Noblit, G. W.; Hare, R. D. Meta-ethnography: synthesizing qualitative studies. Newbury Park: Sage, 1988.
Ohashi, K. et al. Telemedicine uptake during and after pandemic-era deregulation in Japan. JAMA Network Open, v. 9, n. 1, e2553150, 2026.
Page, M. J. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, v. 372, n71, 2021.
Teasdale, C. A. et al. Telehealth use in primary care pediatrics during and after the COVID19 pandemic. JAMA Network Open, v. 8, n. 11, e2544421, 2025.
Venkatesh, V. et al. User acceptance of information technology: toward a unified view. MIS Quarterly, v. 27, n. 3, p. 425-478, 2003.
World Health Organization. WHO guideline: recommendations on digital interventions for health system strengthening. Geneva: WHO, 2019.
World Health Organization. Global strategy on digital health 2020-2025. Geneva: WHO, 2021.
Yu, H.-Y.; Singh, M. B.; Chan, J.; Samia, P.; Ali, A.; Yoo, J. Y.; Rivera, Y.; Sahu, J. K.; Shafer, P. O.; Jocic-Jakubi, B.; Zelano, J.; Coan, A. C.; Caraballo, R. H.; Fortini, P. S.; Kissani, N.; Cross, J. H. A global survey of telemedicine use in epilepsy care – practices before, during and after the COVID-19 pandemic. Seizure, v. 123, p. 82–87, 2024.
Damschroder, L. J. et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science, v. 4, n. 50, 2009.
Davis, F. D. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, v. 13, n. 3, p. 319-340, 1989.
Diretoria Geral de Telessaúde (DGT) de Pernambuco. [s.d.]. Disponível em: portal institucional [link]. Acesso em: 2 abr. 2026.
Cane, J.; O’Connor, D.; Michie, S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implementation Science, v. 7, art. 37, 2012.
Cherns, A. Principles of sociotechnical design revisited. Human Relations, v. 40, n. 3, p. 153–161, 1987.
Greenhalgh, T. et al. Beyond adoption: a new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies. Journal of Medical Internet Research, v. 19, n. 11, e367, 2017.
Luna, A. J. H. de O. Agile Governance Theory. 2015. Tese (Doutorado em Ciência da Computação) - Centro de Informática, Universidade Federal de Pernambuco, Recife, 2015.
Luna, A. J. H. de O.; Marinho, M. L. M.; Moura, H. P. Agile governance theory: operationalization. Innovations in Systems and Software Engineering, v. 16, n. 3, p. 344, 2020.
Luna, A. J. H. de O.; Riccio, E. L.; Moura, H. P.; Marinho, M. L. M. Agile Governance Manifesto contemporary reading: Unveiling an Appreciative Agenda. Journal of Information Systems and Technology Management, v. 20, e202320006, 2023.
Markus, M. L. Power, politics, and MIS implementation. Communications of the ACM, v. 26, n. 6, p. 430–444, 1983.
May, C.; Finch, T. Implementing, embedding, and integrating practices: an outline of normalization process theory. Sociology, v. 43, n. 3, p. 535-554, 2009.
Noblit, G. W.; Hare, R. D. Meta-ethnography: synthesizing qualitative studies. Newbury Park: Sage, 1988.
Ohashi, K. et al. Telemedicine uptake during and after pandemic-era deregulation in Japan. JAMA Network Open, v. 9, n. 1, e2553150, 2026.
Page, M. J. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, v. 372, n71, 2021.
Teasdale, C. A. et al. Telehealth use in primary care pediatrics during and after the COVID19 pandemic. JAMA Network Open, v. 8, n. 11, e2544421, 2025.
Venkatesh, V. et al. User acceptance of information technology: toward a unified view. MIS Quarterly, v. 27, n. 3, p. 425-478, 2003.
World Health Organization. WHO guideline: recommendations on digital interventions for health system strengthening. Geneva: WHO, 2019.
World Health Organization. Global strategy on digital health 2020-2025. Geneva: WHO, 2021.
Yu, H.-Y.; Singh, M. B.; Chan, J.; Samia, P.; Ali, A.; Yoo, J. Y.; Rivera, Y.; Sahu, J. K.; Shafer, P. O.; Jocic-Jakubi, B.; Zelano, J.; Coan, A. C.; Caraballo, R. H.; Fortini, P. S.; Kissani, N.; Cross, J. H. A global survey of telemedicine use in epilepsy care – practices before, during and after the COVID-19 pandemic. Seizure, v. 123, p. 82–87, 2024.
Publicado
25/05/2026
Como Citar
RIBEIRO, Frederico Jorge; MOURA, Hermano Perrelli de; LUNA, Alexandre José Henrique de Oliveira.
O Paradoxo da Subutilização: Uma provocação sociotécnica sobre o uso sustentável de Tecnologias Digitais em Saúde (TDS). In: TRILHA DE NOVAS IDEIAS E RESULTADOS EMERGENTES EM SI - POSICIONAMENTO DE IDEIAS - SIMPÓSIO BRASILEIRO DE SISTEMAS DE INFORMAÇÃO (SBSI), 22. , 2026, Vitória/ES.
Anais [...].
Porto Alegre: Sociedade Brasileira de Computação,
2026
.
p. 334-344.
DOI: https://doi.org/10.5753/sbsi_estendido.2026.249110.
