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Cocreação e codesign em saúde materna: processos, resultados e desafios de implementação

Mohamed Rishard1,2, Kavinda Rajaratne3, Kavinda Jayasingha3

  • 1Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka mrishard@obg.cmb.ac.lk.

BMJ quality & safety
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Resumen

A cocriação e o codesign aprimoram os cuidados maternos, envolvendo as partes interessadas no desenvolvimento de serviços culturalmente relevantes. Embora promissores, as evidências sobre a eficácia requerem mais investigações com desenhos de estudo robustos.

Palabras clave:
Políticas de saúdeMelhoria da qualidade dos cuidados de saúdeCiência da implementação

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Área de la Ciencia:

  • Saúde Materna; Codesign & Cocriação; Pesquisa em Serviços de Saúde

Sus antecedentes:

  • A cocriação e o codesign são cada vez mais utilizados nos cuidados de saúde para melhorar a prestação de serviços.
  • Sua aplicação em saúde materna visa aprimorar os cuidados por meio do envolvimento das partes interessadas.
  • Compreender os processos, barreiras e facilitadores é crucial para uma implementação eficaz.

Objetivo del estudio:

  • Revisar sistematicamente a aplicação da cocriação e do codesign em saúde materna.
  • Caracterizar os processos, incluindo barreiras e facilitadores.
  • Resumir os resultados clínicos e experienciais relatados.

Principales métodos:

  • Revisão sistemática seguindo as diretrizes PRISMA.
  • Pesquisa em vários bancos de dados (PubMed, MEDLINE, Embase, Cochrane, ScienceDirect) de 2014-2025.
  • Incluiu 60 estudos qualitativos e quantitativos, com síntese narrativa devido à heterogeneidade.

Principales resultados:

  • Co-criação/co-design foram aplicados para desenvolver suporte psicossocial, ferramentas de comunicação e intervenções de saúde digital.
  • Os principais resultados relatados foram aceitabilidade, satisfação, engajamento e relevância percebida.
  • Os desafios incluíram desequilíbrios de poder e restrições de recursos; os facilitadores foram o envolvimento das partes interessadas e o design iterativo.

Conclusiones:

  • A cocriação e o codesign podem apoiar cuidados maternos culturalmente relevantes e equitativos quando bem descritos e apropriados ao contexto.
  • As evidências atuais são insuficientes para tirar conclusões firmes sobre a eficácia.
  • Pesquisas futuras precisam de relatórios transparentes, mecanismos/contextos especificados e desenhos comparativos mais fortes.