Keywords
Digital Health
Professional Practices
Innovation in Health
Interprofessional Collaboration
How to Cite
Abstract
Health promotion seeks to overcome the biological and curative approach, but faces limitations in the face of current demands. The advancement of digital health, the appreciation of collaborative practices, and the need for greater community engagement require new approaches. This article proposes the "Health Promotion 4.0" model, which integrates technological and social innovations to enhance professional performance and the autonomy of individuals. This is a theoretical-reflective essay, based on a historical analysis of the concept of health and a review of recent literature on digital health, interprofessional education, and community engagement. The model is structured on three pillars: Digital Fluency, with the strategic use of technologies such as telehealth and artificial intelligence; Interprofessional Co-creation, which strengthens collaboration between teams and users; and Enhanced Social Engagement, which mobilizes communities through digital platforms. It concludes that the adoption of this paradigm is essential to promote equity, quality of life, and more integrated and sustainable health care.
References
Buss PM, Pellegrini Filho A. A saúde e seus determinantes sociais. Rev Saude Publica. 2007 Aug;41(4):73-80. DOI: https://doi.org/10.1590/S0034-89102007000400012
World Health Organization. Ottawa Charter for Health Promotion. Geneva: WHO; 1986. Disponível em: https://www.who.int/healthpromotion/conferences/previous/ottawa/en/
Brasil. Constituição (1988). Constituição da República Federativa do Brasil. Brasília, DF: Senado Federal; 1988. Disponível em: https://www.planalto.gov.br/ccivil_03/constituicao/constituicao.htm
Bezerra LCA, Sorpreso ICE. Conceitos e movimentos em promoção da saúde: reflexões para o fortalecimento da Estratégia Saúde da Família. Interface (Botucatu). 2016;20(56):605-16. DOI: https://doi.org/10.1590/1807-57622015.0419
Organização Pan-Americana da Saúde. Aceleração da transformação digital na saúde durante a pandemia de COVID-19. Washington, D.C.: OPAS; 2021. Disponível em: https://iris.paho.org/handle/10665.2/55343
Schwab K. A Quarta Revolução Industrial. São Paulo: Edipro; 2016.
Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2011.
Greenhalgh T, Wherton J, Papoutsi C, Lynch J, Hughes G, A'Court C, 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. J Med Internet Res. 2017 Nov 1;19(11):e367. DOI: https://doi.org/10.2196/jmir.8775
Silva AB, Ribeiro LG, Santos DL, Oliveira ES, Amaral AF. Telessaúde no Brasil: conceitos e aplicações. Rev Panam Salud Publica. 2021;45:e9. DOI: https://doi.org/10.26633/RPSP.2021.9
Campos GWS. A clínica do sujeito: por uma clínica reformulada e ampliada. Cienc Saude Colet. 2003;8(1):49-71. DOI: https://doi.org/10.1590/S1413-81232003000100008
Franco TB, Merhy EE. Trabalho em saúde: olhando e experienciando o SUS no cotidiano. São Paulo: Hucitec; 2007.
Ventola CL. Social media and health care professionals: benefits, risks, and best practices. P T. 2014 Jul;39(7):491-520. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103576/
Paim J, Travassos C, Almeida C, Bahia L, Macinko J. The Brazilian health system: history, advances, and challenges. Lancet. 2011 May 21;377(9779):1778-97. DOI: https://doi.org/10.1016/S0140-6736(11)60054-8
Tritter JQ, McCallum A. The snakes and ladders of user involvement: Moving beyond Arnstein. Health Policy. 2006 Feb;76(2):156-68. DOI: https://doi.org/10.1016/j.healthpol.2005.05.008
Mooney P, Jones K, Long JC, Churruca K, Ellis LA, Clay-Williams R, et al. The inclusion and impact of digital determinants of health in digital health interventions to support equitable outcomes. Health Promot Int. 2025 Feb 1;40(1):daae016. DOI: https://doi.org/10.1093/heapro/daae016
Burger M. The Risk to Population Health Equity Posed by Automated Decision Systems: A Narrative Review. arXiv preprint arXiv:2005.10396. 2020. Disponível em: https://arxiv.org/abs/2005.10396
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