Description of e-Health Initiatives to Reduce Chronic Non-Communicable Disease Burden on Brazilian Health System

Abstract

Chronic non-communicable diseases (NCD) account for 72% of the causes of death in Brazil. In 2013, 54 million Brazilians reported having at least one NCD. The implementation of e-Health in the Unified Health System (SUS) could fill gaps in access to health in primary health care (PHC). Objective: to demonstrate telehealth strategies carried out within the scope of the Institutional Development Support Program of the Unified Health System (PROADI-SUS) and developed by Hospital Alemão Oswaldo Cruz, between 2018 and 2021, on evaluation, supply, and problem-solving capacity for patients with NCDs. Methodology: a prospective and descriptive study of three projects in the telehealth areas, using document analysis. The Brasil Redes project used availability, implementation, and cost-effectiveness analysis, TELEconsulta Diabetes is a randomized clinical trial, and Regula Mais Brasil is focused on the waiting list for regulation of specialties. All those strategies were developed within the scope of the SUS. Results: 161 patients were attended by endocrinology teleconsultation in one project and another two research projects, one evaluating Brazil’s Telehealth Network Program, and another evaluating effectiveness and safety of teleconsultation in patients with diabetes mellitus referred from primary care to specialized care in SUS. Despite the discrepancy in the provision of telehealth services in the country, there was an increase in access to specialized care on the three projects and especially on the Regula Mais Brasil Collaborative project; we observed a reduction on waiting time and favored distance education processes. Conclusion: the three projects offered subsidies for decision-making by the Ministry of Health in e-Health and two developed technologies that could be incorporated into SUS.

Electronic health records in Brazil: Prospects and technological challenges

“…From that standpoint, mobilizing technological resources to overcome such barriers is essential to achieving a plausible scenario in which patients' health information is securely stored and shared (37,38). The implementation of digital health strategies can strengthen the health system and provide desired benefits in terms of care, management, and organization at the existing levels (39)(40)(41). In that respect, Brazil has made significant advances during the COVID-19 pandemic after implementing the National Health Data Network (RNDS, its Portuguese acronym), thereby creating a more favorable environment for interoperability (42).…”

Scoping Review: Intervensi Penyakit Tidak Menular Menggunakan Media Digital Promosi Kesehatan dalam Proses Pencegahan Primer

“…Berdasarkan tabel 2 format kategori media digital, media digital promosi kesehatan yang menggunakan aplikasi mHealth atau eHealth ada lima artikel penelitian yang didalamnya termasuk kategori media digital teks, audio, video dan gambar (Rodrigues et al, 2021), (Ernest NJUKANG et al, 2022), (Sy et al, 2020), (Sumarsono et al, 2023), (Orte et al, 2023), media digital promosi kesehatan yang menggunakan situs web ada satu artikel penelitian yang didalamnya termasuk kategori media digital teks (James W, Elston D, 20 C.E. ), media digital promosi kesehatan yang menggunakan aplikasi pada mobile phone terdapat empat artikel penelitian yang didalamnya termasuk kategori media digital teks, audio, video dan gambar (Sillice et al, 2019), (Dorje et al, 2019), (Castro et al, n.d.), (Jiang et al, 2020), hanya satu media digital promosi kesehatan yang menggunakan media sosial yaitu Facebook (Siegmund et al, 2023), media digital promosi kesehatan yang menggunakan foto klip video serta animasi ada dua artikel penelitian (Lairson et al, 2020), (Almomani et al, 2021).…”

“…), (Castro et al, n.d.), (Almomani et al, 2021) atau lebih ke intervensi pencegahan faktor resiko, gejala, diagnosis, aktivitas fisik, pemantauan dan evaluasi pada kejadian PTM dan aspek gaya hidup. Sedangkan jenis PTM yang lebih spesifik seperti kanker usus hanya satu artikel penelitian (Lairson et al, 2020), penyakit jantung ada tiga artikel penelitian (Dorje et al, 2019), (Siegmund et al, 2023), (Orte et al, 2023), Diabetes Militus ada empat artikel penelitian (Rodrigues et al, 2021), Sy et al, 2020), (Sumarsono et al, 2023, (Orte et al, 2023), Hipertensi ada dua artikel penelitian (Ernest NJUKANG et al, 2022) (Orte et al, 2023), Penyakit Paru Obstruktif Kronis hanya satu artikel penelitian (Jiang et al, 2020) . Sehingga dapat disimpulkan bahwa intervensi PTM secara umum lebih banyak diteliti karena PTM secara umum memiliki faktor resiko yang sama, yakni merokok, makan tidak sehat dan kurangnya aktivitas fisik.…”

Penetration of Telemedicine and Telehealth in Latin American Hospitals

“…At the government level, the Brazil Telehealth Networks Program, a national initiative aimed at improving quality of care in the Single Health System (SUS), 9 is being developed for the entire health system, with remote assistance and remote education. The program began running in 2007 to improve the quality of primary care in the SUS, with positive results at the first level of care: savings in costs and travel times, contact with health professionals in places geographically difficult to access, and speed of service and optimization of resources within the system as a whole, thereby benefiting some 10 million SUS users.…”