Digital Health, Universal Right, Duty of the State?

Lopes, Marcelo Antônio Cartaxo Queiroga; Oliveira, Gláucia Maria Moraes de; Maia, Luciano Mariz

doi:10.5935/abc.20190161

Cited by 7 publications

(9 citation statements)

References 4 publications

(2 reference statements)

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“…2227 of 6 February 2019 defined telemedicine as a way to provide ICT-mediated medical services, authorizing medical teleconsultations in the country and regulating surgery robotics, among other subjects [71,72]. The revocation was due to mobilization of part of the medical category and to declare resistance of some state professional councils, which claimed that there was little discussion among professionals and that financial interests overshadowed medical ethics [73]. With the FCM's decision to repeal Resolution 2227, medical consultation using telemedicine remained not permitted in Brazil.…”

Section: Plos Onementioning

confidence: 99%

Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018

Silva

Ribeiro

et al. 2020

PLoS ONE

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This study characterized the evolution of Brazilian public telemedicine policy in the Brazilian Unified Health System for 30 years from 1988 to 2019 by analyzing its legal framework. We identified 79 telemedicine-related legislations from the federal government (laws, decrees, and ordinances) and 31 regulations of federal councils of health professionals. Three historical phases were established according to the public policy cycle, and material was classified according to the purpose of the normative documents. The content analysis was based on the advocacy coalition framework model. Of the federal legislations, 8.9% were for the Formulation/Decision-Making phase, 43% for the Organization/Implementation phase, and 48.1% for the Expansion/Maturation phase of telemedicine policy in Brazil. The Federal Council of Medicine was the most active in standardizing telemedicine and was responsible for 21 (67.7%) regulations. The first legislations were passed in 2000; however, the coalitions discussed topics related to telemedicine and created their belief systems from the 1990’s. The time cycle which included formulation and decision making for Brazilian telemedicine policy, extended until 2007 with the creation of several technical working groups. The expansion and maturation of telemedicine services began in 2011 with the decentralization of telemedicine policy actions across the country. Telemedicine centers which performed telediagnosis influenced the computerization of primary health care units. We conclude that Brazilian telemedicine field has greatly grown and changed in recent years. However, despite the proliferation of legislations and regulations in the period studied, there is still no fully consolidated process for setting up a wholly defined regulatory framework for telemedicine in Brazil.

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Section: Plos Onementioning

confidence: 99%

Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018

Silva

Ribeiro

et al. 2020

PLoS ONE

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“…The transmission of health information through the Internet has been a worldwide trend, making it the main media for health communication (2) , and there is a wide variety of information available online (3)(4) . In the Brazilian context, the percentage of residences that use the Internet increased, between 2016 and 2017, from 69.3% to 74.9%, that is, three in every four Brazilian households acquire information using this source (5) , including information related to health (3,6) .…”

Section: Introductionmentioning

confidence: 99%

Evaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults

et al. 2022

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Objective: To translate and adapt the eHealth Literacy Scale for the cultural reality of Brazil and to evaluate the psychometric properties of its Brazilian Portuguese version. Methods: The instrument was translated and adapted to Brazilian Portuguese and applied to a sample of 502 individuals from 18 to 80 years old who lived in the surrounding areas of six Family Health Units of a city in the countryside of the state of São Paulo, Brazil. The data was evaluated using exploratory and confirmatory factor analysis, item response theory, and instrument reliability measures (Cronbach’s alpha and McDonald’s omega). Results: The eHealth Literacy Scale - Brazilian version (eHEALS-Br) presented an excellent internal consistency (α = 0.95 e ω = 0.95), with only one dimension and an explained variation of 81.79%. Conclusions: The Brazilian version of the instrument showed excellent psychometric properties to measure the levels of digital health literacy in adults from the country.

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“…Electrocardiograms (ECGs), X-ray, ultrasound, and other test results are transmitted for evaluation by specialists (teleconsultants), who provide quick and accurate diagnostics in primary health care (PHC). 3 The Federal Council of Medicine (CFM) in Brazil indicated the use of digital resources in health and possible introduction of telemedicine during the pandemic, through the letter dated 19th March 2021. 4 Furthermore, considering the current context of the new coronavirus pandemic (SARS-Cov-2) which causes COVID-19 and the recommendations for social isolation, the use of telemedicine has grown exponentially, 5 which includes the developement of non-invasive tools for health monitoring of patients with COVID-19.…”

Section: Introductionmentioning

confidence: 99%

“…6 Countries with a continental territorial dimension, such as Brazil, have great difficulties in providing a comprehensive and decisive service to the entire population. Therefore, telemedicine and mHealth have emerged as opportunities to improve health access for thousands of people, 3 including underprivileged areas such as slums, rural areas, and remote locations.…”

Section: Introductionmentioning

confidence: 99%

Smartphone-Based Screening for Cardiovascular Diseases: A Trend?

Mazzu-Nascimento¹,

Evangelista²,

Abubakar³

et al. 2021

International Journal of Cardiovascular Sciences

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Cardiovascular diseases are the leading cause of death in the world. People living in vulnerable and poor places such as slums, rural areas and remote locations have difficulty in accessing medical care and diagnostic tests. In addition, given the COVID-19 pandemic, we are witnessing an increase in the use of telemedicine and noninvasive tools for monitoring vital signs. These questions motivate us to write this point of view and to describe some of the main innovations used for non-invasive screening of heart diseases. Smartphones are widely used by the population and are perfect tools for screening cardiovascular diseases. They are equipped with camera, flashlight, microphone, processor, and internet connection, which allow optical, electrical, and acoustic analysis of cardiovascular phenomena. Thus, when using signal processing and artificial intelligence approaches, smartphones may have predictive power for cardiovascular diseases. Here we present different smartphone approaches to analyze signals obtained from various methods including photoplethysmography, phonocardiograph, and electrocardiography to estimate heart rate, blood pressure, oxygen saturation (SpO 2 ), heart murmurs and electrical conduction. Our objective is to present innovations in non-invasive diagnostics using the smartphone and to reflect on these trending approaches. These could help to improve health access and the screening of cardiovascular diseases for millions of people, particularly those living in needy areas.

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Digital Health, Universal Right, Duty of the State?

Cited by 7 publications

References 4 publications

Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018

Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018

Evaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults

Smartphone-Based Screening for Cardiovascular Diseases: A Trend?

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