Telehealth in Oral Medicine: report of an experience from public health care in a southern Brazilian state

Cardozo, Ivy; Silva, Victor Cordeiro da; Perdoncini, Nicole Nichele; Torres‐Pereira, Cassius Carvalho

doi:10.1590/1807-3107bor-2022.vol36.0031

Cited by 4 publications

(5 citation statements)

References 16 publications

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“…In this study, most of the teleconsulting sessions requested in 2020 avoided referring patients to other care levels. It reinforces the potential of dental teleconsulting in contributing to PHC effectiveness [ 1 , 4 , 14 , 15 , 16 , 27 ]. Teleconsultants clarify PHC professionals’ concerns and confirm patients’ diagnoses, qualifying them for the referral process [ 13 , 26 ], saving resources, time, and stress [ 28 ].…”

Section: Discussionsupporting

confidence: 62%

“…This rate reinforces the need for a resolutive PHC in the country [ 2 ]. In the context of significant variability in healthcare coverage [ 3 , 26 , 33 , 35 ], performance [ 36 ], and infrastructure [ 4 ], telehealth is an essential strategy to narrow the gaps within care levels and reduce health inequalities [ 24 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Telehealth and teledentistry use technological resources for communication in health areas [ 4 ] and may support PHC and referral management, allowing remote communication between patients and professionals (teleconsultation) [ 5 ]. They also enable teletriage, telediagnosis, and monitoring of the progress of treatment outcomes (telemonitoring) [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…They exchange information about clinical care, health promotion actions, and work processes by messaging or videoconferences synchronously or asynchronous text messages that must be answered within 72 h. Teleconsulting is offered by telehealth centers, mostly linked to federal universities, potentially covering all Brazilian PHC [ 10 , 13 ]. Teleconsulting sessions can streamline the resolution of demands compatible with PHC’s attributions [ 4 ]. They may contribute to the referral system flow, increase PHC effectiveness and access to services, and foster the continuing education of professionals [ 4 , 9 , 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…Teleconsulting sessions can streamline the resolution of demands compatible with PHC’s attributions [ 4 ]. They may contribute to the referral system flow, increase PHC effectiveness and access to services, and foster the continuing education of professionals [ 4 , 9 , 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Avoiding Referrals by Dental Teleconsulting Sessions in Brazil

Paixão

Abreu

Sobrinho

et al. 2023

IJERPH

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This cross-sectional analytical study assessed the frequency of avoided referrals of primary care to other care levels by dental teleconsulting and its association with individual and contextual variables using a multilevel approach. It appraised asynchronous dental teleconsulting sessions from the secondary database of the Monitoring and Evaluation System of the Telehealth Results during 2020, during the COVID-19 pandemic. The outcome was “whether referral to secondary care was avoided”. Individual variables were related to teleconsulting and professionals that requested it: sex, dental specialty, and dentistry field. Contextual variables were related to each municipality that requested responses: Municipal Human Development Index, oral health teams (OHTs) in primary health care coverage, dental specialty centers coverage, illiteracy rate, Gini index, longevity, and per capita income. A descriptive analysis was made using the Statistical Package for the Social Sciences. Hierarchical Linear and Nonlinear Modeling software was used to perform multilevel analyses to assess the association of individual and contextual variables with avoiding patient referral to other care levels. Most teleconsulting sessions avoided patient referral to other care levels (65.1%). Contextual variables explained 44.23% of the variance in the outcome. Female dentists were more likely to avoid patient referrals than male dentists (OR = 1.74; CI = 0.99–3.44; p = 0.055). In addition, an increase of one percentage point in OHT/PHC coverage of municipalities increased the likelihood of avoiding patient referral by 1% (OR = 1.01; CI = 1.00–1.02; p = 0.02). Teleconsulting sessions efficiently avoided patient referral to other care levels. Both contextual and individual factors were associated with avoided referrals by teleconsulting sessions.

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