Telemedicine: challenges to dissemination in Brazil

Maldonado, José; Marques, Alexandre Barbosa; Cruz, Antonio

doi:10.1590/0102-311x00155615

Cited by 90 publications

(86 citation statements)

References 6 publications

(6 reference statements)

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“…11 An increasing demand was seen for asynchronous teleconsulting in recent years, also reported in another study 16 . This may have been influenced by the establishment of monthly financial incentives for Telehealth centers 17 that remunerate municipalities and states for the use of the program 18 with a minimum number of teleconsulting sessions per month for the transfer of financial resources. 19 The use of secondary databases resulted in loss of data during extraction, and this was a limitation of the study.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the asynchronous dental teleconsulting of Telehealth Brazil Networks in Minas Gerais

et al. 2018

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This cross-sectional study aimed to evaluate the asynchronous dental teleconsulting of Telehealth Brazil Networks Program in Minas Gerais. Data were collected from secondary databases of the Clinical Hospital of the Universidade Federal de Minas Gerais (CH/UFMG) and Medical School of UFMG (MS/UFMG), from July 2015 to July 2017. The variables analyzed were telehealth center, sex and profession, date and time questions and answers, response time in days, whether the issue was duly addressed, whether the teleconsulting was attended, post status, professional's satisfaction, conduct adopted after teleconsulting, dental specialty area, and type of issues. Sociodemographic data from the Intermediate Geographical Regions (IGR) of Minas Gerais, including the Municipal Human Development Index (MHDI) and Gini Index were also collected. The results were analyzed using SPSS v.22.0. In total, 3,920 teleconsulting were recorded, with increasing demand in the study period. Most were requested by dentists (93.3%) and female professionals (78.6%), during office hours (78.6%), and related to general conducts (72.1%). Almost all were attended (99.7%), with a maximum response time of two days (75.0%). A low feedback on satisfaction and resolution of issues (missing data of 57.2% and 70.2%, respectively) was recorded. Only 5.2% had information on whether patients were referred. The most common inquires were of issues about Pathology/ Stomatology specialties (19.0%) and Pharmacology/Anesthesiology (18.8%). The response occurred within the expected time, with prevalent issues in basic dental areas and general conducts. Feedback from professionals must be encouraged to allow a better analysis and improvements of the program.

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Section: Discussionmentioning

confidence: 99%

Analysis of the asynchronous dental teleconsulting of Telehealth Brazil Networks in Minas Gerais

et al. 2018

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“…The COVID-19 pandemic has set in motion profound societal changes at an unprecedented pace, including in health care scenario. In Brazil, regulations on teleconferencing between physicians and patients had long been debated 19 but were quickly adopted during the pandemic 20 . Telemedicine can help the expansion of health care access to hard-hit, underserved areas such as the North and Northeastern regions of Brazil, in addition to minimizing infection exposure 19 .…”

Section: Figurementioning

confidence: 99%

Health care seeking due to COVID-19 related symptoms and health care cancellations among older Brazilian adults: the ELSI-COVID-19 initiative

Macinko¹,

Woolley²,

Seixas³

et al. 2020

Cad. Saúde Pública

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The continent of the Americas has the greatest number of people infected and deaths associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the world. Brazil occupies the 2nd position in numbers of infected cases and deaths, preceded only by the United States. Older adults and those with pre-existing chronic illnesses are more vulnerable to the consequences of the virus. The SARS-CoV-2 epidemic has serious consequences for health services. Therefore, an assessment of the pandemic’s effect on the older Brazilian population is urgently needed. The study examines the prevalence of COVID-19 related symptoms, care-seeking, and cancellation of surgery or other scheduled medical care among a nationally representative sample of Brazilians aged 50 and over derived from the Brazilian Longitudinal Study of Aging (ELSI-Brazil) and a telephone follow-up survey (the ELSI-COVID-19 initiative) between late May and early June 2020. About 10.4% of older adults reported any fever, dry cough or difficulty breathing in the 30 days prior to the interview, with the highest prevalence in the North region (50%). Among individuals with symptoms, only 33.6% sought care. Individuals living in the South or Southeast regions were significantly less likely to seek care for COVID-19 related symptoms. Nearly one in six participants had to cancel scheduled surgery or other medical care; this proportion was higher among women, those with more education, and people with multiple chronic conditions. This paper is among the first to investigate the effect of COVID-19 on health care use in Brazil among older adults. Results highlight the need to adapt health care delivery (such as through telemedicine) to ensure the continuity of care as well as the urgent need for wide dissemination of information to guide the population on disease prevention measures and how to obtain healthcare when needed.

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“…2) Technological innovation in health deals with solutions that aim to improve the efficiency of health services and to create optimal processes which involve the use of technologies to facilitate the work of the health provider [31]. The focus included e-Health, telemedicine [32] and telehealth [33]. The design and use of technological applications are one of the main modalities of this type of innovation.…”

Section: Identified Approaches In the Studymentioning

confidence: 99%

Documentary research on social innovation in health in Latin America

Castro-Arroyave

Duque-Paz

2020

Infect Dis Poverty

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Background: Identifying social innovation in health initiatives, promoting quality of life through them, and transforming current health conditions demand the knowledge, comprehension and appropriation of the theoretical and methodological developments of this concept. Academic developments in social innovation have mainly occurred in and been documented for English-speaking countries, although relevant experiences have been implemented in Latin America. In this article, we describe and analyze how social innovation in health is being approached and understood in this region. Main text: To identify the theoretical and methodological developments of social innovation in health between 2013 and 2018, a scoping review with a mixed approach was carried out. Eighty texts in English, Spanish and Portuguese were selected for a process of reflexive analysis of intra and intertextual reading. The approaches identified in the studied initiatives were complementary. The most applied approaches were innovation in health, technological innovation in health and social innovation, each with twelve publications, and social innovation in health and ecohealth with ten and seven publications respectively. The approaches showed a general interest in reaching the goals of the Sustainable Development Goals (SDGs), the Alma Ata Declaration and the Ottawa Letter. Conclusions: The social innovation in health approach in Latin America adopts educational strategies, identifies risk factors, optimizes resources, promotes interculturality, participation, community empowerment, and enhances intersectorality and interdisciplinarity. As an approach, process, program or solution, social innovation in health is a conceptual category under construction. This research provides a baseline for other systematic reviews on the subject.

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Telemedicine: challenges to dissemination in Brazil

Abstract: Abstract

Cited by 90 publications

References 6 publications

Analysis of the asynchronous dental teleconsulting of Telehealth Brazil Networks in Minas Gerais

Analysis of the asynchronous dental teleconsulting of Telehealth Brazil Networks in Minas Gerais

Health care seeking due to COVID-19 related symptoms and health care cancellations among older Brazilian adults: the ELSI-COVID-19 initiative

Documentary research on social innovation in health in Latin America

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