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Teleconsultations in neurology in a universal health system amid COVID-19: a descriptive study.
Aquino, Emanuelle Roberta da Silva; Rodrigues, Daniela Laranja Gomes; Batista, Carlos Eduardo Alves; Basso, Josue; Gadenz, Sabrina Dalbosco; Kim, Kevin Yun; Pachito, Daniela Vianna; Sperling, Stephan; Suffert, Soraya Camargo Ito; Mantese, Carlos Eduardo.
  • Aquino ERDS; Hospital Sírio-Libanês - São Paulo (SP), Brasil.
  • Rodrigues DLG; Hospital Alemão Oswaldo Cruz - São Paulo (SP), Brasil.
  • Batista CEA; Hospital Moinhos de Vento - Porto Alegre (RS), Brasil.
  • Basso J; Hospital Sírio-Libanês - São Paulo (SP), Brasil.
  • Gadenz SD; Hospital Sírio-Libanês - São Paulo (SP), Brasil.
  • Kim KY; Hcor-Hospital do Coração - São Paulo (SP), Brasil.
  • Pachito DV; Hospital Sírio-Libanês - São Paulo (SP), Brasil.
  • Sperling S; Hospital Sírio-Libanês - São Paulo (SP), Brasil.
  • Suffert SCI; Hospital Sírio-Libanês - São Paulo (SP), Brasil.
  • Mantese CE; Hospital Sírio-Libanês - São Paulo (SP), Brasil.
Rev Assoc Med Bras (1992) ; 68(10): 1376-1382, 2022.
Article in English | MEDLINE | ID: covidwho-2140984
ABSTRACT

OBJECTIVE:

This study aimed to characterize teleconsultations in neurology executed by Regula+Brasil project in Recife, a capital city in northeastern Brazil.

METHODS:

A descriptive study carried out by four private hospitals, in a partnership with the Ministry of Health in Brazil. Teleconsultation was performed preferably in the video modality. Conditions eligible for teleconsultation were headache, epilepsy, and cerebrovascular disorders. Period of analysis was May to September 2020.

RESULTS:

A total of 243 teleconsultations were analyzed, of which 76.95% was a first appointment. In 48.97% of cases, the teleconsultation represented the first opportunity for the patient to be consulted with the specialist. Among cases of first appointment, 20.16% were further referred to a face-to-face consultation and 21.81% could be redirected to primary health care. Headache disorders were the most predominant clinical conditions.

CONCLUSIONS:

The implementation and development of telemedicine by Regula+Brasil during the COVID-19 pandemic represented an opportunity to assess the value of having teleconsultations added along the line of care from primary care to a medical specialty, promoting the coordination of care across different levels of complexity of care in the health system and improving access to specialized care.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Remote Consultation / COVID-19 / Neurology Type of study: Prognostic study Limits: Humans Language: English Journal: Rev Assoc Med Bras (1992) Year: 2022 Document Type: Article Affiliation country: 1806-9282.20220697

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Remote Consultation / COVID-19 / Neurology Type of study: Prognostic study Limits: Humans Language: English Journal: Rev Assoc Med Bras (1992) Year: 2022 Document Type: Article Affiliation country: 1806-9282.20220697