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Structure and working process to implement medical teleconsultation in the Unified Health System in Brazil, a cross sectional study using data from 2017-2018 / Estructura y proceso de trabajo para la aplicación de la teleconsulta médica en el Sistema de Salud Único en Brasil, un estudio transversal con datos de 2017-2018 / Estrutura e processo de trabalho para implantação da teleconsulta médica no Sistema Único de Saúde do Brasil, um estudo transversal com dados de 2017-2018
Preprint
in Portuguese
| SciELO Preprints
| ID: pps-1514
Responsible library:
BR1.1
ABSTRACT
Objective:
To compare structure and working process at primary care to implement medical teleconsultation in municipalities of different regions and population sizes (thousand inhabitants <25; 25-100; >100).Methods:
Cross-sectional study, with descriptive and bivariate analysis, using data from 2017-2018 to assess the availability of a computer with internet access, webcam, microphone, speaker and teams working processes (telehealth use, and existence of central regulation and communication between the teams).Results:
30,346 health units and 38,865 teams were evaluated. The presence of teleconsultation equipment in the units ranged from 1.2% in large northern municipalities to 26.7% in small southern municipalities. The working process to implement teleconsultation ranged from 10.7% in small northern municipalities to 39.5% in large southern municipalities. Compared to the South, medium municipalities in the North (OR=0.14 CI95% 0.11;0.17) and Northeast (OR=0.21 CI95% 0.18;0.25) regions were less likely to have necessary equipment.Conclusion:
Investments in Digital Health are needed, with significant regional inequalities.RESUMO
Objetivo:
Comparar estrutura e processo de trabalho na Atenção Básica para implantação da teleconsulta médica em municípios de diferentes regiões e portes populacionais (mil habitantes <25; 25-100; >100).Métodos:
Estudo transversal, com análise descritiva e bivariada, sobre dados de 2017-2018, para avaliar disponibilidade de computador com internet, câmera, microfone e caixa de som, e processo de trabalho das equipes (utilizar Telessaúde, central de regulação e fluxo de comunicação).Resultados:
Analisadas 30.346 UBS e 38.865 equipes, a presença de equipamentos para teleconsulta entre UBS variou de 1,2% em municípios grandes do Norte a 26,7% em municípios pequenos do Sul. O processo de trabalho variou de 10,7% em municípios pequenos do Norte a 39,5% em municípios grandes do Sul. Comparados ao Sul, municípios médios do Norte (OR=0,14 IC95% 0,11;0,17) e do Nordeste (OR=0,21 IC95% 0,18;0,25) tiveram menores chances de dispor dos equipamentos necessários.Conclusão:
Significativas desigualdades regionais recomendam investimentos em Saúde Digital.
Full text:
Available
Collection:
Preprints
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
Sustainable Health Agenda for the Americas
Health problem:
Delivery Arrangements
/
Multisectoral Coordination
/
Goal 11: Inequalities and inequities in health
Database:
SciELO Preprints
Type of study:
Observational study
/
Prevalence study
Aspects:
Equity and inequality
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Year:
2020
Document type:
Preprint