Teleconsultorias por telefone para apoio à tomada de decisão na APS brasileira

Telemedicin

The management of COVID-19 cases through telemedicine in Brazil.

In Dec 2020 Brazil became one of the worldwide epicenters of the COVID-19 pandemic with more than 7.2M reported cases. Brazil has a large territory with unequal distribution of healthcare resources including physicians. Resource limitation has been one of the main factors hampering Brazil's response to the COVID-19 crisis. Telemedicine has been an effective approach for COVID-19 management as it allows to reduce the risk of cross-contamination and provides support to remote rural locations. Here we present the analyses of teleconsultations from a countrywide telemedicine service (TelessáudeRS-UFRGS, TRS), that provides physician-to-physician remote support during the COVID-19 pandemic in Brazil. We performed a descriptive analysis of the teleconsultation incoming calls and a text analysis from the call transcripts. Our findings indicate that TRS teleconsultations in Brazil experienced an exponential increment of 802.% during a period of 6 days, after the first death due to COVID-19 was reported. However, the number of teleconsultations cases decreased over time, despite the number of reported COVID-19 cases continuously increasing. The results also showed that physicians in low-income municipalities, based on GDP per capita, are less likely to consult the telemedicine service despite facing higher rates of COVID-19 cases. The text analysis of call transcripts from medical teleconsultations showed that the main concern of physicians were "asymptomatic" patients. We suggest an immediate reinforcement of telehealth services in the regions of lower income as a strategy to support COVID-19 management

The management of COVID-19 cases through telemedicine in Brazil

In Dec 2020 Brazil became one of the worldwide epicenters of the COVID-19 pandemic with more than 7.2M reported cases. Brazil has a large territory with unequal distribution of healthcare resources including physicians. Resource limitation has been one of the main factors hampering Brazil’s response to the COVID-19 crisis. Telemedicine has been an effective approach for COVID-19 management as it allows to reduce the risk of cross-contamination and provides support to remote rural locations. Here we present the analyses of teleconsultations from a countrywide telemedicine service (Telessa´udeRS-UFRGS, TRS), that provides physician-to-physician remote support during the COVID-19 pandemic in Brazil. We performed a descriptive analysis of the teleconsultation incoming calls and a text analysis from the call transcripts. Our findings indicate that TRS teleconsultations in Brazil experienced an exponential increment of 802.% during a period of 6 days, after the first death due to COVID-19 was reported. However, the number of teleconsultations cases decreased over time, despite the number of reported COVID-19 cases continuously increasing. The results also showed that physicians in low-income municipalities, based on GDP per capita, are less likely to consult the telemedicine service despite facing higher rates of COVID-19 cases. The text analysis of call transcripts from medical teleconsultations showed that the main concern of physicians were “asymptomatic” patients. We suggest an immediate reinforcement of telehealth services in the regions of lower income as a strategy to support COVID-19 management.Telemedicin

Tuberous sclerosis

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Telecondutas : pólipos colorretais

Telemedicin

The role of telehealth in the covid-19 pandemic : a brazilian experience

O SARS-CoV-2, vírus causador da Covid-19, é o terceiro coronavírus a causar doença grave em humanos e que apresentou disseminação global nas duas últimas décadas. Nesse contexto, diversos departamentos nacionais de saúde pú- blica, entre eles o Ministério da Saúde do Brasil, trouxeram destaque àquilo que era, até então, considerado um serviço de apoio ao sistema de saúde: a telessaúde e a telemedicina. Pretendemos apresentar as ações realizadas por um serviço nacional de telessaúde no Brasil, tanto no suporte aos profissionais de saúde da Atenção Primá- ria à Saúde quanto a pacientes, além de discutir o potencial de reorganizar um sistema de saúde. Estudo de prevalência que sumariza as ações de telemedicina adotadas pelo TelessaúdeRS-UFRGS no período da 9ª à 27ª semana epidemiológica de 2020 para apoio aos serviços de saúde do Sistema Único de Saúde (SUS). Houve aumento de 76,8% da demanda de teleconsultorias telefônicas no período avaliado em comparação com o mesmo período em 2019, sendo 28,8% dessa demanda total decorrente de dúvidas relacionada à Covid-19. A pandemia por Covid-19 demandou rápida resposta com a organização de materiais sobre a doença, uma nova equipe para execução das atividades de telemonitoramento e teleconsultas, além da elaboração de um manual para teleconsultas na Atenção Primária à Saúde.SARS-CoV-2, the virus that causes Covid-19, is the third coronavirus to cause severe disease in humans and to spread globally in the past two decades. In this context, several national public health departments, including the Brazilian Ministry of Health, highlighted what was, until then, considered a support service to the health system: telehealth and telemedicine. We intend to present the actions carried out by a national telehealth service in Brazil, both as a Primary Health Care (PHC) support service to professionals and to patients, as well as discussing the potential to reorganize a health system. This is a prevalence study that summarizes the measures adopted by Brazilian Telehealth Center from the 9th to the 27th epidemiological weeks of 2020 to support the health services of the Brazilian Unified Health System (SUS). There was an increase of 76.8% in the demand for telephone teleconsultations during the evaluated period compared to the same period in 2019, with 28.8% of the entire demand arising from doubts related to Covid-19. The Covid-19 pandemic demanded a quick response, with the organization of materials about the disease, a new team to carry out telemonitoring and teleconsultation activities, in addition to the creation of a manual for teleconsultations in Primary Health Care.Telemedicin

Facing a new enemy with old weapons : use of masks, hand and surface hygiene, isolation, social distance, quarantine and blocking to control covid-19

Após sua descrição inicial em dezembro de 2019, a infecção causada pelo SARS-CoV-2, Covid-19, espalhou-se rapidamente pelo mundo, sendo classificada em março de 2020 como pandemia. Experiências de epidemias anteriores mostram que, de acordo com as características do agente etiológico, medidas não farmacológicas, como lavagem das mãos, higienização de superfícies, uso de máscaras, isolamento de casos confirmados, quarentena, distanciamento social e lockdown, são eficazes e fundamentais para evitar a propagação de doenças infecciosas. Informações sobre a forma de transmissão do vírus e sua dinâmica no organismo do hospedeiro permitem propor a adesão dessas estratégias. Ao avaliar evidências do uso dessas medidas no controle de doenças com dinâmica semelhante à causada pelo novo coronavírus, encontra-se embasamento para sua aplicação prática. Além disso, a experiência de outros países no enfrentamento a essa doença ao longo do ano 2020 corroboram ainda mais para a adoção dessas condutas. À luz da história mundial, das evidências científicas e das experiências de outros países, faz-se necessária a aplicação dessas estratégias no combate contra a Covid-19, enquanto as medidas complementares, como as vacinas, ainda não estão disponíveis de forma ampla para toda a população.After its initial description in December 2019, the infection caused by SARS-CoV-2, Covid-19, spread rapidly around the world, being classified in March 2020 as a pandemic. Experiences from previous epidemics show that, according to the characteristics of the etiologic agent, non-pharmacological measures such as hand washing, surface cleaning, use of masks, isolation of confirmed cases, quarantine, social distance and lockdown, are effective and essential to avoid the spread of infectious diseases. Information on the form of transmission of the virus and its dynamics in the host organism, allow us to propose the adherence of these strategies. When evaluating evidence of the use of these measures in the control of diseases with dynamics similar to that caused by the new coronavirus, there is a basis for its practical application. In addition, the experience of other countries in tackling this disease throughout 2020, further corroborates the adoption of these conducts. In the light of world history, scientific evidence and the experiences of other countries, it is necessary to apply these strategies in the fight against Covid-19, while complementary measures, such as vaccines, are not yet widely available for all the population

Protocolos de regulação ambulatorial : infectologia adulto

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Protocolos de regulação ambulatorial : reumatologia adulto

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