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vol.30 número1Estrutura e processo de trabalho referente ao cuidado à criança na Atenção Primária à Saúde no Brasil: estudo ecológico com dados do Programa de Melhoria do Acesso e Qualidade da Atenção Básica 2012-2018Avaliação do Sistema de Vigilância do Programa Nacional de Imunizações - Módulo Registro do Vacinado, Brasil, 2017 índice de autoresíndice de assuntospesquisa de artigos
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Epidemiologia e Serviços de Saúde

versão impressa ISSN 1679-4974versão On-line ISSN 2237-9622

Resumo

CATAPAN, Soraia de Camargo; WILLEMANN, Maria Cristina Antunes  e  CALVO, Maria Cristina Marino. Structure and work process for implementing medical teleconsultation in the Brazilian National Health System, a cross-sectional study using 2017-2018 data. Epidemiol. Serv. Saúde [online]. 2021, vol.30, n.1, e2020305.  Epub 16-Mar-2021. ISSN 1679-4974.  http://dx.doi.org/10.1590/s1679-49742021000100015.

Objective

To compare the structure and the work process in Primary Care for implementing medical teleconsultation in municipalities in different regions and with different population sizes (<25,000; 25,000-100,000; >100,000 inhabitants).

Methods

Cross-sectional study, with descriptive and bivariate analysis, using data from 2017-2018 to assess the availability of computers with internet access, webcam, microphone, speaker, as well as to assess the work processes (use of Telehealth, service supply and demand control center, and communication flow).

Results

30,346 primary health centers and 38,865 teams were evaluated. Presence of teleconsultation equipment in the health centers ranged from 1.2% in large northern municipalities to 26.7% in small southern municipalities. Established work process ranged from 10.7% in small northern municipalities to 39.5% in large southern municipalities. Compared to the South, medium-sized municipalities in the North (OR=0.14 - 95%CI 0.11;0.17) and Northeast (OR=0.21 - 95%CI 0.18;0.25) regions were less likely to have the necessary equipment.

Conclusion

Significant regional inequalities call for investments in Digital Health.

Palavras-chave : Telemedicine; Remote Consultation; Information Technology; Policy Making; Cross-Sectional Studies.

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