Paixão Lígia Cristelli, Costa Vanessa Andrade, Ferreira Efigênia Ferreira E, Ribeiro Sobrinho Antônio Paulino, Martins Renata de Castro
Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Postgraduate Program in Dentistry, Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Scientific initiation, Belo Horizonte, MG, Brazil.
Braz Oral Res. 2018 Dec 17;32:e128. doi: 10.1590/1807-3107bor-2018.vol32.0128.
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.
这项横断面研究旨在评估巴西米纳斯吉拉斯州远程医疗网络计划中的异步牙科远程会诊。数据收集自米纳斯吉拉斯联邦大学临床医院（CH/UFMG）和米纳斯吉拉斯联邦大学医学院（MS/UFMG）的二级数据库，时间跨度为2015年7月至2017年7月。分析的变量包括远程医疗中心、性别和职业、问答日期和时间、回复天数、问题是否得到妥善解决、远程会诊是否有人参与、岗位状态、专业人员满意度、远程会诊后采取的行为、牙科专业领域以及问题类型。还收集了米纳斯吉拉斯州中间地理区域（IGR）的社会人口数据，包括市人类发展指数（MHDI）和基尼指数。使用SPSS v.22.0对结果进行分析。总共记录了3920次远程会诊，在研究期间需求呈上升趋势。大多数会诊由牙医（93.3%）和女性专业人员（78.6%）在办公时间（78.6%）提出，且与一般行为相关（72.1%）。几乎所有会诊都有人参与（99.7%），最长回复时间为两天（75.0%）。记录显示对满意度和问题解决的反馈较低（分别有57.2%和70.2%的数据缺失）。只有5.2%的会诊有关于患者是否被转诊的信息。最常见的咨询问题是病理学/口腔医学专业（19.0%）和药理学/麻醉学（18.8%）方面的问题。回复在预期时间内完成，主要问题集中在基础牙科领域和一般行为方面。必须鼓励专业人员提供反馈，以便对该计划进行更好的分析和改进。
