Bernardes Ariane Cristina Ferreira, Coimbra Liberata Campos, Serra Humberto Oliveira
Universidade Federal do Maranhão, Departamento de Saúde Pública, Programa de Pós-Graduação em Saúde Coletiva, São Luís (MA), Brasil.
Universidade Federal do Maranhão, Departamento de Medicina II, São Luís (MA), Brasil.
Rev Panam Salud Publica. 2018 Nov 27;42:e134. doi: 10.26633/RPSP.2018.134. eCollection 2018.
To assess the usage of services provided by the State of Maranhão Telehealth Program, Brazil, as a tool to support continuing health education for primary care workers.
This quantitative, descriptive study used data from the Brazilian National Telehealth Platform for the years 2015 and 2016. To assess teleconsultations requested by municipalities and health care units in the state of Maranhão, the monthly system usage rate and the mean monthly request rate per municipality and primary health care unit were calculated. Teleconsultations were described regarding the requester's profession, most frequent topics, satisfaction with the response provided, and resolvability of responses. Tele-education activities were classified according to the number of computers and users logged into the activity.
From January 2015 to December 2016, 13 976 teleconsultations were provided, requested by 47 municipalities. Most municipalities were small (up to 40 thousand residents) and had low municipal human development index (0.512 to 0.768). The mean overall usage rate and the monthly usage rate by municipality and unit were higher than those reported in the literature. Nurses and community health agents were the most active requesters. Of the users who completed the optional evaluation, over 80% stated that their question was answered.
The usage indicators for the state of Maranhão Telehealth Program were more positive than those reported by other telehealth services in Brazil and abroad. This indicates that the Program is sustainable, with good potential to support primary care and be used as a tool for continuing health education.
评估巴西马拉尼昂州远程医疗项目所提供服务的使用情况，该项目作为一种工具，用于支持基层医疗工作者的持续健康教育。
这项定量描述性研究使用了2015年和2016年巴西国家远程医疗平台的数据。为评估马拉尼昂州各市镇和医疗保健单位所请求的远程会诊情况，计算了每月系统使用率以及每个市镇和基层医疗单位的月均请求率。对远程会诊按照请求者的职业、最常见主题、对所提供回复的满意度以及回复的可解决性进行了描述。远程教育培训活动根据登录该活动的计算机数量和用户数量进行分类。
2015年1月至2016年12月期间，共提供了13976次远程会诊，由47个市镇请求。大多数市镇规模较小（居民人数至多4万），且市镇人类发展指数较低（0.512至0.768）。总体平均使用率以及各市镇和单位的月使用率高于文献报道水平。护士和社区卫生工作者是最活跃的请求者。在完成了可选评估的用户中，超过80%表示他们的问题得到了回答。
马拉尼昂州远程医疗项目的使用指标比巴西国内外其他远程医疗服务所报告的指标更为积极。这表明该项目具有可持续性，在支持基层医疗以及用作持续健康教育工具方面具有良好潜力。
