Damasceno Renata Fiúza, Caldeira Antônio Prates
Departamento de Saúde da Mulher e da Criança, Universidade Estadual de Montes Claros. Campus Universitário Professor Darcy Ribeiro, Vila Mauriceia. 39401-089 Montes Claros MG Brasil.
Cien Saude Colet. 2019 Aug 5;24(8):3089-3098. doi: 10.1590/1413-81232018248.28752017.
This study sought to evaluate the frequency and factors associated with non-use of telehealth consultancy by physicians who work in the Family Health Strategy (FHS) in the North of the State of Minas Gerais. It is a cross-sectional study that used a previously-tested self-administered questionnaire. Poisson regression analysis with robust variance was used after bivariate analysis to identify the factors associated with non-use of telehealth consultancy. A total of 385 physicians from 73 municipalities participated in the study. The frequency of non-use of telehealth consultancy by physicians in the FHS was 55.8%. After multiple analysis, the following variables were identified: the lack of availability of computers and Internet access in the Basic Health Units (BHU) for medical professionals (p = 0.001; PR = 1.10; 95% CI: 1.04-1.17), the lack of information about telehealth consultancy (p< 0.001; PR = 1.47; 95% CI: 1.38-1.56) and lack of training in telehealth consultancy (p < 0.001; PR = 1.15; 95% CI: 1.08-1.24). The results support that the informatics infrastructure of the BHU, the dissemination of the service and the training should orient the strategies for implementation, diffusion and improvement of the quality of telehealth consultancy services in primary health care.
本研究旨在评估米纳斯吉拉斯州北部家庭健康战略（FHS）工作的医生不使用远程医疗咨询服务的频率及相关因素。这是一项横断面研究，采用了预先测试的自填式问卷。双变量分析后，使用具有稳健方差的泊松回归分析来确定与不使用远程医疗咨询服务相关的因素。来自73个市的385名医生参与了该研究。FHS中医生不使用远程医疗咨询服务的频率为55.8%。经过多重分析，确定了以下变量：基层卫生单位（BHU）缺乏供医疗专业人员使用的计算机和互联网接入（p = 0.001；PR = 1.10；95% CI：1.04 - 1.17）、缺乏关于远程医疗咨询服务的信息（p < 0.001；PR = 1.47；95% CI：1.38 - 1.56）以及缺乏远程医疗咨询服务方面的培训（p < 0.001；PR = 1.15；95% CI：1.08 - 1.24）。结果表明，BHU的信息基础设施、服务的传播和培训应为初级卫生保健中远程医疗咨询服务的实施、推广和质量提升策略提供指导。
