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远程咨询对巴西远程医疗网络计划中口腔健康团队行为的影响。

Impact of teleconsultations on the conduct of oral health teams in the Telehealth Brazil Networks Programme.

机构信息

Universidade Luterana do Brasil - Ubra, DDS, Graduate Program in Dentistry , Canoas , RS , Brazil .

TelehealthRS Project , Porto Alegre , RS , Brazil .

出版信息

Braz Oral Res. 2020 Feb 27;34:e011. doi: 10.1590/1807-3107bor-2020.vol34.0011. eCollection 2020.

Abstract

Telehealth has been applied in the Unified Health System (SUS) as a tool for qualifying professionals and improving the healthcare provided to the population served by the system. The aim of the present study was to evaluate the impact of teleconsultations on the qualifications of the clinical approach of the oral health teams involved in primary health care (PHC) in the state of Rio Grande do Sul under the Telehealth Brazil Networks Programme. The sample population of the study was composed of 285 dentists and 132 oral health assistants belonging to the Family Health Teams. A chi-square test was used to investigate possible associations between the absolute number of teleconsultations performed and several independent variables, namely, gender, age, dental specialty, time since graduation, time working in the Family Health Strategy (FHS), employment status, type of training institution, familiarity with information technology, and work satisfaction at the health facility. The level of significance was p < 0.05. Use of the oral health teleconsultation service led to a reduction of more than 45% in the number of referrals to other levels of care. However, no significant association was found between the number of teleconsultations and the independent variables analysed. The use of teleconsultations proved to be a powerful tool for professional training, for increasing the effectiveness of PHC, and for improving the oral healthcare provided.

摘要

远程医疗已在统一卫生系统(SUS)中应用,作为规范专业人员和改善系统服务人群医疗保健的工具。本研究旨在评估远程咨询对参与初级卫生保健(PHC)的口腔卫生团队临床方法规范程度的影响,该团队隶属于巴西远程医疗网络计划下的南里奥格兰德州。研究的样本人群由 285 名牙医和 132 名口腔卫生助理组成,他们隶属于家庭健康团队。卡方检验用于调查进行的远程咨询绝对数量与几个独立变量之间的可能关联,这些独立变量包括性别、年龄、牙科专业、毕业时间、在家庭卫生战略(FHS)中的工作时间、就业状况、培训机构类型、对信息技术的熟悉程度以及对医疗机构的工作满意度。显著水平为 p < 0.05。使用口腔健康远程咨询服务使向其他护理级别转诊的数量减少了 45%以上。然而,在远程咨询数量与分析的独立变量之间未发现显著关联。事实证明,远程咨询的使用是专业培训、提高 PHC 效果和改善口腔保健服务的有力工具。

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