Núcleo Técnico-Científico de Telessaúde, Universidade Federal do Rio Grande do Sul. R. Mostardeiro 366/901, Moinhos de Vento. 90430-000 Porto Alegre RS Brasil.
Universidade Federal do Rio Grande do Sul. Porto Alegre RS Brasil.
Cien Saude Colet. 2020 Mar;25(4):1389-1400. doi: 10.1590/1413-81232020254.28942019. Epub 2019 Oct 25.
In Primary Health Care (PHC), access, and integrality are strongly influenced by the coordination of care, which in turn receives a positive impact from the articulation of telehealth actions for teleregulation of care. We created a teleregulation method (RegulaSUS Project) based on specific protocols firmly grounded in scientific evidence. From data of the regulatory system and TelessaúdeRS, we explored the effects of RegulaSUS on PHC and access to specialized care. This method set comprehensive protocols, with a significant mean reduction of 30% in the specialized visits queue over 360 days. It reduced waiting time for medical clinical visits (median of 66 days) but not for surgical appointments. Waiting times for queued cases varied inversely, increasing for clinical and declining for surgical specialties. The use of teleconsultations unrelated to regulation increased with the exposure of professionals to RegulaSUS. The intervention evidence potentiality in the integration of health systems, mainly among low- and middle-income countries, and makes telehealth act as a meta-service, building efficient, qualified, and equitable networks.
在初级卫生保健 (PHC) 中，可及性和完整性受到医疗协调的强烈影响，而医疗协调又受到远程医疗行动的协调的积极影响，以远程调控医疗服务。我们根据基于科学证据的特定协议创建了一种远程调控方法（RegulaSUS 项目）。从监管系统和 TelessaúdeRS 的数据中，我们探讨了 RegulaSUS 对 PHC 和获得专科护理的影响。该方法制定了全面的协议，在 360 天内，专科就诊队列的平均减少了 30%。它减少了医疗临床就诊的等待时间（中位数为 66 天），但手术预约的等待时间没有减少。队列中的等待时间呈反比变化，临床专业的等待时间增加，手术专业的等待时间减少。随着专业人员对 RegulaSUS 的接触，与调控无关的远程咨询的使用增加。该干预措施在卫生系统整合方面具有潜力，特别是在中低收入国家，使远程医疗充当元服务，建立高效、合格和公平的网络。
