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2022 - 2023年在巴西北里奥格兰德州使用远程医疗在基层医疗中提供专科医疗服务:一项描述性研究

Specialized medical care in primary care using telemedicine in Northeast Brazil: a descriptive study, Rio Grande do Norte, Brazil, 2022-2023.

作者信息

Chagas Maria Eulália Vinadé, Fernandes Gabriel Ricardo, Fernandes Deysi Heck, Dode Andressa Dutra, Aguilar Gabriela Tizianel, Linhares Tiago Sigal, Costa Marcilene Batista, Caires Haylla Travassos, Cabral Felipe Cezar, Constant Hilda Maria Rodrigues Moleda, Moreira Taís de Campos

机构信息

Hospital Moinhos de Vento, Responsabilidade Social, Porto Alegre, RS, Brasil.

Universidade do Vale do Rio dos Sinos, Escola de Saúde, São Leopoldo, RS, Brasil.

出版信息

Epidemiol Serv Saude. 2025 Mar 14;34:e20240256. doi: 10.1590/S2237-96222025v34e20240256.en. eCollection 2025.

DOI:10.1590/S2237-96222025v34e20240256.en
PMID:40105677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11913440/
Abstract

OBJECTIVE

To describe an interconsultation project with specialists and family health teams participating in a telemedicine project in the state of Rio Grande do Norte, Brazil.

METHODS

Descriptive study with evaluation of TeleNordeste Project interconsultations. Data collection began in November 2022, with consultations with a cardiologist, neurologist, psychiatrist and endocrinologist made available to primary health centers. Patients over 18 years of age were included in the study. Quantitative data were described as medians and percentiles, qualitative data were measured in absolute frequency and percentage.

RESULTS

572 patients were included and carried out 847 consultations; 71% were women, the median age were 50 years, 96.7% of patients had chronic non-communicable diseases. The median of the waiting time for consultation was 7 days. In total, 565 patients had their complaints completely resolved and did not need to be referred to a specialized service.

CONCLUSION

The TeleNordeste Project brought to Rio Grande do Norte a type of medical care facilitated by digital health, with the possibility of agile contact and easy access in primary health care to cardiologists, neurologists, psychiatrists and endocrinologists, enabling improved care and increased effectiveness in real time.

摘要

目的

描述一个由专家和家庭健康团队参与的会诊项目,该项目位于巴西北里奥格兰德州的一个远程医疗项目中。

方法

采用描述性研究对东北远程医疗项目会诊进行评估。数据收集于2022年11月开始,向初级卫生保健中心提供了与心脏病专家、神经科医生、精神科医生和内分泌科医生的会诊服务。18岁以上的患者被纳入研究。定量数据以中位数和百分位数描述,定性数据以绝对频数和百分比衡量。

结果

纳入572例患者,进行了847次会诊;71%为女性,年龄中位数为50岁,96.7%的患者患有慢性非传染性疾病。会诊等待时间中位数为7天。共有565例患者的诉求得到完全解决,无需转诊至专科服务。

结论

东北远程医疗项目为北里奥格兰德州带来了一种由数字健康推动的医疗服务类型,在初级卫生保健中能够与心脏病专家、神经科医生、精神科医生和内分泌科医生进行灵活联系并方便就诊,从而能够实时改善医疗服务并提高效率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33a/11913440/f244e1cd33cc/2237-9622-ress-34-e20240256-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33a/11913440/faddba41b71f/2237-9622-ress-34-e20240256-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33a/11913440/f244e1cd33cc/2237-9622-ress-34-e20240256-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33a/11913440/faddba41b71f/2237-9622-ress-34-e20240256-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33a/11913440/f244e1cd33cc/2237-9622-ress-34-e20240256-gf2.jpg

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