de França Caroline Villela Galvão, Segalla Paola Boaro, Reis Felipe Sebastião de Assis, Pereira José Ricardo Silveira, de Mattos Alexandre Oliveira, Ferron Roberta de Moura, de Oliveira Cleyton Zanardo, Borges Jéssica Bassani, Hoffmann Lilian Quintal, Caboclo Edmundo Di Giaimo
Department Occupational Medicine, Hospital BP (A Beneficência Portuguesa de São Paulo), Rua Maestro Cardin, 769, São Paulo, Brazil.
JMIR Hum Factors. 2025 Apr 16;12:e55430. doi: 10.2196/55430.
Telemedicine represents an essential tool with the potential to reduce health costs, thus avoiding patient displacement and improving patient care outcomes, positioning it as a significant social technology.
This study aims to analyze the implementation of a telehealth cabin at BP Hospital (A Beneficência Portuguesa de São Paulo), focusing on the evaluation of the experiences of both patients and health care professionals, as well as the acceptability of this tool.
A mixed methods study was conducted with 229 participants, divided into 2 phases. The first phase involved 40 apparently healthy individuals to assess the usability, experience, and satisfaction of this group for the later safe application in the group with clinical complaints. The second phase included 189 participants, with complaints to assess the usability, experience, and satisfaction of patients and doctors. In both phases, participants completed screening questionnaires (to assess the eligibility criteria), a socioeconomic demographic questionnaire before using the cabin, and a questionnaire including the System Usability Scale and the Net Promoter Score (NPS) after using the cabin.
The data analysis of the first phase showed high acceptance of the telehealth cabin, which supported the progression to the second phase. In the second phase, a high usability score was observed among participants with clinical complaints (mean System Usability Scale score of 85.97, SD 15.50) and a high favorability rating (NPS score of 9.4). Health care professionals also reported favorable results, with a usability score of 67.8 and an NPS of 8.0.
The results of this study reinforce the potential for scaling up this practice based on usability outcomes, and highlight its relevance for the development of public policies aimed at expanding access to quality health care in Brazil. This approach improves the interaction of patients with the health care system, while providing professionals with an extended view of clinical conditions through integrated devices, particularly in areas with limited access to medical care.
远程医疗是一种重要工具，具有降低医疗成本的潜力，可避免患者奔波，并改善患者护理效果，使其成为一项重要的社会技术。
本研究旨在分析圣保罗葡萄牙慈善医院（BP医院）远程医疗舱的实施情况，重点评估患者和医护人员的体验以及该工具的可接受性。
对229名参与者进行了一项混合方法研究，分为两个阶段。第一阶段涉及40名看似健康的个体，以评估该群体对其可用性、体验和满意度，以便随后安全应用于有临床症状的群体。第二阶段包括189名有症状的参与者，以评估患者和医生对其可用性、体验和满意度。在两个阶段中，参与者均完成筛查问卷（以评估纳入标准）、使用舱室前的社会经济人口统计学问卷，以及使用舱室后的包含系统可用性量表和净推荐值（NPS）的问卷。
第一阶段的数据分析显示，远程医疗舱的接受度很高，这为进入第二阶段提供了支持。在第二阶段，有临床症状的参与者的可用性得分较高（系统可用性量表平均得分为85.97，标准差为15.50），好感度评分也较高（NPS得分为9.4）。医护人员也报告了良好的结果，可用性得分为67.8，NPS为8.0。
本研究结果强化了基于可用性结果扩大这种做法的潜力，并突出了其对于制定旨在扩大巴西优质医疗服务可及性的公共政策的相关性。这种方法改善了患者与医疗系统的互动，同时通过集成设备为专业人员提供了对临床状况的更全面了解，特别是在医疗服务获取有限的地区。
