Use of Telehealth Resources in Primary Care and Its Association with Facing the COVID-19 Pandemic in Minas Gerais, Brazil.

Autor:	Matta-Machado ATGD; Department of Social and Preventive Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Pinto RDS; Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Peixoto RTRDC; Department of Restoring Dentistry, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Perillo RD; Faculdade de Medicina, Telehealth Nucleus, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Borde EMS; Department of Social and Preventive Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Freitas MAC; Faculdade de Medicina, Telehealth Nucleus, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Macieira C; Universidade Federal de Minas Gerais, Faculdade de Medicina - Belo Horizonte (MG), Brazil., Senna MIB; Department of Dental Clinic, Pathology and Surgery, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Godoy SCB; Department of Basic Nursing, Nursing School, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Aguiar RAT; Department of Social and Preventive Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Santos DF; Faculdade de Medicina, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil., Dramos LMM; Faculdade de Medicina, Telehealth Nucleus, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Oliveira VB; Department of Social and Preventive Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Santos AFD; Department of Social and Preventive Medicine, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.; Faculdade de Medicina, Telehealth Nucleus, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Jazyk:	angličtina
Zdroj:	Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2023 Dec; Vol. 29 (12), pp. 1878-1889. Date of Electronic Publication: 2023 Sep 25.
DOI:	10.1089/tmj.2022.0441
Abstrakt:	Introduction: Use of telehealth (TH) resources increased dramatically during the COVID-19 pandemic. This study set out to examine associations between the level of integration of TH resources and the level of Primary Health Care (PHC) structuring to deal with the COVID-19 pandemic in the State of Minas Gerais, Brazil. Methods: This work was a cross-sectional study conducted through the application of a semistructured questionnaire to a sample of 260 PHC Teams working in the state of Minas Gerais, Brazil, from September to December 2020. This study was approved by the Research Ethics Committee and logged under report number 44.294.637. Results: Two variables were created - Level of the PHC structuring to deal with the COVID-19 pandemic and Level of TH structuring. Variables were grouped into five categories (poor to excellent). Associations between variables were examined using the Tukey's test for multiple comparisons and the Spearman correlation coefficient. Variables associated with socioeconomic dimensions (human development index and Gini index) and health care were also analyzed. Levels of TH structuring in PHC ranged from poor (43%) to regular (40%) in most cases. Most PHC teams had regular (56%) or good (37%) levels of PHC structuring to deal with the pandemic. The greater the availability and use of TH resources at a given unit, the better the structure to face COVID-19 (0.45 - p < 0.001). Conclusion: PHC was structured to tackle the pandemic. However, there is a lot to be done before TH resources are effectively incorporated into PHC. Whenever incorporated, TH resources contributed to a more robust response to the COVID-19 pandemic.
Databáze:	MEDLINE
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