Telehealth for Supporting Referrals to Specialized Care During COVID-19
| Autor: | Camila Rocon de Lima Andretta, Kevin Yun Kim, Érica de Brito Mallmann, Camila Pereira Pinto Toth, Josué Basso, Daniela Vianna Pachito, Stephan Sperling, Felipe Cezar Cabral, Marcos Aurélio Maeyama, Carlos Eduardo Alves Batista, Camila Furtado de Souza, Atila Szczecinski Rodrigues, Eno Dias de Castro Filho, Luana Gonçalves Gehres, Sabrina Dalbosco Gadenz, Lauro Augusto Veloso Costa, Igor da Costa Borysow, Renata Albaladejo Morbeck, Marcia Maria Oblonczyk |
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| Rok vydání: | 2022 |
| Předmět: |
Telemedicine
Remote Consultation Primary Health Care Referral Coronavirus disease 2019 (COVID-19) business.industry COVID-19 Health Informatics General Medicine Telehealth medicine.disease Health Information Management Health care Management system Added value Humans Medicine Medical emergency business Brazil |
| Zdroj: | Telemedicine and e-Health. 28:544-550 |
| ISSN: | 1556-3669 1530-5627 |
| Popis: | Background: The coronavirus disease 2019 (COVID-19) pandemic led to the suspension or postponement of care for non-urgent conditions worldwide. Regula Mais Brasil is an initiative of the Unified Health System (SUS) in Brazil to optimize the management of referrals to specialized care by using telehealth. Objectives: To report the expansion of telehealth activities of Regula Mais Brasil in response to COVID-19 and to assess qualification of referrals in primary health care (PHC) units as well as the added value of teleconsultation in qualifying referral cases. Methods: Descriptive study of the teleconsultations carried out as an additional strategy to the remotely operated referral management system, responsible for navigating cases from PHC units to specialized care in Recife, Brazil, between May 6, 2020 and September 30, 2020. Teleconsultation was implemented as a tool for reducing delays in the access to health care due to COVID-19 and ultimately allowed for reclassification of the referral adequacy and priority. Changes in referral priority ratings and referral decisions after teleconsultation were analyzed. Results: A total of 622 referral cases were analyzed. Approved referrals represented 51.9% of cases. The main reason for approved referrals was the need for diagnostic resources. There was a reduction in priority ratings in 449 cases (72.2%) after teleconsultation. There was a statistically significant association between the change of priority ratings and the decision on referral (Pearson's χ2, p-value |
| Databáze: | OpenAIRE |
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