O potencial da telessaúde para efetivação do cuidado primário a saúde de população ribeirinha: uma revisão de escopo

Abstract

The Brazilian riverside population is those who live close to rivers and lakes and, generally, are far from large centers and have a morbidity profile specifically related to the environmental conditions experienced, such as lack of basic sanitation and restrictions on access to health services. health. In this sense, it is up to Primary Health Care (PHC) to offer actions and services for this population and one of the most important tools for implementing this care is Telehealth. Objective: to identify which telehealth actions are carried out to provide primary health care to the riverside population. Methodology: Scope review following the protocol recommended by the Joanna Briggs Institute. The review protocol for this investigation was registered on 07/05/2023 on the Open Science Framework platform, under the link https://osf.io/8k7cm/. The research question followed the order imposed by the mnemonic ''PCC'' (population, concept and context), which is: What telehealth actions are carried out to provide primary health care to the riverside population? A search strategy was defined in three stages, as recommended by JBI, where the first was established by the specific search in SCIELO. The second stage of the research was carried out in the databases mentioned above, that is: Scopus; Web of Science and Portals: PERIODICOS CAPES and Regional Virtual Health Library (VHL REGIONAL). The third stage is related to the search for gray literature and took place in the Google Scholar database and in the Digital Library of Theses and Dissertations. The search was carried out on July 2, 2023. Results: The analysis sample was composed of 4 texts in article format, all produced in Brazil. The literature highlights telehealth as an area of multidisciplinary action that can be divided into teleassistance and tele-education practices with attention to needs and improvements in the health area, seeking a model of care focused on the user and responses to their needs, for expansion and facilitating users' access to services and resolving their problems in the context of PHC. Telehealth has proven to be an effective technology and makes it possible to increase the resolution of Primary Health Care in remote and difficult-to-access regions. The barriers to accessing health services for populations living in riverside areas are diverse and the research shows how well health professionals adapt to this scenario. The robust absence of scientific evidence that deals with the research object stands out, reinforcing the need to stimulate the implementation of telehealth in the riverside context, and also provoke scientific production by professionals who use the service.