Telemedicina como ferramenta para melhoria do acesso aos serviços de saúde no sistema prisional: uma revisão de escopo

Abstract

The implementation of telemedicine systems within prison environments represents an innovative approach to enhancing healthcare access for individuals deprived of liberty. This study evaluates the applicability, efficacy, and challenges associated with telemedicine in prison systems, drawing on empirical research and implementation reports. Telemedicine, encompassing teleconsultations, telediagnostics, and telemonitoring, addresses physical and logistical barriers by facilitating remote medical consultations, reducing the necessity for external transportation, improving the efficiency of care delivery, and lowering operational costs. However, its implementation encounters significant challenges, including the requirement for robust technological infrastructure, professional training in digital health technologies, and concerns regarding data security and patient privacy. These issues necessitate the establishment of stringent information security protocols and adherence to regulatory compliance. Telemedicine holds the potential to redefine healthcare delivery in correctional facilities, fostering more humane and personalized care—particularly critical for managing chronic illnesses, mental health conditions, and rehabilitation programs. The findings indicate substantial benefits of telemedicine in prison settings, despite the inherent challenges. With adequate investment in technology, comprehensive professional training, and well-defined regulatory frameworks, telemedicine can significantly enhance healthcare access and quality within correctional systems. This analysis concludes that telemedicine represents a promising strategy to address the complexities of healthcare in prisons, offering a more equitable, efficient, and accessible model of care. The review provides a comprehensive understanding of the technical, operational, and ethical considerations, serving as a foundation for future research and practical implementations in this domain.