Remuneração da teleconsulta médica na saúde suplementar no Brasil: uma revisão de escopo analítico-reflexiva

Abstract

Supplementary Healthcare is the private healthcare sector that includes private healthcare plans, insurance and services. It is regulated by the National Supplementary Healthcare Agency (ANS). Medical remuneration in telemedicine is one of the challenges of the practice, especially in supplementary healthcare, because despite the existence of standards by the National Supplementary Healthcare Agency (ANS), the guidelines are not followed. The objective of this research was to identify and analyze the remuneration models adopted for medical teleconsultation in the Brazilian Supplementary Healthcare Sector. This is an analytical-reflective scoping review study following the methodological proposal described by the Joanna Briggs Institute (JBI) adapted for the study in question. The search process was aimed at identifying and selecting published studies using combinations of descriptors and titles of articles related to the topic in the following databases: Virtual Health Library (BVS), Scientific Electronic Library Online (SciELO) and International Literature of the Medical and Biomedical Area MEDLINE/PubMed, Cochrane Library (Biblioteca Cochrane), Integrated Library System of the University of São Paulo (Sibi - USP), Scholar Google and other relevant journals in the health area. A total of 156 publications were found, of which 42 were excluded because they were duplicates. After reading the title and abstract, 63 publications were excluded, and 41 articles were selected for reading in full. After reading the complete works, 28 articles were excluded, resulting in a final sample of 13 articles for the composition of the discussion in this study. The results regarding the remuneration models described by the authors in the 13 articles analyzed present little information and this review demonstrates that there is no standardization and/or recommendations of remuneration models for medical teleconsultation in Supplementary Health despite current Brazilian legislation.