Desenvolvimento de um Sistema de Registro Eletrônico de Saúde para teleconsulta no SUS

Abstract

Introduction: the COVID-19 pandemic, which began in 2020, forced the reinvention of the healthcare area, highlighting teleconsultation as an essential practice for remote guidance and care. This modality, previously not authorized by health professions councils, gained significant acceptance and culminated in the publication of Law No. 14,510/2022, allowing the practice of telehealth in Brazil. The promotion of telehealth, provided for in the Action Plan for the Digital Health Strategy 2020-2028, aims to integrate digital services into the SUS, improving care and efficiency. The spread of mobile devices and data plans makes teleconsultations possible. Studies indicate that telehealth can increase access and efficiency, reducing costs and waiting lists, as long as it is accompanied by equitable public policies. Objective: to develop an Electronic Health Record System for Teleconsultation in the SUS in accordance with current requirements. Method: applied research with an exploratory phase for the construction of evolutionary prototypes for system development based on the MVP (Minimum Viable Product) concept. Results: development of a prototype of an application for patients and a prototype of a web system for healthcare professionals. Conclusion: the results of this study highlight the technical and operational feasibility of an Electronic Health Record System for Teleconsultation in the SUS, indicating its potential to expand telehealth and digital services in the Brazilian health system. It points out that there is a limited amount of studies and tools in the scientific literature, especially with regard to solutions for the public health system. This lack of resources highlights the urgent need to develop and evaluate teleconsultation systems that are adequate to the particularities and requirements of the Unified Health System.