Impactos da regulação da Teleconsultoria na Atenção Primária

Abstract

Telehealth promotes a process of cultural change as a new service, but little popularized, it is also a great tool for integrating innovation and public health, but actions in Brazil did not impact as expected. To analyze the aspects associated the low utilization of teleconsultation considering the limitations of the users, and also the quality of the use of the system after the publication of resolution SES/MG 5.246 come into force and make teleconsultation mandatory. This is a cross-sectional study with application of a questionnaire prepared for health professionals and teleconsultores on-call, with the objective of evaluating remote consultation demand and quality, as well as investigating the factors associated with its use. The professionals who answered believe that the system helps in qualified care, gives clinical support to solve cases without having to forward, but they claim lack of time and end up not doing remote consultation. Most of the professionals who answered the questionnaire are nurses, about 80% of them have a higher education level. Most health professionals use their cell phone to look for information on clinical cases, but when they do remote consultation they use their work computer. Regarding the functioning, performance, response time and satisfaction of the health professionals about remote consultation, the majority of responses were positive and favorable to the system. The teleconsultores described that it greatly increased teleconsultorias, but with fictitious and repeated cases. It was identified that despite the increase in teleconsultation after resolution, there was low quality and effectiveness, and with this the need for practical training, management support and guidance on new technologies and health services mainly in basic care. It is worth disclosing and emphasizing that laws need to be in tandem with the actions and with the users who use remote consultation to guarantee its effectiveness