期刊
TELEMEDICINE AND E-HEALTH
卷 28, 期 8, 页码 1172-1177出版社
MARY ANN LIEBERT, INC
DOI: 10.1089/tmj.2021.0293
关键词
telemedicine; telehealth; telecommunications; orthopedics; e-health
资金
- Minas Gerais State Agency for Research and Development (Fundacao de Amparo a Pesquisa do Estado deMinas Gerais-FAPEMIG) [RED-00081-16]
- National Institute of Science and Technology for Health Technology Assessment (Instituto de Avaliacao de Tecnologias em Saude-IATS)/National Council for Scientific and Technological Development (Conselho Nacional de Desenvolvimento Cientifico e Tecnologico [465518/2014-1]
- CNPq
- Pro-Reitoria de Extensao da Universidade Federal de Minas Geral (PROEX UFMG)
- Telehealth Centre from UFMG
Teleconsultations can help investigate the most frequent queries in primary health care. Most of them were solved without the need for referral, showing the potential of teleconsultations in daily practice as a way to manage patients and guarantee better access to first-rate health care. In addition, teleconsultations represent a way to overcome the distance barrier to health care access within the public health system.
Background: Telemedicine was implemented in Brazil as a way to support primary health care (PHC). Orthopedic complaints are common in PHC, and, because musculoskeletal diseases are the most frequent causes of chronic pain, it is important to explore knowledge gaps of PHC as well as to understand the teleconsultations' impact on reducing referrals to secondary care.Materials and Methods: Observational, retrospective study that analyzed consecutive orthopedic asynchronous teleconsultations from the Telehealth Network of Minas Gerais, a large-scale public telehealth service, performed from September 17, 2013 to June 18, 2020. Teleconsultations were analyzed based on the type of query.Results: Throughout the study, 1,174 teleconsultations from 254 municipalities were analyzed. Most requests for teleconsultations were from nurses (37.8%) and physicians (48.7%). In 58.3%, challenges could be solved by a general practitioner, meanwhile 38.4% needed referral to an orthopedic specialist. Most queries related to a specific case (assistencial teleconsultation, 66.0%), and the others were classified as educational (34%). With regard to the motivation for the assistencial teleconsultations, 72% approached treatment options, 49.5% surrounded possible diagnosis, and 20.1% discussed patient's rehabilitation. In addition, 95.5% of requests could be solved by teleconsultation, without the need for referral to in-person consultation with the specialist.Conclusions: Teleconsultations can help investigate the most frequent queries in PHC. Most of them were solved without the need for referral, showing the potential of teleconsultations in daily practice as a way to manage patients and guarantee better access to first-rate health care. As for the public health system, teleconsultations represent a way to overcome the distance barrier to health care access.
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