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Title:
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TELECONSULTATION IN ANGIOLOGY: STRATEGIES TO REDUCE THE SUPPRESSED DEMAND IN THE HEALTH SYSTEM IN BELO HORIZONTE CITY, BRAZIL |
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Author(s):
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Ceila Maria Silva, Roseli da Costa Oliveira, Neuslene Rivers Queiroz, Alaneir de Fátima dos Santos, Ana Picthon, Claúdio de Souza |
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ISBN:
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978-972-8939-87-8 |
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Editors:
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Mário Macedo |
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Year:
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2013 |
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Edition:
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Single |
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Keywords:
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Teleconsultation, angiology, suppressed demand, telehealth, public health care |
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Type:
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Short Paper |
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First Page:
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158 |
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Last Page:
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162 |
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Language:
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English |
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Cover:
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Full Contents:
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click to dowload 
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Paper Abstract:
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The Brazilian Ministry of Health is, currently, implementing the expansion of telehealth centers, giving a significant jump in the incorporation of telehealth resources in the Brazilian public health care. This expansion will allow many of family health teams in the country and many Brazilian Municipalities to have access to resources for exclusive use in telehealth assistance. However, there is a significant under-utilization of telehealth in the points on which the system is already implemented. To address this problem the telehealth staff of the Faculty of Medicine and the Municipal Health Department of Belo Horizonte City have proposed to develop a methodology to stimulate the use of teleconsultation as a tool to reduce queues in specialized consultations in the public health system (Sistema Único de Saúde-SUS, in Portuguese), one of the major problems identified in the structuring of the health system in Brazil. We developed a pilot project in which the actions of teleconsultation leave of initiatives aimed exclusively for doctors and had an institutional dynamic in which it was possible to increase the resources available in primary health care. We describe the results in the specialty of Angiology, one of the three specialties with highest average waiting time in Brazil. Qualitative data were collected from the system of appointments, which records the dimension of the queue of specialties and teleconsulting system, which was collected the data for teleconsulting. This collection was made before the implantation of the pilot project and after its implements; in the period from April to September 2011. For qualitative data, we conducted a focus group and a semi-structured instrument for the evaluation of experience in the period October-November 2011. The results show that the actions used to reduce the waiting list for query vascular was very effective, reducing by 49% the queue. It is believed that this methodology may be reproduced for other specialties where the time between the request and the consultation can be long. |
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