دورية أكاديمية
Telemedicine in Brazil: Teleconsultations at the Largest University Hospital in the Country.
| العنوان: | Telemedicine in Brazil: Teleconsultations at the Largest University Hospital in the Country. |
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| المؤلفون: | Scudeller PG; Digital Health, Technological Innovation Hub (InovaHC), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil.; Pulmonary Division, Heart Institute (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., Pereira AJ; Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., Cerri GG; Radiology Institute (InRad), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., Jatene FB; Heart Institute (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., Bego M; Digital Health, Technological Innovation Hub (InovaHC), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., Amaral TF; Digital Health, Technological Innovation Hub (InovaHC), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil.; Pulmonary Division, Heart Institute (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., Garcia ML; Digital Health, Technological Innovation Hub (InovaHC), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil.; Pulmonary Division, Heart Institute (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., Lamas CA; Digital Health, Technological Innovation Hub (InovaHC), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil.; Pulmonary Division, Heart Institute (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., Alvarenga AM; Digital Health, Technological Innovation Hub (InovaHC), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil.; Pulmonary Division, Heart Institute (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., Gutierrez MA; Informatics Division, Heart Institute (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., Cobello Junior V; Núcleo Especializado em Inovação Tecnológica, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil., de Carvalho CRR; Digital Health, Technological Innovation Hub (InovaHC), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil.; Pulmonary Division, Heart Institute (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil. |
| المصدر: | Telemedicine reports [Telemed Rep] 2023 Jul 31; Vol. 4 (1), pp. 193-203. Date of Electronic Publication: 2023 Jul 31 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 101773797 Publication Model: eCollection Cited Medium: Internet ISSN: 2692-4366 (Electronic) Linking ISSN: 26924366 NLM ISO Abbreviation: Telemed Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: New Rochelle, NY : Mary Ann Liebert, Inc., [2020]- |
| مستخلص: | The coronavirus disease (COVID-19) pandemic leveraged telemedicine worldwide mainly due to the need for social distancing, patient safety, and infection prevention. The Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP) was a key reference site in the treatment of COVID-19 severe cases in the country. To continue patient's health care, it became necessary to increase the number of teleconsultations and standardize it institutionally. Herein, we briefly described how the HCFMUSP improved the teleconsultation health care service during the COVID-19 pandemic, highlighting the implementation of important innovations and the throughout standardization process, including patients and professional workflow. We also detailed the methodology used to implement or improve teleconsultation in a medical/multidisciplinary specialty at HCFMUSP. All these efforts made the HCFMUSP reach the goal of converting 15% of all face-to-face consultations into teleconsultations only in 2021. In addition, there were more than 370,000 teleconsultations until the end of 2022. Our experience has shown that having a supporting team, a digital certification process, and the data integration were key factors toward the successful implementation of the teleconsultation services. We believe that progressing toward teleconsultation will improve the population covered by health care services in Brazil, as well as contribute to a reduction of waiting time, and solving costs to health care institutions and patients. We expect this report of our experience in teleconsultation implementation could inspire and guide other health care institutions in the development of telemedicine. Competing Interests: No conflict of interest is declared. (© Paula Gobi Scudeller et al., 2023; Published by Mary Ann Liebert, Inc.) |
| References: | Epidemiol Serv Saude. 2020 Oct 05;29(5):e2020315. (PMID: 33027428) Front Public Health. 2021 Jun 04;9:644748. (PMID: 34150698) Cad Saude Publica. 2020;36(5):e00088920. (PMID: 32490913) Mhealth. 2017 Sep 14;3:38. (PMID: 29184890) IEEE Trans Inf Technol Biomed. 2007 Jan;11(1):17-24. (PMID: 17249400) J Bras Pneumol. 2021 Apr 30;47(2):e20200545. (PMID: 33950091) JMIR Form Res. 2023 Jan 11;7:e39034. (PMID: 36630164) Clinics (Sao Paulo). 2020;75:e2217. (PMID: 32756819) |
| فهرسة مساهمة: | Keywords: digital health; teleconsultation service; telehealth; telemedicine |
| تواريخ الأحداث: | Date Created: 20230802 Latest Revision: 20230803 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10389256 |
| DOI: | 10.1089/tmr.2023.0012 |
| PMID: | 37529769 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2692-4366 |
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| DOI: | 10.1089/tmr.2023.0012 |