Abstract:
INTRODUCTION:Telemedicine is the provision of health services, where distance is a critical factor, using information and communication technologies. Cape Verde has bet on using this tool to increase access of the population of its islands to specialized care. MATERIAL AND METHODS:Qualitative study, covering the period between 2013 and 2014. It uses document analysis, semi-structured interviews and focus groups to collect data and analysis of content for their analysis. The participant population includes doctors, nurses and professionals from some institutions related to telemedicine. RESULTS:The priorities of the National Telemedicine Program are set, the cores and reference centers are operational, with trained personnel and equipment installed. Several other policy instruments and conditioning factors and facilitators of the program have been identified. DISCUSSION:Telemedicine is contributing to the reduction of inequalities in access to health, in Cape Verde. However, the full adoption of a service based on a new technology depends on conditioning factors and facilitators, and several success factors of telemedicine, identified in the literature, are not observed and in conjunction with other existing weaknesses affect the overall development of the National Telemedicine Program. However the strengths and capabilities are highlighted opportunities to act. CONCLUSION:Despite the progress, some telemedicine success factors highlighted on the literature are not seen in the country. :Introdução: A telemedicina é a prestação de serviços de saúde, onde a distância é um factor crítico, utilizando tecnologias de informação e comunicação. Cabo Verde tem apostado na utilização desta ferramenta para aumentar o acesso das populações das suas ilhas a cuidados especializados. O objetivo deste artigo é estudar os factores influenciadores da implementação do Programa Nacional de Telemedicina no país, na vertente teleconsultas. Material e Métodos: Estudo qualitativo, abrangendo o período entre 2013 e 2014. Utiliza a análise documental, entrevistas semiestruturadase grupos focais, para a recolha de dados e a análise de conteúdo, para a respectiva análise. A população participante inclui médicos, enfermeiros e profissionais de algumas instituições ligadas à telemedicina. Resultados: Os eixos prioritários do Programa Nacional de Telemedicina estão definidos, os núcleos e centros de referência estão operacionais, com pessoal formado e equipamentos instalados. Vários outros instrumentos de política e factores condicionantes e facilitadores do programa foram identificados. Discussão: A telemedicina está a contribuir para a diminuição das desigualdades no acesso à saúde, em Cabo Verde. Todavia, a adoção completa de um serviço com base numa nova tecnologia depende de factores condicionantes e facilitadores, e vários factores de sucesso da telemedicina, identificados na literatura, não são observados e conjuntamente com outras fraquezas constatadas, afectam o desenvolvimento integral do Programa Nacional de Telemedicina. Contudo os pontos fortes e as potencialidades apontados são oportunidades para agir. Conclusão: Apesar dos avanços, alguns factores de sucesso da telemedicina apontados na literatura não se observam no país.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Correia A,Azevedo V,Lapão LVdoi
10.20344/amp.7578subject
Has Abstractpub_date
2017-04-28 00:00:00pages
255-262issue
4eissn
0870-399Xissn
1646-0758journal_volume
30pub_type
杂志文章abstract:INTRODUCTION:Pneumocystis jirovecii pneumonia remains one of the most common opportunistic illnesses in patients infected with the human immunodeficiency virus. It is currently the most reported AIDS-defining infection in Portugal. The aims of this study were to analyze the features of a human immunodeficiency virus /P...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7022
更新日期:2016-10-01 00:00:00
abstract:INTRODUCTION:The Portuguese version of the Children's Sleep Habits Questionnaire showed adequate psychometric properties in a community sample but the American cut-off seemed inadequate. This study aimed to validate this questionnaire in clinical populations of children with sleep disorders and with attention deficit/ ...
journal_title:Acta medica portuguesa
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doi:10.20344/amp.10906
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abstract::Literature analysis has been controversial about pre-eclampsia. It is known that not pregnant patients should be treated due cardiovascular benefits. However, the real benefits of antihypertensive treatment in pre-eclampsia were not demonstrated. Yet, there are many drugs that can be used for antihypertensive treatmen...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
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abstract:INTRODUCTION:From a perspective that considers the costs borne by the informal caregiver and the care-recipient, this study quantifies and values the use of health and social services, and the time dedicated to caregiving in dementia situations. MATERIAL AND METHODS:Sociodemographic information and use of services was...
journal_title:Acta medica portuguesa
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abstract:BACKGROUND:Venous thromboembolism (VTE) risk assessment is a cornerstone for the achievement of best practices and outcomes. Epidemiologic data and practices related to venous thromboprophylaxis as considered by the global ENDORSE study, (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous...
journal_title:Acta medica portuguesa
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doi:
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abstract::New generation oral anticoagulants - rivaroxaban, apixaban and edoxaban - represent an important medical achievement. Their therapeutic effectiveness and ease of use make them essential in the management of thromboembolic conditions. However, as warfarin, they have known haemorrhagic risks. This paper reports the case...
journal_title:Acta medica portuguesa
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doi:10.20344/amp.9397
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abstract::The authors analyse the appropriateness admissions to the Internal Medicine ward of the Hospital de Santa Luzia (Elvas). A retrospective study was performed during 6 months of 2001, using the Appropriateness Evaluation Protocol (AEP). Non-appropriateness admissions were found in 19% (CI95%: 16-22), and this group of p...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2004-03-01 00:00:00
abstract::Diaphragmatic Pacing was used to treat ventilatory failure in a young boy with bilateral diaphragmatic palsy secondary to cervical cord injury, on chronic mechanical ventilation for 6 months. The indications for diaphragmatic pacing in ventilatory failure were discussed, as well as the assessment of phrenic nerve inte...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1995-11-01 00:00:00
abstract::The authors report the importance of not only all over the world but also in Portugal and, particularly, in Dona Estefânia Hospital. Some considerations are made about the usefulness of molecular biology methods in prenatal diagnosis. With this tool can also be do the origins and migrations of populations, which contr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract::Histology records from 63 nephrectomies were reviewed; 22 patients had unilateral totally dysplastic kidneys and 5 had polar or segmental dysplasia. A clinicopathological study of these cases was undertaken. In the first group, there was a slight male preponderance and 75% of the patients presented were under two year...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract:BACKGROUND:Breast cancer is the most frequent malignant tumor and the leading cause of cancer death in women in Portugal. Due to its relation to an increase in distant metastasis and subsequent death, loco-regional relapse is one major concern in breast cancer women. Several classic prognostic factors as tumour size, n...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2012-03-01 00:00:00
abstract::Nowadays, prostate cancer is very frequent in men. The evolution of the possibilities of early diagnosis and the results obtained with radical therapeutics have brought this pathology to our attention. The physicians involved, either general practitioners or specialists in internal medicine or urology, must pay maximu...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::Osteoporosis in men, despite being a less important public health problem than osteoporosis in women, should not be neglected as it has many deleterious effects as well as social and economic costs. Finding the cause of osteoporosis is more complex in men than in women, and prevention should be based on an early evalu...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1995-05-01 00:00:00
abstract:INTRODUCTION:Since dysphagia may be one of the brain post-stroke consequences, the objective of this study was to analyze the average recovery time of patients with cerebrovascular accident and dysphagia subjected to speech therapy in a hospital bed. MATERIAL AND METHODS:Systematic review performed following the 'Pref...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.9183
更新日期:2017-12-29 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:In experimental ageing models an inverse relationship between age and alkaline phosphatase activity has been observed. OBJECTIVE:To characterize serum levels of alkaline phosphatase activity in humans according to age and gender. METHODS:Serum alkaline phosphatase was determined in a random sample of 203 c...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::Blood samples collected from 1017 individuals incarcerated in the prisons of Caxias, Linhó and Tires, during 1990, were tested for anti-HIV. Rates of seropositivity were interpreted in the view of statistical data issued from the Council of Europe. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::Neuropsychiatric symptoms are commonly associated with chronic hepatitis C virus infection (HCV). The aim of this review of the literature was to evaluate the prevalence of depression in patients with hepatitis C, as well as the proposed etiopathogenic models. A review of the literature was undertaken using the comple...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2006-01-01 00:00:00
abstract:INTRODUCTION:Creatine deficiency syndromes are a recently described group of diseases characterized by inborn errors of creatine metabolism. Clinical features include a spectrum of neurodevelopment disorders of diverse severity. They are characterized by low levels of cerebral creatine caused by different pathogenic mu...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2012-11-01 00:00:00
abstract:INTRODUCTION:Medically assisted reproduction in natural cycle has been investigated, especially in women with poor response to conventional ovarian stimulation, with endometrial receptivity improvement, lower cost and possibility of successive cycles. The disadvantages are: lower profitability per treatment cycle and h...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.10195
更新日期:2019-02-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract::The authors present a case of a 60-year-old male patient, previously diagnosed with B-cell chronic lymphocytic leukemia, who was admitted to the Emergency Room with dyspnea. The initial evaluation revealed severe anemia (Hgb = 5.0 g/dL) with hyperleukocytosis (800.000/µL), nearly all of the cells being mature lymphocy...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2016-05-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
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journal_title:Acta medica portuguesa
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doi:
更新日期:1997-10-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract::The sacroiliitis accounts for about 1.5% - 10% of all cases of septic arthritis and it is strongly associated with gynaecological infections, pelvic trauma or drug abuse (3.4% - 12.8% of cases occur during the postpartum period). Early diagnosis is difficult because the symptoms are nonspecific in pregnancy and in the...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7062
更新日期:2016-08-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1995-06-01 00:00:00
abstract::In the Portuguese National Health Service, little attention has been paid to oral health care. The almost nonexistence of a dentistry network raises concern about accessibility to services, and justifies the need to call on a predominantly private provision of services. The coexistence between the public and private s...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.11964
更新日期:2019-06-28 00:00:00
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journal_title:Acta medica portuguesa
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doi:10.20344/amp.5620
更新日期:2015-01-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2008-05-01 00:00:00