[Implementation of Telemedicine in Cape Verde: Influencing Factors].

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 Port

journal_title

Acta medica portuguesa

authors

Correia A,Azevedo V,Lapão LV

doi

10.20344/amp.7578

subject

Has Abstract

pub_date

2017-04-28 00:00:00

pages

255-262

issue

4

eissn

0870-399X

issn

1646-0758

journal_volume

30

pub_type

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