Abstract:
:In Primary Health Care (PHC), access, and integrality are strongly influenced by the coordination of care, which in turn receives a positive impact from the articulation of telehealth actions for teleregulation of care. We created a teleregulation method (RegulaSUS Project) based on specific protocols firmly grounded in scientific evidence. From data of the regulatory system and TelessaúdeRS, we explored the effects of RegulaSUS on PHC and access to specialized care. This method set comprehensive protocols, with a significant mean reduction of 30% in the specialized visits queue over 360 days. It reduced waiting time for medical clinical visits (median of 66 days) but not for surgical appointments. Waiting times for queued cases varied inversely, increasing for clinical and declining for surgical specialties. The use of teleconsultations unrelated to regulation increased with the exposure of professionals to RegulaSUS. The intervention evidence potentiality in the integration of health systems, mainly among low- and middle-income countries, and makes telehealth act as a meta-service, building efficient, qualified, and equitable networks. :Na Atenção Primária à Saúde (APS) acesso e integralidade são fortemente influenciados pela coordenação do cuidado, que por sua vez recebe impacto positivo da articulação de ações de telessaúde para a telerregulação da assistência. Criamos uma metodologia de telerregulação (Projeto RegulaSUS) baseada em protocolos específicos firmemente alicerçados em evidências. A partir de dados do sistema de regulação e do TelessaúdeRS exploramos os efeitos do RegulaSUS na APS e no acesso ao cuidado especializado. A metodologia foi capaz de criar protocolos abrangentes, com expressiva redução média da fila de consultas especializadas de 30% em 360 dias. Reduziu o tempo de espera na marcação de consultas em especialidades clínicas (mediana de 66 dias), mas não em cirúrgicas. Tempos de espera nos casos mantidos em fila variaram de forma inversa, aumentado em especialidades clínicas e diminuindo em cirúrgicas. O uso de teleconsultorias espontâneas aumentou com a exposição dos profissionais ao RegulaSUS. A intervenção tem potencial na integração de sistemas de saúde, principalmente em países de baixa e média renda, e faz com que a telessaúde atue como metasserviço, construindo redes eficientes, qualificadas e equânimes.
journal_name
Cien Saude Coletjournal_title
Ciencia & saude coletivaauthors
Katz N,Roman R,Rados DV,Oliveira EB,Schmitz CAA,Gonçalves MR,Mengue SS,Umpierre RNdoi
10.1590/1413-81232020254.28942019subject
Has Abstractpub_date
2020-03-01 00:00:00pages
1389-1400issue
4eissn
1413-8123issn
1678-4561pii
S1413-81232020000401389journal_volume
25pub_type
杂志文章abstract::This study analyzed the factors associated with first sexual intercourse among 427 mothers with 14-16 years of age from Porto Alegre (RS), Brazil. Data on adolescent socio-demographic status (skin color, religion and schooling gap) and reproductive aspects (age at menarche, age at first sexual intercourse, partnership...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-812320172211.00082016
更新日期:2017-11-01 00:00:00
abstract::The purpose of this study was to identify and analyze the assistance provided to the elderly by the supplementary health care system. Information was collected from interviews with managers of chronic diseases management programs and/or of specific programs in this area. Information was organized in cases and analyzed...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232008000400007
更新日期:2008-07-01 00:00:00
abstract::These theoretical reflections are based on a critical assessment of practices which include the patient's family participation in the treatment of the individual in health services. The objective is to question the health work organization in the clinic approach which values a certain concept of man. When a family mem...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232010000700060
更新日期:2010-06-01 00:00:00
abstract::200 million pre-school age children are not developing properly. Delays in child development are associated with multiple factors. This study aims to analyze if vitamin A supplementation is associated with improved development and how this effect could be mediated by nutritional status. Population-based study surveyed...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232018248.22242017
更新日期:2019-08-05 00:00:00
abstract::This study examines the work process of a Family Health Unity (USF) in a small municipality, inland the state of Rio de Janeiro. We would like to start with the question of what is causing the population registered in a family health program to look for the Emergency Service (SE) of a General Hospital. Semi-structured...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232010000500022
更新日期:2010-08-01 00:00:00
abstract::This is an integrative review that aimed to analyze the performance of the oral health team in home care within the Family Health Strategy, after the publication of the National Oral Health Policy Guidelines. Databases PubMed, Lilacs and SciELO were used in the 2004-2018 period. The selected papers (n=17) were organiz...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232020256.15992018
更新日期:2020-06-01 00:00:00
abstract::Even after the publication of Law 8213 in 1991, which established quotas for employing disabled persons, their inclusion in the workplace still presents a challenge for Brazilian society. In order to understand the main barriers that hamper this process a qualitative research study was conducted in the municipality of...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015208.17802014
更新日期:2015-08-01 00:00:00
abstract::This paper examines the institutionalization of health promotion (HP) in Brazil in the twenty years following the proclamation of the 1988 Brazilian Constitution. The legal and institutional foundations of HP are delineated, as well as its recent reassertion as a national policy. Moreover, the praxis of HP within the ...
journal_title:Ciencia & saude coletiva
pub_type: 历史文章,杂志文章
doi:10.1590/s1413-81232009000600039
更新日期:2009-11-01 00:00:00
abstract::The scope of this article is to pose questions on the theme of Men, Health and Public Policies to render debate on the subject viable, based on theoretical and empirical references related to these issues. Initially, some historical landmarks on the theme are presented to provide guidelines for debate. An overview of ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232012001000002
更新日期:2012-10-01 00:00:00
abstract::The present work presents a brief history of health plans in Brazil examining the interface between the public and the private sector. The evolution and regulation of the supplementary care system is analyzed, the different care modalities are defined and the main differences between health plans and dental care insur...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232008000500023
更新日期:2008-09-01 00:00:00
abstract::The scope of this study was to investigate knowledge about and access to emergency contraception among female university students in the south of the State of Santa Catarina. A cross-sectional observational study was conducted between September and October 2008, in which a questionnaire was given to 360 women aged 18 ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232012000900020
更新日期:2012-09-01 00:00:00
abstract::The scope of this article is to discuss the commercialization and use of misoprostol for abortion purposes in the illegal contexts that still persist in Brazil. The information presented was collected through case studies conducted with two young women who aborted using medication - one successfully and one unsuccessf...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232012000700017
更新日期:2012-07-01 00:00:00
abstract::The scope of this study was to elaborate and validate an assessment tool for Best Practices in School Food and Nutrition Units. For this purpose a survey was conducted in the city of Santos (São Paulo - Brazil), in two stages: 1) Preparation of a Checklist for Best Practices in School Food and Nutrition Units (BPAE ch...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232013000400006
更新日期:2013-04-01 00:00:00
abstract::This article addresses the collective actions of participation in the municipal health councils. The underlying research sought to establish the performance of the councilors in the municipal health councils in the Metropolitan Region of Belém in the State of Pará. A survey of documents for the 2005-2010 period, struc...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232014196.08062013
更新日期:2014-06-01 00:00:00
abstract::Coping strategies as components of resilience among the elderly serve three purposes: protection against threats to adaptation, recovery from the effects of adversity, and personal development. The present paper aims to investigate internal and external validity for a coping inventory. 415 elderly subjects (aged 65 an...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232018244.05502017
更新日期:2019-04-01 00:00:00
abstract::When a disabled child is born all the family's expectations need to be reviewed because it is an unexpected situation and needs the family system to be adjusted to the new situation. Due to the meaning that sibling relations acquire during lifetime, changes in health and functioning of a sibling will affect the others...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/S1413-81232010000200029
更新日期:2010-03-01 00:00:00
abstract::This study aims to characterize the teams and the inter-professional work process of Matrix Support developed and practiced in primary healthcare provided by the Brazilian Unified Health System (SUS) in Campinas, São Paulo State, Brazil. This is an exploratory descriptive study involving a questionnaire that was appli...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015215.19302015
更新日期:2016-05-01 00:00:00
abstract::We live in a global pandemic unprecedented in our generation. These are challenging times for healthcare workers. We are all in the same storm and join the same collective effort against COVID-19. However, we are not in the same boat. Inequality determines how each category of the health workforce is affected by the n...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232020259.13742020
更新日期:2020-09-01 00:00:00
abstract::Iron-deficiency anemia can be considered the most important nutritional deficiency in Brazil. The scope of this article was to conduct a systematic review of the literature in order to describe the frequency of anemia in indigenous women and children in Brazil, and gather information on associated factors. A search of...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章,评审
doi:10.1590/1413-81232015218.00532015
更新日期:2016-08-01 00:00:00
abstract::This paper aims to understand the meanings of food and nutrition policies for beneficiary mothers and for technicians designing and implementing said policies. The Grounded Theory method was employed. The data collection techniques adopted were the semi-structured interview and the focus group. The participants were b...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-812320202511.06142019
更新日期:2020-11-01 00:00:00
abstract::Scorpion stings are a serious public health issue in tropical and subtropical countries. This is a descriptive and retrospective study of the clinical-epidemiological characteristics of scorpion sting cases registered in the Health System in the city of Campina Grande, Paraíba state, from 2007 to 2012. Data was collec...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232014194.01602013
更新日期:2014-04-01 00:00:00
abstract::This study sets out to discuss the emergence of the profession of sexologist in Portugal, comparing its development with international trends. This research also seeks to understand the self-identification of sexologists and the significances they attribute to it. The empirical information presented derives from a sur...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015212.11112015
更新日期:2016-02-01 00:00:00
abstract::Technologies can be promoters of breastfeeding. The scope of this review is therefore to identify health technologies and their contribution to the promotion of breastfeeding. A search was conducted in the following databases: Lilacs, SCOPUS, Medline and CINAHL, using the key words "breastfeeding," "technology" and "h...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章,评审
doi:10.1590/1413-81232018242.03022017
更新日期:2019-02-01 00:00:00
abstract::This study aimed to investigate the association between regular use of dental services and tooth loss by elderly linked to eleven Family Health Facilities in southern Brazil. This cross-sectional study evaluated 438 elderly. A standard questionnaire was used and oral health clinical variables were obtained by a traine...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-812320182312.30562016
更新日期:2018-12-01 00:00:00
abstract::The objective of this study is to present the state of the art about hospital care, from the period before the SUS until the formulation of the National Policy of Hospital Attention. This is a national and international systematic review with the adoption of Prism Protocol and survey of the scientific literature index...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232020259.33962018
更新日期:2020-09-01 00:00:00
abstract::The scope of this study was to conduct a transcultural adaptation of the Body-Related Self-Conscious Emotions Fitness Instrument (BSE-FIT) to Brazilian Portuguese. The adaptation process involved the following steps: translation of the BSE-FIT to Brazilian Portuguese; evaluation by the Committee of Judges; back-transl...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-812320182410.25582017
更新日期:2019-09-26 00:00:00
abstract::Caries Assessment Spectrum and Treatment (CAST) is an instrument developed for caries detection to be used in epidemiological surveys; it has been validated and is believed to provide a clearer picture of the oral health status than the criteria provided by the World Health Organization (WHO). This article aims to com...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232018249.21682017
更新日期:2019-09-09 00:00:00
abstract::A four-block exploratory study was conducted with an electronic online, anonymous questionnaire to study the path of postgraduates from two professional master's degree classes, as follows: personal, current professional activity, course-professional situation relationship, and open-ended questions for positive/negat...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232020254.30262019
更新日期:2020-03-01 00:00:00
abstract::This article presents qualitative research into the empathic dimension in the physician-patient relationship. The ways to gain access to the other's perspective and collaborate in clinical management are investigated. The material was researched in Community Mental Health Centers in Rio de Janeiro and Campinas. Focus ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015213.04782015
更新日期:2016-03-01 00:00:00
abstract::This study analyzed data from the telephone-based Surveillance System of Risk and Protective Factors for Chronic Non-Communicable Diseases (VIGITEL) to assess the prevalence of clusters of healthy behavior patterns (non-smoker, non-alcohol-drinker, regular leisure-time physical activity and recommended consumption of ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015214.09742015
更新日期:2016-04-01 00:00:00