Telemed J E Health - Formative second opinion: qualifying health professionals for the unified health system through the Brazilian Telehealth Program.

Tópicos

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Resumo

CKGROUND: The World Health Organization's World Health Assembly WHA58.28/2005 Resolution recommends the adoption of e-health by health systems of State Members. The Brazilian Telehealth Program integrates the national policy of education for health that combines many strategies with complementary foci, including technical-level workers, undergraduate students of the 14 health professions, residency, postgraduate courses, support, and continuing health education at work. The Brazilian Unified Health System has approximately 1.5 million workers. The objectives of this work areas are as follows: to define a new concept, the so-called "formative second opinion" (FSO); to describe the methodology for its construction; and to show its structure as well as the number of FSOs already available, classified according to the field of knowledge.MATERIALS AND METHODS: The Brazilian Telehealth Program was created in 2007 and has already offered around 41,000 teleconsultations. Based on their relevance and pertinence, 710 questions asked through teleconsulting by health professionals were selected. The questions were handled so that each question should not contain any specific information about patients, preserving professional confidentiality. For each question, a bibliographic review was performed and used to build a structured and standardized answer, based on the best available scientific and clinical evidence.RESULTS: This question-and-answer combination, originated thru teleconsulting, created by the Brazilian Telehealth Program, was termed the FSO and has been made available, with open access for all health professionals, at the Web site of the Program. Among the total number of 710 FSOs, diagnosis and treatment support corresponded to 238 questions (33.5%), followed by primary healthcare (90 questions) and then by subjects concerning oral health (68 questions) and nursery (39 questions). The structure and design of the FSO are also shown.CONCLUSIONS: The FSO helps professionals and health workers to use the already produced best evidence and scientific knowledge to solve their daily practice questions, improving, qualifying, and increasing the resolution of primary healthcare by the Unified Health System in Brazil. Oral health is frequently asked about by professionals, matching the high prevalence of oral disease in primary healthcare.

Resumo Limpo

ckground world health organ world health assembl wha resolut recommend adopt ehealth health system state member brazilian telehealth program integr nation polici educ health combin mani strategi complementari foci includ technicallevel worker undergradu student health profess resid postgradu cours support continu health educ work brazilian unifi health system approxim million worker object work area follow defin new concept socal format second opinion fso describ methodolog construct show structur well number fsos alreadi avail classifi accord field knowledgemateri method brazilian telehealth program creat alreadi offer around teleconsult base relev pertin question ask teleconsult health profession select question handl question contain specif inform patient preserv profession confidenti question bibliograph review perform use build structur standard answer base best avail scientif clinic evidenceresult questionandansw combin origin thru teleconsult creat brazilian telehealth program term fso made avail open access health profession web site program among total number fsos diagnosi treatment support correspond question follow primari healthcar question subject concern oral health question nurseri question structur design fso also shownconclus fso help profession health worker use alreadi produc best evid scientif knowledg solv daili practic question improv qualifi increas resolut primari healthcar unifi health system brazil oral health frequent ask profession match high preval oral diseas primari healthcar

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