Assessment of the implementation of an care teleregulation project in a Brazilian capital city

• Autor(a) principal: Da Silva De Aráujo, Michelle
• Data de Publicação: 2023
• Outros Autores: Coelho De Albuquerque, Ana, Felisberto, Eronildo, Samico, Isabella, Szczecinski Rodrigues, Átila
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8230
• topic: Regulação e Fiscalização em Saúde; Acesso aos Serviços de Saúde; Telemedicina; Avaliação de Programas e Projetos de Saúde; Regulación y Fiscalización en Salud; Accesibility a los Servicios de Salud; Telemedicina; Evaluación de Programas y Proyectos de Salud; Health Care Coordination and Monitoriang; Health Services Accessibility; Telemedicine; Program Evaluation

This study evaluates the degree of implementation (DI) of the Regulates+ Brazil project and analyzes to what extent the variations in implementation influence the results observed in access to specialized appointments in Recife, Pernambuco, Brazil. This is an evaluative research of implementation analysis. A logic model and an analysis and judgment matrix with indicators for evaluating the degree of implementation and the results of the Project were developed and submitted to expert consensus. The data collection was conducted via a semi-structured questionnaire applied to key informants and secondary data extracted from the official documents from Regulates+ Brazil and Brazilian National Regulation System (SISREG), referring to the period from May/2020 to May/2021, which were consolidated and compared with values defined in the matrix. The degree of implementation of the Regulates+ Brazil project in Recife was considered to be implemented (83.7%), as well as the Structure (81.7%) and Methods (84.6%) dimensions. However, most effect indicators underperformed, which, when confronted, were consistent with bottlenecks observed in some components and subcomponents of the Project, such as the performance of professionals in basic health units, which was indicated as incipient, especially regarding follow-up of returned requests. The results suggest that any intervention in Telehealth requires, for its proper implementation, the adequacy of teams and work processes, practices of Continuing Education, as well as a continuous evaluation process, to achieve the expected results, or else it will become another bureaucratization and barrier to access.