Teledermatology: an interface among primary and specialized care in Florianopolis

• Autor(a) principal: Ferreira, Iago Gonçalves
• Data de Publicação: 2019
• Outros Autores: Godoi, Dannielle Fernandes, Perugini, Elaine Regina, Lancini, André de Bastiani, Zonta, Ronaldo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• DOI: 10.5712/rbmfc14(41)2003
• Texto Completo: https://rbmfc.org.br/rbmfc/article/view/2003
• topic: Telemedicine; Dermatology; Primary Health Care; Secondary Care; Family Practice; Telemedicina; Dermatología; Atención Primaria de Salud; Atención Secundaria de Salud; Medicina Familiar y Comunitaria; Telemedicina; Dermatologia; Atenção Primária à Saúde; Atenção Secundária à Saúde; Medicina de Família e Comunidade; Telemedicina; Dermatologia; Atenção Primária à Saúde; Atenção Secundária à Saúde; Medicina de Família e Comunidade.

Introduction: The application of tele-diagnosis in dermatology can present several benefits such as waiting time reduction for secondary care, screening for serious diseases - mainly neoplasia - and continuing education of professionals. Objective: Report the experience of tele dermatology service implantation in the municipality of Florianopolis - Santa Catarina, and its initial impact on access and qualification of care for patients with dermatological disorders. Methods: Observational, cross-sectional and descriptive study. The experience report was based on data from municipal electronic medical record system, database from “Telessaude-SC” platform and Municipal Health Department of Florianopolis public institutional documents, among 2013 and 2017. Results: Tele dermatology service was implemented in Florianopolis in 2015, through adherence to Santa Catarina State Integrated Telemedicine (Telemedicina) and Telehealth (Telessaúde) System. The suitability process occurred through equipment acquisition, structural adaptations and staff training. In the analyzed period, there was a reduction of 52.6% medical referral rate to dermatology, with a significant decrease in waiting time from about 3 years in 2013-2014, for about 20 days in 2017. There is a trend towards the qualification of referrals to the service, with reduction of reports issued with blue classification, handled in Primary Health Care (PHC), and increase of reports with yellow classification, referred to dermatology. Conclusion: Tele dermatology implementation in Florianopolis represented a major advance on Primary Health Care and Specialized Health Care integration process, contributing to waiting times reduction and qualification of referrals, with potential improvement of coordination care and continuing education of professionals.