The management of COVID-19 cases through telemedicine in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/237068 |
Resumo: | In Dec 2020 Brazil became one of the worldwide epicenters of the COVID-19 pandemic with more than 7.2M reported cases. Brazil has a large territory with unequal distribution of healthcare resources including physicians. Resource limitation has been one of the main factors hampering Brazil’s response to the COVID-19 crisis. Telemedicine has been an effective approach for COVID-19 management as it allows to reduce the risk of cross-contamination and provides support to remote rural locations. Here we present the analyses of teleconsultations from a countrywide telemedicine service (Telessa´udeRS-UFRGS, TRS), that provides physician-to-physician remote support during the COVID-19 pandemic in Brazil. We performed a descriptive analysis of the teleconsultation incoming calls and a text analysis from the call transcripts. Our findings indicate that TRS teleconsultations in Brazil experienced an exponential increment of 802.% during a period of 6 days, after the first death due to COVID-19 was reported. However, the number of teleconsultations cases decreased over time, despite the number of reported COVID-19 cases continuously increasing. The results also showed that physicians in low-income municipalities, based on GDP per capita, are less likely to consult the telemedicine service despite facing higher rates of COVID-19 cases. The text analysis of call transcripts from medical teleconsultations showed that the main concern of physicians were “asymptomatic” patients. We suggest an immediate reinforcement of telehealth services in the regions of lower income as a strategy to support COVID-19 management. |
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Montelongo Flores, AlfredoBecker, Joao LuizRoman, RudiOliveira, Elise Botteselle deUmpierre, Roberto NunesGonçalves, Marcelo RodriguesSilva, Rodolfo Souza daDoniec, KatarzynaYetisen, Ali K.2022-04-13T04:50:21Z20211932-6203http://hdl.handle.net/10183/237068001138025In Dec 2020 Brazil became one of the worldwide epicenters of the COVID-19 pandemic with more than 7.2M reported cases. Brazil has a large territory with unequal distribution of healthcare resources including physicians. Resource limitation has been one of the main factors hampering Brazil’s response to the COVID-19 crisis. Telemedicine has been an effective approach for COVID-19 management as it allows to reduce the risk of cross-contamination and provides support to remote rural locations. Here we present the analyses of teleconsultations from a countrywide telemedicine service (Telessa´udeRS-UFRGS, TRS), that provides physician-to-physician remote support during the COVID-19 pandemic in Brazil. We performed a descriptive analysis of the teleconsultation incoming calls and a text analysis from the call transcripts. Our findings indicate that TRS teleconsultations in Brazil experienced an exponential increment of 802.% during a period of 6 days, after the first death due to COVID-19 was reported. However, the number of teleconsultations cases decreased over time, despite the number of reported COVID-19 cases continuously increasing. The results also showed that physicians in low-income municipalities, based on GDP per capita, are less likely to consult the telemedicine service despite facing higher rates of COVID-19 cases. The text analysis of call transcripts from medical teleconsultations showed that the main concern of physicians were “asymptomatic” patients. We suggest an immediate reinforcement of telehealth services in the regions of lower income as a strategy to support COVID-19 management.Telemedicinaapplication/pdfengPlos one. San Francisco. Vol. 16, no. 7 (July 2021), e0254339, 14 p.TelemedicinaCOVID-19The management of COVID-19 cases through telemedicine in BrazilEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001138025.pdf.txt001138025.pdf.txtExtracted Texttext/plain47910http://www.lume.ufrgs.br/bitstream/10183/237068/2/001138025.pdf.txt1f682be606b8849da53a00069a618c19MD52ORIGINAL001138025.pdfTexto completo (inglês)application/pdf1492487http://www.lume.ufrgs.br/bitstream/10183/237068/1/001138025.pdf19ecd9e24b1dc4944c949d0a5e862b29MD5110183/2370682024-10-18 06:55:32.856221oai:www.lume.ufrgs.br:10183/237068Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2024-10-18T09:55:32Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
The management of COVID-19 cases through telemedicine in Brazil |
title |
The management of COVID-19 cases through telemedicine in Brazil |
spellingShingle |
The management of COVID-19 cases through telemedicine in Brazil Montelongo Flores, Alfredo Telemedicina COVID-19 |
title_short |
The management of COVID-19 cases through telemedicine in Brazil |
title_full |
The management of COVID-19 cases through telemedicine in Brazil |
title_fullStr |
The management of COVID-19 cases through telemedicine in Brazil |
title_full_unstemmed |
The management of COVID-19 cases through telemedicine in Brazil |
title_sort |
The management of COVID-19 cases through telemedicine in Brazil |
author |
Montelongo Flores, Alfredo |
author_facet |
Montelongo Flores, Alfredo Becker, Joao Luiz Roman, Rudi Oliveira, Elise Botteselle de Umpierre, Roberto Nunes Gonçalves, Marcelo Rodrigues Silva, Rodolfo Souza da Doniec, Katarzyna Yetisen, Ali K. |
author_role |
author |
author2 |
Becker, Joao Luiz Roman, Rudi Oliveira, Elise Botteselle de Umpierre, Roberto Nunes Gonçalves, Marcelo Rodrigues Silva, Rodolfo Souza da Doniec, Katarzyna Yetisen, Ali K. |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Montelongo Flores, Alfredo Becker, Joao Luiz Roman, Rudi Oliveira, Elise Botteselle de Umpierre, Roberto Nunes Gonçalves, Marcelo Rodrigues Silva, Rodolfo Souza da Doniec, Katarzyna Yetisen, Ali K. |
dc.subject.por.fl_str_mv |
Telemedicina COVID-19 |
topic |
Telemedicina COVID-19 |
description |
In Dec 2020 Brazil became one of the worldwide epicenters of the COVID-19 pandemic with more than 7.2M reported cases. Brazil has a large territory with unequal distribution of healthcare resources including physicians. Resource limitation has been one of the main factors hampering Brazil’s response to the COVID-19 crisis. Telemedicine has been an effective approach for COVID-19 management as it allows to reduce the risk of cross-contamination and provides support to remote rural locations. Here we present the analyses of teleconsultations from a countrywide telemedicine service (Telessa´udeRS-UFRGS, TRS), that provides physician-to-physician remote support during the COVID-19 pandemic in Brazil. We performed a descriptive analysis of the teleconsultation incoming calls and a text analysis from the call transcripts. Our findings indicate that TRS teleconsultations in Brazil experienced an exponential increment of 802.% during a period of 6 days, after the first death due to COVID-19 was reported. However, the number of teleconsultations cases decreased over time, despite the number of reported COVID-19 cases continuously increasing. The results also showed that physicians in low-income municipalities, based on GDP per capita, are less likely to consult the telemedicine service despite facing higher rates of COVID-19 cases. The text analysis of call transcripts from medical teleconsultations showed that the main concern of physicians were “asymptomatic” patients. We suggest an immediate reinforcement of telehealth services in the regions of lower income as a strategy to support COVID-19 management. |
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2021 |
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2021 |
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Plos one. San Francisco. Vol. 16, no. 7 (July 2021), e0254339, 14 p. |
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