Analysis of the perception of doctors of the Unified Health System about the use of teleconsultation in Campo Grande-MS, Brazil

Menezes, Leonardo Lima de; Souza, Maria Isabel de Castro de; Simas, Keith Bullia da Fonseca; Mueller, Vanessa; Guimarães, Emilene dos Santos; Berry, Maria Cardoso de Castro; Marques, David Tebaldi

doi:10.1590/1413-812320242911.03352024EN

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THEMATIC ARTICLE • Ciênc. saúde coletiva 29 (11) • Nov 2024 • https://doi.org/10.1590/1413-812320242911.03352024EN copy

Analysis of the perception of doctors of the Unified Health System about the use of teleconsultation in Campo Grande-MS, Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This study aimed to analyze the perception of the use of teleconsultation by physicians of the Unified Health System in Campo Grande-MS, as an auxiliary tool for the care of SUS patients, addressing effectiveness, satisfaction and access to results, directed to physicians of different specialties. Of a total population of 127 professionals, 100 voluntarily participated in the survey. The results demonstrated that teleconsultation was perceived as advantageous, highlighting the exchange of knowledge (44.1%) and the reduction of waiting time (42.5%). Disadvantages included low investment in the operational structure (25.2%) and technical difficulties of communication (23.6%). Teleconsultation proved to be innovative, providing intense exchange of knowledge and reducing waiting time. Although it presents technical challenges, most physicians perceived it as effective and safe.

Key words:
Telemedicine; Remote Consulting; Information Technology; Health Services

Brazilian Classification of Occupations (CBO)	Advantages	Frequency (%)¹
Family and community doctor	Exchange of knowledge between professionals	52 (42.3%)
	Better resolution for diagnosis	38 (30.9%)
	The best resolution for treatment	43 (35.0%)
	Reduced number of referrals for face-to-face consultations	45 (36.6%)
	Reduced waiting times in specialized service queues	51 (41.5%)
	Reduced number of requests for unnecessary tests and medications	21 (17.1%)
	Greater efficiency in the regulation and hierarchization of elective cases	25 (20.3%)
None of the above options	2 (1.6%)
Other	2 (1.6%)
² Specialist doctors	Exchange of knowledge between professionals	4 (100.0%)
	Better resolution for diagnosis	3 (75.0%)
	The best resolution for treatment	4 (100.0%)
	Reduced number of referrals for face-to-face consultations	3 (75.0%)
	Reduced waiting times in specialized service queues	3 (75.0%)
	Reduced number of requests for unnecessary tests and medications	1 (25.0%)
	Greater efficiency in the regulation and hierarchization of elective cases	3 (75.0%)
	None of the above options	0 (0.0%)
	Other	0 (0.0%)
Total	Exchange of knowledge between professionals	56 (44.1%)
	Better resolution for diagnosis	41 (32.3%)
	The best resolution for treatment	47 (37.0%)
	Reduced number of referrals for face-to-face consultations	48 (37.8%)
	Reduced waiting times in specialized service queues	54 (42.5%)
	Reduced number of requests for unnecessary tests and medications	22 (17.3%)
	Greater efficiency in the regulation and hierarchization of elective cases	28 (22.0%)
	None of the above options	2 (1.6%)
	Other	2 (1.6%)

Brazilian Classification of Occupations (CBO)	Disadvantages	Frequency (%)
Family and community doctor	Inability to meet in person to assess the patient	12 (36.4%)
	Technical communication difficulties	14 (42.4%)
	Resistance to use by other professionals	4 (12.1%)
	Low investment in operational structure	11 (33.3%)
	None of the above options	5 (15.2%)
	Other	7 (21.2%)
Other specialist doctors	Inability to meet in person to assess the patient	4 (44.4%)
	Technical communication difficulties	4 (44.4%)
	Resistance to use by other professionals	2 (22.2%)
	Low investment in operational structure	6 (66.7%)
	None of the above options	2 (22.2%)
	Other	1 (11.1%)
Total	Inability to meet in person to assess the patient	16 (38.4%)
	Technical communication difficulties	18 (42.9%)
	Resistance to use by other professionals	6 (14.3%)
	Low investment in operational structure	17 (40.5%)
	None of the above options	7 (16.7%)
	Other	8 (19.0%)

Brazilian Classification of Occupations (CBO)	Effectiveness		Reliability regarding security		Reliability regarding stability/connectivity
Brazilian Classification of Occupations (CBO)	Mean (s)	Median (Vmin; Vmax	Mean (s)	Median (Vmin; Vmax	Mean (s)	Median (Vmin; Vmax
Family and community doctor	7.9 (1.2)	8.0 (6.0; 10.0)	8.1 (1.6)	8.0 (4.0; 10.0)	7.0 (1.3)	7.0 (4.0; 10.0)
Other specialist doctors	7.4 (1.9)	8.0 (3.0; 10.0)	7.6 (2.3)	8.0 (3.0; 10.0)	7.3 (2.2)	8.0 (3.0; 10.0)
Total	7.8 (1.4)	8.0 (3.0; 10.0)	8.0 (1.8)	8.0 (3.0; 10.0)	7.1 (1.5)	7.0 (3.0; 10.0)

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E-mail: cienciasaudecoletiva@fiocruz.br

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[1] Chief editors:

Maria Cecília de Souza Minayo, Romeu Gomes, Antônio Augusto Moura da Silva