Telehealth
|
Provision of services associated with health care, in cases where distance is a critical factor. Such services can be provided through the use of communication technologies, with the objectives of continuing education or exchange of information necessary to diagnose, treat, predict and prevent diseases [29[29] World Health Organization. Global diffusion of eHealth: making universal health coverage achievable. Report of the third global survey on eHealth. Geneva: WHO; 2016. Available from: https://apps.who.int/iris/bitstream/handle/10665/252529/9789241511780-eng.pdf?sequence=1. [Accessed on June 08, 2020]. https://apps.who.int/iris/bitstream/hand...
]. |
Distance learning, knowledge exchange, professional guidance and studies of local epidemiological diseases at adistance are examples of solutions made possible by telehealth. |
Compiles all or other fields, which will be described individually |
Teledentistry
|
Remote provision of dental care [30[30] Khan SA, Omar H. Teledentistry in practice: literature review. Telemed J E Health 2013; 19(7):565‐7. https://doi.org/10.1089/tmj.2012.0200 https://doi.org/10.1089/tmj.2012.0200...
]. |
Counseling or treatment using information technology rather than direct personal contact with any patient involved [30[30] Khan SA, Omar H. Teledentistry in practice: literature review. Telemed J E Health 2013; 19(7):565‐7. https://doi.org/10.1089/tmj.2012.0200 https://doi.org/10.1089/tmj.2012.0200...
]. |
Compiles all or other fields, which will be described individually |
Telemedicine
|
Remote provision of medical care [31[31] Lopes MACQ, Oliveira GMM, Ribeiro ALP, Pinto FJ, Rey HCV, Zimermanet LI, et al. Diretriz da Sociedade Brasileira de Cardiologia sobre Telemedicina na Cardiologia - 2019. Arq Bras Cardiol 2019; 113(5):1006-56. https://doi.org/10.5935/abc.20190205 [In Portuguese] https://doi.org/10.5935/abc.20190205 ...
]. |
Counseling or treatment using information technology rather than direct personal contact with any patient involved. It refers specifically to clinical services at a distance [31[31] Lopes MACQ, Oliveira GMM, Ribeiro ALP, Pinto FJ, Rey HCV, Zimermanet LI, et al. Diretriz da Sociedade Brasileira de Cardiologia sobre Telemedicina na Cardiologia - 2019. Arq Bras Cardiol 2019; 113(5):1006-56. https://doi.org/10.5935/abc.20190205 [In Portuguese] https://doi.org/10.5935/abc.20190205 ...
]. It includes pre-clinical care, assistance support, consultation, monitoring and diagnosis, through information and communication technology, within the scope of SUS, as well as in supplementary and private health. Understands the diagnosis and conduct via the issuance of prescriptions and medical certificates at a distance will be valid in electronic media. |
Does not apply to Dentistry. |
Teleorientation
|
Identification, through a pre-clinical questionnaire, the best time to perform the face-to-face service [26[26] Conselho Federal de Odontologia. Resolução CFO-226 de 04 de Junho de 2020. Dispõe sobre o exercício da Odontologia a distância, mediado por tecnologias, e dá outras providências. Available from: http://www.crosp.org.br/uploads/arquivo/e1eb52fada70ddc938113152ba2b9cea.pdf. [Accessed on June 04, 2020] [In Portuguese] http://www.crosp.org.br/uploads/arquivo/...
]. |
Reception, screening, initial listening, and guidance, for solving doubts, clarifications and carrying out individual and collective educational activities. It can also be used to define the most opportune time to perform operative procedures. |
In the e-SUS dental care form: Service location • Others Type of attendance • Scheduled appointment • Spontaneous demand: - Initial listening / guidance - Consultation on the day - Urgent Care Type of consultation • Return consultation in dentistry, if it is "scheduled consultation"; or • Do not check any options, if it is "spontaneous demand" Oral health surveillance • Toothache Not identified Procedures (quantity performed) • Oral hygiene guidance Other procedures (SIGTAP code) • 03.01.01.025-0 - teleconsultation in primary care; • 01.01.02.012-0 - guidance on cleaning dental prostheses; • 03.01.06.011-8 - reception with risk classification Conduct / Outcome • Return for scheduled consultation; or • High of the episode.
|
Telemonitoring
|
Remote monitoring of patient health and / or disease parameters, through ICT, which may include the collection of clinical data, transmission, processing, and management by a health professional using an electronic system [32[32] Ferrer J, Nicuesa M, Esteban D, Ayala R. Conceitos. Monitoramento. Available from: https://conceitos.com/monitoramento/. [Accessed on June 04, 2020]. [In Portuguese] https://conceitos.com/monitoramento/...
]. |
Supervise the health status of users in the territories of interest, a facilitating tool for strategies for tracking families with users who have common risk factors for chronic non-communicable diseases (smokers, alcohol users, etc.). In the context of the COVID-19 pandemic, it can be used to control the isolation, quarantine and monitoring of suspected cases and their contacts; transmit data from one place to another; perform interventions at a distance (in medical terminology there is talk of respiratory, cardiac, neurological monitoring in relation to childbirth, among others) [32[32] Ferrer J, Nicuesa M, Esteban D, Ayala R. Conceitos. Monitoramento. Available from: https://conceitos.com/monitoramento/. [Accessed on June 04, 2020]. [In Portuguese] https://conceitos.com/monitoramento/...
]. |
In the e-SUS dental care form: Service location • Others Type of attendance • Scheduled appointment • Spontaneous demand: - Initial listening / guidance - Consultation on the day - Urgent Care Type of consultation • Return consultation in dentistry, if it is "scheduled consultation"; or • Do not check any options, if it is "spontaneous demand" Procedures (quantity performed) - Others • Oral hygiene guidance Other procedures (SIGTAP code) • 03.01.01.025-0 - teleconsultation in primary care; • 01.01.02.012-0 - guidance on cleaning dental prostheses; • 03.01.08.001-1 - Smoker's cognitive behavioral approach (by care / patient); • 03.01.06.011-8 - reception with risk classification Conduct / Outcome • Return for scheduled consultation • High of the episode. *Need for adequacy: include monitoring and monitoring of users with risk factors for NCDs, Active Search; Examination for epidemiological purposes; surveillance of the health status of workers. *It is worth mentioning that these adjustments are administrative, in the information systems, and do not generate financial impact.
|
Teleconsultation
|
Consultation means attendance; action to attend, diagnose or prescribe a certain medication or treatment: medical consultation [33[33] Dicio. Dicionário Online de Português. Porto: 7Graus, 2020. Available from: https://www.dicio.com.br/consulta/. [Accessed on June 05, 2020]. [In Portuguese] https://www.dicio.com.br/consulta/...
]. Teleconsultation is the synchronous or asynchronous consultation using information and communication technology to omit the geographical and functional distance [33[33] Dicio. Dicionário Online de Português. Porto: 7Graus, 2020. Available from: https://www.dicio.com.br/consulta/. [Accessed on June 05, 2020]. [In Portuguese] https://www.dicio.com.br/consulta/...
,34[34] Deldar K, Bahaadinbeigy K, Tara SM. Teleconsultation and clinical decision making: a systematic review. Acta Inform Med 2016; 24(4):286‐92. https://doi.org/10.5455/aim.2016.24.286-292 https://doi.org/10.5455/aim.2016.24.286-...
]. |
Diagnosis or treatment between two or more health professionals geographically separated or between health professionals and patients. |
In the e-SUS dental care record: Service location • Others Type of attendance • Scheduled appointment • Spontaneous demand: - Initial listening / guidance - Consultation on the day - Urgent Care Type of consultation • Return consultation in dentistry, if it is "scheduled consultation"; or • Do not check any options, if it is "spontaneous demand" Vigilance in oral health • Toothache • Not identified Other procedures (SIGTAP code) • 03.01.01.025-0 - teleconsultation in primary care |
Teleconsulting
|
Consultation between workers, healthcare professionals and managers, using bidirectional telecommunication instruments [34[34] Deldar K, Bahaadinbeigy K, Tara SM. Teleconsultation and clinical decision making: a systematic review. Acta Inform Med 2016; 24(4):286‐92. https://doi.org/10.5455/aim.2016.24.286-292 https://doi.org/10.5455/aim.2016.24.286-...
,35[35] Brasil. Ministério da Saúde. Portaria Nº 2.546, de 27 de Outubro de 2011. Redefine e amplia o Programa Telessaúde Brasil, que passa a ser denominado Programa Nacional Telessaúde Brasil Redes (Telessaúde Brasil Redes). Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt2546_27_10_2011.html. [Accessed on June 05, 2020]. [In Portuguese] https://bvsms.saude.gov.br/bvs/saudelegi...
].
|
Clarification of doubts about clinical procedures, health actions and issues related to the work process [35[35] Brasil. Ministério da Saúde. Portaria Nº 2.546, de 27 de Outubro de 2011. Redefine e amplia o Programa Telessaúde Brasil, que passa a ser denominado Programa Nacional Telessaúde Brasil Redes (Telessaúde Brasil Redes). Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt2546_27_10_2011.html. [Accessed on June 05, 2020]. [In Portuguese] https://bvsms.saude.gov.br/bvs/saudelegi...
]. Teleconsulting, Telediagnostics and the Second Formative Opinion are answered by the Technical-Scientific Centers of Telessaúde Brasil Redes, based on the best and most up-to-date clinical and scientific evidence available, appropriate to the context of origin of the request, carried out by workers from Health Care in SUS, within a maximum period of 72 hours. In municipalities where these services are not available, the tool can be used so that professionals from different levels of care can define an opportune moment for referrals, prioritizing urgent care, which is not limited to pain, and avoiding unnecessary referrals. The Federal Council of Dentistry prohibits the use of distance dentistry, mediated by technologies, for the purposes of consultation, diagnosis, prescription and preparation of treatment plan, but admits as an exception the cases in which the patient, under the direct supervision of a Dental Surgeon, this performs exchange of information with another professional, in order to provide better patient care [26[26] Conselho Federal de Odontologia. Resolução CFO-226 de 04 de Junho de 2020. Dispõe sobre o exercício da Odontologia a distância, mediado por tecnologias, e dá outras providências. Available from: http://www.crosp.org.br/uploads/arquivo/e1eb52fada70ddc938113152ba2b9cea.pdf. [Accessed on June 04, 2020] [In Portuguese] http://www.crosp.org.br/uploads/arquivo/...
,27[27] Conselho Federal de Odontologia. Resolução CFO-228/2020. Regulamenta o artigo 5º da Resolução CFO 226/2020. Available from: http://www.crosp.org.br/uploads/arquivo/9fb935f04d1b8e4d8eed246b9e82aa0f.pdf. [Accessed on August 01, 2020] [In Portuguese] http://www.crosp.org.br/uploads/arquivo/...
]. |
In the municipalities where there is access to Telehealth Centers: It must be registered on the platforms made available by the centers. In municipalities where there is no access to Telehealth Centers: *Need for adequacy: Tele-counseling, Tele-consultation, Teleconsulting, Tele-consultation for matrix support. *It is worth mentioning that these adjustments are administrative, in the information systems, and do not generate financial impact. |