Preprint / Version 2

Eighteen years in two days

the next steps for remote consultation in Brazil

##article.authors##

  • Carlos André Aita Schmitz Universidade Federal do Rio Grande do Sul https://orcid.org/0000-0002-9003-9704
  • Marcelo Rodrigues Gonçalves Universidade Federal do Rio Grande do Sul https://orcid.org/0000-0001-8516-8547
  • Roberto Nunes Umpierre Universidade Federal do Rio Grande do Sul https://orcid.org/0000-0001-9841-5543
  • Manuela Martins Costa Hospital de Clínicas de Porto Alegre https://orcid.org/0000-0003-3492-6795
  • Erno Harzheim Universidade Federal do Rio Grande do Sul
  • Rodolfo Souza da Silva TelessaúdeRS-UFRGS, Universidade Federal do Rio Grande do Sul
  • Cynthia Goulart Molina-Bastos Hospital de Clínicas de Porto Alegre
  • Marcos Vinícius Ambrosini Mendonça Universidade Federal de Ciências da Saúde de Porto Alegre https://orcid.org/0000-0002-7248-146X
  • Natan Katz Universidade Federal do Rio Grande do Sul

DOI:

https://doi.org/10.1590/SciELOPreprints.3126

Keywords:

Remote Consultation, Telemedicine, Telehealth, Health Policy, eHealth Policies, COVID-19

Abstract

This is an opinion article that aims to support the Disease caused by the New Coronavirus of 2019 (COVID-19) post-pandemic regarding the regulation of care through digital resources. Through a literature review, an attempt was made to conceptualize remote consultation and to survey both the historical evolution of technological appropriation by health and the regulation on the subject. Texts covering the pre-pandemic and pandemic periods in Brazil, the United States, the European Union and Australia were evaluated. We tried to highlight the main fallacies, sophisms and dissensions that orbit the theme, as well as the real points where there is a need for greater commitment for decision makers: data security and privacy, reimbursement parity and interstate licensing. It is concluded that the technological appropriation by health has divided the world into at least three segments: those that maintained the autonomy of professionals and patients; those who retarded technological advancement through bureaucracy; and those who forbade advances. The pandemic has generated positive reallocations among these groups and there is a need to refine progress and avoid setbacks.

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Author Biography

Carlos André Aita Schmitz, Universidade Federal do Rio Grande do Sul

Médico de família e comunidade. Professor adjunto do Departamento de Saúde Coletiva da Escola de Enfermagem da Universidade Federal do Rio Grande do Sul (UFRGS). Preceptor do Programa de Residência Médica em Medicina de Família e Comunidade do Hospital de Clínicas de Porto Alegre (HCPA). Consultor de Tecnologia da Informação do Núcleo de Telessaúde do Rio Grande do Sul (TelessaúdeRS-UFRGS). Especialista em Saúde Pública/Sanitarista pela Escola de Saúde Pública-RS. Mestre em Geomática pela Universidade Federal de Santa Maria. Doutor em Epidemiologia pela UFRGS.

Posted

2021-11-03 — Updated on 2021-11-05

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Section

Health Sciences