[Telehealth as state response strategy: systematic reviewLa telesalud como estrategia de respuesta del Estado: revisión sistemática]

Rafaela Santana Celes, Thaís Regis Aranha Rossi, Sandra Garrido de Barros, Carla Maria Lima Santos, Carla Cardoso, Rafaela Santana Celes, Thaís Regis Aranha Rossi, Sandra Garrido de Barros, Carla Maria Lima Santos, Carla Cardoso

Abstract

Objective: To identify telehealth initiatives described in the literature as a strategy for national health policies.

Method: A systematic review was performed to identify articles focusing on the use of telehealth as a state response strategy to health problems or needs. The Virtual Health Library, PubMed, and Google Scholar were searched using the following keywords: "telessaude politicas", "implantacao telessaude", "telehealth policy", "telehealth America", "telehealth Asia", "telehealth Antartida", "telehealth Europe", "telehealth Africa", "telehealth Oceania". Data collection was performed from March 2016 to February 2017.

Results: Twenty-one articles describing telehealth initiatives in various countries, published in Portuguese, Spanish, and English, were analyzed. Concentration of studies on specific areas or regions was not detected. Most articles were published from 2014 to 2017. Telehealth initiatives have been used mainly to decrease health costs, for continued education of health care professionals, consultations between health care professionals, to strengthen primary health care, and to improve the access to health care in remote areas.

Conclusions: Telehealth is used as state policy across the five continents, with variations in the degree of implementation. The main differences in telehealth among countries refer to infrastructure, financing, engagement of patients and caretakers, and position of the state regarding the role of telehealth.

Keywords: Telemedicine; health policy; health resources.

Conflict of interest statement

Conflitos de interesse. Nada declarado pelas autoras.

Figures

FIGURA 1. Esquema de seleção de artigos…
FIGURA 1. Esquema de seleção de artigos sobre ações de telessaúde vinculadas a políticas públicas

References

    1. Wen CL. Telemedicina e telessaúde: um panorama no Brasil. Informat Pub. 2008;10(2):7–15.
    1. Correia AD, Dobashi BF, Gonçalves CC, Monreal VR, Nunes EA, Haddad PO, et al. Teleodontologia no programa nacional telessaúde Brasil redes: relato da experiência em Mato Grosso Do Sul. Rev ABENO. 2014;14(1):17–29.
    1. Okoroafor IJ, Chukwuneke FN, Ifebunandu N, Onyeka TC, Ekwueme CO, Agwuna KK. Telemedicine and biomedical care in Africa: prospects and challenges. Niger J Clin Pract. 2017;20(1):1–5.
    1. Craig J, Patterson V. Introduction to the practice of telemedicine. J Telemed Telecare. 2005;11:3–9.
    1. Ekeland A, Bowes A, Flottorp S. Effectiveness of telemedicine: A systematic review of reviews. Int J Med Inform. 2010;79(11):736–771.
    1. Oh JY, Park YT, Jo EC, Kim SM. Current status and progress of telemedicine in Korea and other countries. Health Inform Res. 2015;21(4):239–243.
    1. Paim J. Políticas de saúde no Brasil. In: Rouquairol MZ, Almeida N Filho, editors. Epidemiologia e saúde. Rio de Janeiro: Medsi; 2003. pp. 587–603.
    1. Villalba E, Casas I, Abadie F, Lluch M. Integrated personal health and care services deployment: experiences in eight European countries. Int J Med Inform. 2013;82(7):626–635.
    1. Cook E, Randhaw G, Sharp C, Ali N, Guppy A, Barton G, et al. Exploring the factors that influence the decision to adopt and engage with an integrated assistive telehealth and telecare service in Cambridgeshire, UK: a nested qualitative study of patient ‘users’ and ‘non-users’. BMC Health Serv Res. 2016;16:137–137.
    1. Marzuki N, Ismail S, Al-Sadat N, Ehsan FZ, Chan CK, Ng CW. Integrating information and communication technology for health information system strengthening: a policy analysis. Asia Pac J Public Health. 2015;27(8 Suppl):86S–93S.
    1. Njoroge M, Zurovac D, Ogara EA, Chuma J, Kirigiaet D. Assessing the feasibility of eHealth and mHealth: a systematic review and analysis of initiatives implemented in Kenya. BMC Res Notes. 2017;10:90–90.
    1. Mars M. Telerehabilitation In South Africa – is there a way forward? Int J Telerehabil. 2011;3(1):11–18.
    1. Mars M. Tele-education in South Africa. Front Public Health. 2014;2:173–173.
    1. Santos A, D´Agostino M, Brouskela M, Fernandéz A, Messina LA, Alves HJ. Uma visão panorâmica das ações de telessaúde na América Latina. Rev Panam Salud Publica. 2014;35(5/6):465–470.
    1. Rivillas JC, Quintero JA, Caicedo J, Martínez M. Progresos en salud en Colombia: adopción del Sistema de Información Nacional en Cáncer. Rev Panam Salud Publica. 2014;35(5/6):446–452.
    1. Marcelo A, Mohan J, Ganesh J, Kadam DB, Ratta BS, Kulatunga G, et al. Governance and management of national telehealth programs in Asia. Global Telehealth. 2015;209:95–101.
    1. Duranni H, Khoja S. A systematic review of the use of telehealth in Asian countries. J Telemed Telecare. 2009;15:175–181.
    1. Ahmed T, Lucas H, Khan AS, Islam R, Bhuiya A, Iqbal M. eHealth and mHealth initiatives in Bangladesh: A scoping study. BMC Health Serv Res. 2014;14:260–260.
    1. Ohno G. Practical results of telemedicine system between Antarctic Station and Japan. In: Graschew G, editor. Telemedicine techniques and applications. Rijeka/Shanghai: InTech; 2011. pp. 439–453.
    1. Lennon MR, Bouamrane MM, Devlin AM, O’Connor S, O’Donnell C, Chetty U, et al. Readiness for delivering digital health at scale: lessons from a longitudinal qualitative evaluation of a national digital health innovation program in the United Kingdom. J Med Internet Res. 2017;19(2):e42.
    1. Lettieri E, Fumagalli L, Radaelli G, Bertele P, Vogt J, Hammerschmidt R, et al. Empowering patients through ehealth: a case report of a pan-European project. BMC Health Serv Res. 2015;15:309–309.
    1. Johnston B, Kidd L, Wengstrom Y, Kearney N. An evaluation of the use of Telehealth within palliative care settings across Scotland. J Palliat Med. 2012;26(2):152–161.
    1. Meurk C, Leung J, Hall W, Head BW, Whiteford H. Establishing and governing e-mental health care in Australia: a systematic review of challenges and a call for policy-focussed research. J Med Internet Res. 2016;18(1):e10.
    1. Pillon S, Todini AR. eHealth in Antarctica: a model ready to be transferred to every-day life. Int J Circumpolar Health. 2004;63(4):436–442.
    1. Gonçalves MR, Umpierre RN, D’Avila OP, Katz N, Mengue SS, Siqueira ACS, et al. Expanding primary care access: a telehealth success story. Ann Fam Med. 2017;15:383–383.
    1. Harzheim E, Gonçalves MR, Umpierre RN, Siqueira ACS, Katz N, Agostinho MR, et al. Telehealth in Rio Grande do Sul, Brazil: bridging the gaps. Telemed J E Health. 2016;22(11):938–944. Epub 2016 Apr 20.
    1. Melo MCB, Nunes MV, Resende RF, Figueiredo RR, Ruas SSM, Santos AF, et al. Telemed J E Health. 2017 doi: 10.1089/tmj.2017.0165. [Epub ahead of print]

Source: PubMed

Sponsorzy i współpracownicy

Warunki medyczne

Interwencje lekowe

3
Subskrybuj