Factors associated with the use of a teleconsultation system in Brazilian primary care

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Maria B M AlkmimAntonio L Ribeiro

Abstract

The Telehealth Network of Minas Gerais (TNMG) is a public telehealth service that provides support to primary healthcare in Minas Gerais, Brazil, performing teleconsultation and tele-electrocardiography. The aim of this study was to assess teleconsultation requests received by the TNMG and to investigate the factors associated with low teleconsultation utilization in most municipalities. A cross-sectional study was carried out including 214 municipalities. Indicators were defined to analyze teleconsultation requests. A structured questionnaire was used to investigate factors associated with teleconsultation utilization, which were analyzed by multivariate analysis through a decision tree algorithm (chi-squared automatic interaction detector) to the entire population of the study and logistic regression for municipalities that had used the system during the analyzed period. From May to September 2009, 1,954 teleconsultations were performed. The average number (±standard deviation) of teleconsultations per municipality was 1.71 (±1.50) per month. The majority of the users were located in remote regions with a low Human Development Index. The decision tree showed "conduction of sufficient training" (p=0.0015) as the factor with th...Continue Reading

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Citations

Mar 10, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Paula Rejane Beserra DinizMagdala de Araújo Novaes
Apr 21, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Erno HarzheimSotero Serrate Mengue
May 12, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Milena Soriano MarcolinoMaria Beatriz Alkmim
Jun 22, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Clare LiddyErin Keely
May 17, 2019·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Ariane Cristina Ferreira BernardesHumberto Oliveira Serra
Aug 7, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Milena Soriano MarcolinoClareci Silva Cardoso
Aug 8, 2019·Ciência & saúde coletiva·Renata Fiúza Damasceno, Antônio Prates Caldeira
Sep 3, 2020·BMC Health Services Research·Joanna KhoMelinda Martin-Khan
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Jun 15, 2017·Ciência & saúde coletiva·Italo Ricardo Santos AleluiaAna Luiza Queiroz Vilasbôas
Dec 29, 2020·International Journal of Health Care Quality Assurance·Karina M SerranoGilberto M D Ganga

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