COVID-19: TELEMONITORING AS A PROPOSAL FOR EDUCATION, CARE AND COPING IN PRIMARY CARE. EXPERIENCE REPORT

Authors

Keywords:

Primary Health Care, Telemonitoring, COVID-19, Continuity of Patient Care

Abstract

Objective: to report the process of construction and execution of the proposal for shared telemonitoring among family health teams (FHS), students and teachers of the health course for patients with suspected and / or confirmed COVID-19 in two health units in the municipality of Salvador-BA. Methods: The telemonitoring proposal was based on the Coronavirus Clinical Management Protocol (COVID-19) in Primary Health Care - version 8 of the Ministry of Health and involved actions articulated between the FHS responsible for the physical reception of patients, students responsible for the regular telephone monitoring and of the teachers who acted as supervisors of the entire process. Results: Among its various benefits, telemonitoring provided more safety to the patient, helped in the coordination of care and in the reduction of potential community transmission. However, difficulties were also faced, both technological and infrastructural, as well as psychosocial, which required creative solutions. Discussion: with similar strategies, different countries observed savings on personal protective equipment, a scarce resource in the pandemic. Conclusion: The use of information and communication technologies adds an important contribution to the family health strategy, reaffirming the attributes of SUS and PHC, in addition to enabling new formats for the integration of teaching and service even in times of social distance.

Downloads

Download data is not yet available.

Author Biographies

Victor Rocha Santana, Docente na Universidade do Estado da Bahia

Mestre em Saúde Coletiva pela Universidade Estatual de Feira de Santana

Talita Rocha de Aquino, Mestranda em Saúde Coletiva pela Universidade do Estado da Bahia

Graduada em Medicina pela Escola Bahiana de Medicina e saúde Pública. Docente na Universidade do Estado da Bahia e Universidade Federal do Recôncavo da Bahia.

References

Sarti TD, Lazarini WS, Fontenelle LF, Almeida APSC. Qual o papel da Atenção Primária à Saúde diante da pandemia provocada pela COVID-19? Epidemiol e Serv saude Rev do Sist Unico Saude do Bras. 2020;29(2):e2020166.

MINISTERIO DA SAÚDE. Orientações para Manejo De Pacientes Com Covid-19. 8a versão. 2020;

Cabral ER de M, Bonfada D, Melo MC de, Cesar ID, Oliveira REM de, Bastos TF, et al. Contribuições e desafios da Atenção Primária à Saúde frente à pandemia de COVID-19. Interam J Med Heal. 2020;3(April):1–12.

Hanley J, Pinnock H, Paterson M, McKinstry B. Implementing telemonitoring in primary care: Learning from a large qualitative dataset gathered during a series of studies. BMC Fam Pract. 2018;19(1):1–11.

Scottish Government. eHealth Strategy 2014-2017. 2015;(March 2015). Available from: http://www.gov.scot/Resource/0047/00472754.pdf

Chan PF, Lai KPL, Chao DVK, Fung SCK. Enhancing the triage and cohort of patients in public primary care clinics in response to the coronavirus disease 2019 (COVID-19) in Hong Kong: an experience from a hospital cluster. BJGP open. 2020;

Kavoor AR, Chakravarthy K, John T. Remote consultations in the era of COVID-19 pandemic: Preliminary experience in a regional Australian public acute mental health care setting. Asian J Psychiatr. 2020;51(April).

Ohannessian R, Duong TA, Odone A. Global Telemedicine Implementation and Integration Within Health Systems to Fight the COVID-19 Pandemic: A Call to Action. JMIR Public Heal Surveill. 2020;6(2).

Song X, Liu X, Wang C. The role of telemedicine during the COVID-19 epidemic in China - Experience from Shandong province. Crit Care. 2020;24(1):1–4.

Omboni S. Telemedicine During the COVID-19 in Italy: A Missed Opportunity? Telemed J E Health. 2020;26(8):973–5.

Robert A. Lessons from New Zealand’s COVID-19 outbreak response. Lancet Public Heal. 2020;5(11):e569–70.

Soeiro RE, Bedrikow R, Ramalho BD de S, Niederauer AJS, Souza CV de, Previato CS, et al. Atenção Primária à Saúde e a pandemia de COVID-19: reflexão para a prática. Interam J Med Heal. 2020;3(April):0–14.

Rockwell KL, Gilroy AS. Incorporating telemedicine as part of COVID-19 outbreak response systems. Am J Manag Care. 2020;26(4):147–8.

Greenhalgh T, Koh GCH, Car J. Covid-19: A remote assessment in primary care. BMJ. 2020;368:1–5.

World Health Organization. Problem Management Plus ( Pm + ). 2016;140.

Lima J de. Por que as periferias são mais vulneráveis ao coronavírus. Nexo Jornal. 2020.

Ali I. COVID-19: Are we ready for the second wave? Disaster Med Public Health Prep. 2020;2019(May):1–8.

Published

2021-03-04

How to Cite

Santana, V. R., de Aquino, T. R. ., de Brito, B. M. ., Almeida, C. C. ., & Barreto, L. B. . (2021). COVID-19: TELEMONITORING AS A PROPOSAL FOR EDUCATION, CARE AND COPING IN PRIMARY CARE. EXPERIENCE REPORT. Práticas E Cuidado: Revista De Saúde Coletiva, 2, e9967. Retrieved from https://revistas.uneb.br/index.php/saudecoletiva/article/view/9967

Issue

Section

Thematic Dossier COVID-19: Health Policies, Practices and Repercussions

Most read articles by the same author(s)