Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-06-23T20:02:06Z No. of bitstreams: 1 PhilippiSedirGriloDeMorais_DISSERT.pdf: 2021949 bytes, checksum: fb571784a0286972d20358c2346ae7c5 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-27T19:49:25Z (GMT) No. of bitstreams: 1 PhilippiSedirGriloDeMorais_DISSERT.pdf: 2021949 bytes, checksum: fb571784a0286972d20358c2346ae7c5 (MD5) / Made available in DSpace on 2016-06-27T19:49:25Z (GMT). No. of bitstreams: 1 PhilippiSedirGriloDeMorais_DISSERT.pdf: 2021949 bytes, checksum: fb571784a0286972d20358c2346ae7c5 (MD5) Previous issue date: 2015-06-19 / O Programa Telessa?de Brasil Redes foi institu?do pelo Minist?rio da Sa?de, em 2007. Seu principal objetivo ? apoiar os profissionais da Aten??o Prim?ria em Sa?de (APS) com ofertas educacionais de qualifica??o, resultando em condi??es mais favor?veis na fixa??o do profissional em ?reas remotas. A formula??o e gest?o dos servi?os de telessa?de s?o realizadas por n?cleos t?cnico-cient?ficos, que s?o administrados por institui??es p?blicas de ensino superior e respons?veis por prover ferramentas e servi?os no contexto das regi?es em que se encontram. Entretanto, os problemas gerados por essa descentraliza??o ? o desenvolvimento de v?rias ferramentas, com diferentes tipos de linguagem, arquitetura, sem qualquer regulamenta??o e integra??o das informa??es com o Minist?rio da Sa?de. Com o objetivo de resolver o problema exposto, prop?e-se a especifica??o, implementa??o e valida??o de um modelo arquitetural para o desenvolvimento e distribui??o de ferramentas de software do Programa Telessa?de Brasil Redes. Essa arquitetura proposta permite que as ferramentas desenvolvidas nos n?cleos sejam partilhados entre os demais n?cleos, evitando, dessa forma, a utiliza??o desnecess?ria de recursos. / The Brazil Telehealth Networks Program was established by the Ministry of Health in 2007. Its main objective is to support professionals in Primary Health Care (PHC) by offering educational qualification, resulting in more favorable conditions to fixate the professional in remote areas. The formulation and management of telehealth services are performed by scientific and technical centers that are operated by public institutions of higher education and responsible for providing tools and services in the context of the regions where they are. However, one of the problems generated by this decentralization is the development of various tools with different types of language, architecture and without any regulation and integration of information with the Ministry of Health. Aiming to solve the above problem, we propose the specification, implementation and validation of an architectural model in the development and distribution of the Unified Health System software tools. This proposed architecture enables tools developed in telehealth center to be shared among the other centers, thereby preventing the unnecessary use of resources.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-22T15:28:33Z No. of bitstreams: 1 DanieleMontenegroDaSilvaBarros_DISSERT.pdf: 1628500 bytes, checksum: 727c04430bb87c56670af2632ec1065e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-07-27T21:38:22Z (GMT) No. of bitstreams: 1 DanieleMontenegroDaSilvaBarros_DISSERT.pdf: 1628500 bytes, checksum: 727c04430bb87c56670af2632ec1065e (MD5) / Made available in DSpace on 2016-07-27T21:38:22Z (GMT). No. of bitstreams: 1 DanieleMontenegroDaSilvaBarros_DISSERT.pdf: 1628500 bytes, checksum: 727c04430bb87c56670af2632ec1065e (MD5) Previous issue date: 2015-11-06 / O Programa Telessa?de Brasil Redes, criado em 2007 com o objetivo de fortalecer a Aten??o B?sica e o Sistema ?nico de Sa?de (SUS), utiliza as tecnologias de informa??o e comunica??o para atividades ? dist?ncia relacionadas ? sa?de, possibilitando a intera??o entre profissionais de sa?de e/ou seus pacientes, promovendo a qualifica??o das Equipes de Sa?de da Fam?lia (ESF). O Programa ? embasado por lei, que determina uma s?rie de tecnologias, protocolos e processos aos quais norteiam o trabalho dos N?cleos de Telessa?de na oferta dos servi?os para a popula??o. Entre esses servi?os est? a teleconsultoria, que ? consulta registrada e realizada entre trabalhadores, profissionais e gestores da ?rea de sa?de, por meio de instrumentos de telecomunica??o bidirecional, com o fim de esclarecer d?vidas sobre procedimentos cl?nicos, a??es de sa?de e quest?es relativas ao processo de trabalho. Com a expans?o do Programa em 2011 foi possivel detectar desafios e problemas que abrangem praticamente todos os N?cleos, em escalas diferentes para cada regi?o. Entre esses problemas pode-se listar a heterogeineidade das plataformas, principalmente de teleconsultoria, e a baixa cobertura de internet dos municipios, principalmente no interior do Brasil. Nessa perspectiva, o objetivo deste trabalho ? propor uma arquitetura distribu?da, que utilize computa??o m?vel, para automatizar o processo de submiss?o e resposta de uma teleconsultoria. Essa arquitetura ir? funcionar de forma Off-line e possibilitar? que os dados trafeguem pela internet de forma compressada, para diminuir a necessidade de altas taxas de transmiss?o de dados. Outro ponto da arquitetura, ? a possibilidade de ser utilizada por v?rios N?cleos de Telessa?de, atrav?s de um servi?o externo, que possa ser acoplado atrav?s de uma interface a outras plataforma de teleconsultoria. / The Telehealth Brazil Networks Program, created in 2007 with the aim of strengthening primary care and the unified health system (SUS - Sistema ?nico de Sa?de), uses information and communication technologies for distance learning activities related to health. The use of technology enables the interaction between health professionals and / or their patients, furthering the ability of Family Health Teams (FHT). The program is grounded in law, which determines a number of technologies, protocols and processes which guide the work of Telehealth nucleus in the provision of services to the population. Among these services is teleconsulting, which is registered consultation and held between workers, professionals and managers of healthcare through bidirectional telecommunication instruments, in order to answer questions about clinical procedures, health actions and questions on the dossier of work. With the expansion of the program in 2011, was possible to detect problems and challenges that cover virtually all nucleus at different scales for each region. Among these problems can list the heterogeneity of platforms, especially teleconsulting, and low internet coverage in the municipalities, mainly in the interior cities of Brazil. From this perspective, the aim of this paper is to propose a distributed architecture, using mobile computing to enable the sending of teleconsultation. This architecture works offline, so that when internet connection data will be synchronized with the server. This data will travel on compressed to reduce the need for high transmission rates. Any Telehealth Nucleus can use this architecture, through an external service, which will be coupled through a communication interface.