Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-01T19:43:14Z No. of bitstreams: 1 BrunoErickDeBarrosLucena_DISSERT.pdf: 2770852 bytes, checksum: ceeb159c1376eb514861bb67fd8c345a (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-07T20:19:51Z (GMT) No. of bitstreams: 1 BrunoErickDeBarrosLucena_DISSERT.pdf: 2770852 bytes, checksum: ceeb159c1376eb514861bb67fd8c345a (MD5) / Made available in DSpace on 2016-04-07T20:19:51Z (GMT). No. of bitstreams: 1 BrunoErickDeBarrosLucena_DISSERT.pdf: 2770852 bytes, checksum: ceeb159c1376eb514861bb67fd8c345a (MD5) Previous issue date: 2015-05-05 / No Brasil, com o intuito de qualificar a Aten??o B?sica, o Minist?rio da Sa?de implementou o Programa Telessa?de Brasil Redes para fornecer atividades assistenciais (teleassist?ncia) e de suporte ? educa??o permanente em sa?de (tele-educa??o). Nesse aspecto, um dos principais servi?os oferecidos ? o de teleconsultorias. Como parte da expans?o nacional do programa, foi criado, no Rio Grande do Norte, um n?cleo local de telessa?de, denominado Telessa?de/RN. Esta pesquisa teve como objetivo implementar o servi?o de teleconsultoria na especialidade de cardiologia no Telessa?de/RN, analisando as caracter?sticas das teleconsultorias em cardiologia solicitadas. Ademais, analisar as Segundas Opini?es Formativas em cardiologia dispon?veis no Portal Teless?ude Brasil. Trata-se de estudo quantitativo, com desenho observacional e car?ter descritivo. Foram identificadas 56 Segundas Opini?es Formativas relacionadas ? cardiologia no portal Telessa?de Brasil, sendo a maioria referentes ? hipertens?o arterial sist?mica (29%), solicitadas por m?dicos (59%) e com abordagem sobre aspectos relativos a apoio ao tratamento (30%). No n?cleo de Telessa?de do Rio Grande Norte, foram realizadas 47 teleconsultorias em cardiologia, sendo a maior parte delas tamb?m relativa ? hipertens?o arterial (50%), requeridas em sua maioria por agentes comunit?rios de sa?de (45%) e com enfoque direcionado a apoio ao tratamento (52%). A teleconsultoria em cardiologia foi implementada no n?cleo Telessa?de/RN, sendo realizada sistematicamente desde abril de 2014 e representa uma estrat?gia pr?tica e eficiente, capaz de garantir a oferta de servi?os de sa?de, alcan?ando aqueles que vivem em ?reas distantes e carentes. Conhecer a demanda das teleconsultorias ? de extrema relev?ncia, pois fornece informa??es necess?rias para suprir as defici?ncias existentes, quer sejam de natureza assistencial, gerencial e/ou educacional, como tamb?m possibilita pensar em estrat?gias p?blicas que melhorem as demandas identificadas nas solicita??es de teleconsultoria. / In order to qualify Primary Health Care in Brazil, the Ministry of Health implemented the Brazilian Telehealth Program to provide health support (telecare) and permanent health education (tele-education). In this respect, one of the primary services offered is teleconsultation. As part of the national expansion of the program, a local Telehealth Center, called Telehealth/RN, was created in Rio Grande do Norte state. The aim of this study was to describe the implementation of cardiological teleconsultations at Telehealth/RN, and analyze the characteristics of the teleconsultations in cardiology requested. Formative Second Opinions in cardiology, available at the web site of the Brazilian Telehealth Program, were also examined. This is a quantitative study with a descriptive, observational design. A total of 56 Formative Second Opinions in cardiology were identified, a majority related to hypertension (29%), focused on treatment support (30%), and requested by doctors (59%). At Telehealth/RN, 47 teleconsultations in cardiology were carried out, a majority also related to hypertension (50%), requested by community health workers (45%) and focused directly on treatment (52%). Cardiological teleconsultation, implemented at the Telehealth/RN in April 2014, is a practical and efficient strategy capable of ensuring health services and reaching those who live in remote areas. Knowing the demand for teleconsultations is extremely important, given that they provide the information needed to correct existing inadequacies related to care, management and/or education, as well as providing the basis for public policies that meet the demands of teleconsultation.