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1.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-46942

RESUMO

O telecondutas é um material produzido pela equipe de Teleconsultores do canal 0800 644 6543 do TelessaúdeRS-UFRGS, pretende, de um modo rápido e dinâmico, orientar os médicos da Atenção Primária a realizar o diagnóstico e manejo dos pacientes com essa condição.


Assuntos
Telemedicina , Atenção Primária à Saúde , Promoção da Saúde , Educação a Distância
2.
Zhonghua Wai Ke Za Zhi ; 58(1): 1-4, 2020 Jan 01.
Artigo em Chinês | MEDLINE | ID: mdl-31902160

RESUMO

The combination of network and medical field gave birth to telemedicine.The implementation of telemedicine can improve the uneven distribution of regional medical resources, reduce the working pressure of medical staff, shorten the distance between medical staff and patients and medical staff, and improve the timeliness of monitoring, diagnosis and treatment.The continuous development of telemedicine relies on the continuous innovation of network communication technology, the latest 5(th) generation wireless systems (5G) is bringing significant changes to mobile communication and other related industries by virtue of its advantages of high data rate and low latency. This paper reviews the development of telemedicine, introduces the characteristics of 5G technology, combines the research results of 5G technology applied in the medical field at home and abroad, and prospects the development of this field in the future.


Assuntos
Telemedicina , Tecnologia sem Fio , Humanos
3.
Einstein (Sao Paulo) ; 18: eGS4913, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31531556

RESUMO

OBJECTIVE: To evaluate indications, results and strategy of retinal exams requested at Primary Care Units. METHODS: A retrospective study that analyzed the indications and results of retinal exams, in the modalities clinical dilated fundus exams and color fundus photographs. In the following situations, patients were considered eligible for color fundus photographs if visual acuity was normal and ocular symptoms were absent: diabetes mellitus and/or hypertension, in use of drugs with potential retinal toxicity, diagnosis or suspicion of glaucoma, stable and asymptomatic retinopathies, except myopia greater than -3.00 diopters. RESULTS: A total of 1,729 patients were evaluated (66% female, age 63.5±15.5 years), and 1,190 underwent clinical dilated fundus exam and 539 underwent color fundus photographs. Diabetes was present in 32.2%. The main indications were diabetes (23.7%) and glaucoma evaluation (23.5%). In 3.4% of patients there was no apparent indication. The main results were a large cup/disc ratio (30.7%) and diabetic retinopathy (13.2%). Exam was normal in 9.6%, detected peripheral changes in 7% and could not be performed in 1%. Considering patients eligible for fundus photographs (22.4%), more than half underwent clinical dilated fundus exams. CONCLUSION: Regarding exam modality, there were no important differences in the distribution of indications or diagnosis. Color fundus photograph is compatible with telemedicine and more cost-effective, and could be considered the strategy of choice in some scenarios. Since there are no clear guidelines for retinal exams indications or the modality of choice, this study may contribute to such standardization, in order to optimize public health resources.


Assuntos
Técnicas de Diagnóstico Oftalmológico , Atenção Primária à Saúde/estatística & dados numéricos , Retina , Doenças Retinianas/diagnóstico , Idoso , Retinopatia Diabética/diagnóstico , Técnicas de Diagnóstico Oftalmológico/economia , Feminino , Fundo de Olho , Humanos , Masculino , Pessoa de Meia-Idade , Fotografação , Exame Físico , Estudos Retrospectivos , Telemedicina , Acuidade Visual
4.
Zhongguo Yi Liao Qi Xie Za Zhi ; 43(6): 432-435, 2019 Nov 30.
Artigo em Chinês | MEDLINE | ID: mdl-31854530

RESUMO

Parkinson's Disease (PD) is a neurodegenerative disease that occurs in the middle-aged and elderly population and has dyskinesia as the main clinical symptom. Bradykinesia is a typical dyskinesia symptom of Parkinson's disease. The evaluation of bradykinesia based on wearable devices is an important support for individualized diagnosis and telemedicine. This paper focuses on the bradykinesia, expound the existing detection and evaluation techniques for wearable devices and data analysis methods. This paper also analyzes and discusses some current problems in the field and future research directions.


Assuntos
Hipocinesia , Doença de Parkinson , Telemedicina , Dispositivos Eletrônicos Vestíveis , Humanos
5.
Rev Infirm ; 68(256): 21-22, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-31870472

RESUMO

The evaluation of the patient and his burned body surface is one of the fundamental prerequisites for his care on site as well as for the initiation of his care journey. New tools such as the E-burn application and telemedicine improve this assessment and remote medical assistance management by reducing the risk of under-sorting or over-sorting. Telemedicine limits inappropriate secondary inter-hospital transfers and the resulting increased mortality. It is carried out according to standards that ensure safety and confidentiality for the patient and caregivers.


Assuntos
Queimaduras , Telemedicina , Queimaduras/terapia , Humanos
6.
Rev. Hosp. El Cruce ; (25): 28-34, Dic 2019.
Artigo em Espanhol | LILACS, BINACIS | ID: biblio-1047122

RESUMO

Paciente con secuela neurológica severa es dado de alta al domicilio, siendo dependiente total para AVD (Actividades de la Vida Diaria), traqueostomizado y sin posibilidad de comenzar con rehabilitación psicofísica por su contexto socioeconómico. OBJETIVO: El objetivo, es mostrar como la implementación de un programa vía Telemedicina, puede ser efectivo en pacientes seleccionados, cuando el contexto socioeconómico limita la posibilidad de continuar con su correspondiente rehabilitación. METODOLOGÍA: En consenso interdisciplinario, se creó un programa de seguimiento, evaluación y tratamiento vía Telemedicina, donde se programó un encuentro semanal, de manera virtual de 30-40 minutos durante 3 meses hasta cumplir el objetivo de decanular. RESULTADOS: Mediante este programa se logró capacitar e instruir a la familia para cuidado y el manejo domiciliario, y se logró el seguimiento sin eventos adversos. CONCLUSIONES: El programa de telekinesiología parece cumplir con el objetivo de acercar el hospital y la atención kinésica a pacientes seleccionados y a su familia, brindando una solución para la pronta rehabilitación.


Patient with a severe neurological sequela is discharged home, being totally dependent on DLA (Daily Life Activities), tracheostomized and unable to start with psychophysical rehabilitation due to its socioeconomic context. OBJECTIVE: The objective is to show how the implementation of a program via Telemedicine can be effective in selected patients, when patient´s recovery is limited due to its socioeconomic context. METHODS: By interdisciplinary consensus, a evaluation, monitorization and treatment program was created, and patient was followed-up via Telemedicine. We scheduled a virtual meeting weekly 30-40 min. for the time of 3 months to achieve the goal of decannulation. RESULTS: Through this program, the family was trained and instructed for home care and patient management, and follow-up was achieved without adverse events. CONCLUSIONS: The Telekinesiology program seems to accomplish the objective of bringing the hospital and physiotherapist care to selected patients and their family, providing a solution for prompt rehabilitation.


Assuntos
Traqueotomia , Telemedicina , Cinesiologia Aplicada
7.
BMJ ; 367: l5922, 2019 11 05.
Artigo em Inglês | MEDLINE | ID: mdl-31690561

RESUMO

OBJECTIVE: To investigate the clinical effectiveness and safety of stand alone and blended internet based vestibular rehabilitation (VR) in the management of chronic vestibular syndromes in general practice. DESIGN: Pragmatic, three armed, parallel group, individually randomised controlled trial. SETTING: 59 general practices in the Netherlands. PARTICIPANTS: 322 adults aged 50 and older with a chronic vestibular syndrome. INTERVENTIONS: Stand alone VR comprising a six week, internet based intervention with weekly online sessions and daily exercises (10-20 minutes a day). In the blended VR group, the same internet based intervention was supplemented by face-to-face physiotherapy support (home visits in weeks 1 and 3). Participants in the usual care group received standard care from a general practitioner, without any restrictions. MAIN OUTCOME MEASURES: The primary outcome was vestibular symptoms after six months as measured by the vertigo symptom scale-short form (VSS-SF range 0-60, clinically relevant difference ≥3 points). Secondary outcomes were dizziness related impairment, anxiety, depressive symptoms, subjective improvement of vestibular symptoms after three and six months, and adverse events. RESULTS: In the intention-to-treat analysis, participants in the stand alone and blended VR groups had lower VSS-SF scores at six months than participants in the usual care group (adjusted mean difference -4.1 points, 95% confidence interval -5.8 to -2.5; and -3.5 points, -5.1 to -1.9, respectively). Similar differences in VSS-SF scores were seen at three months follow-up. Participants in the stand alone and blended VR groups also experienced less dizziness related impairment, less anxiety, and more subjective improvement of vestibular symptoms at three and six months. No serious adverse events related to online VR occurred during the trial. CONCLUSION: Stand alone and blended internet based VR are clinically effective and safe interventions to treat adults aged 50 and older with a chronic vestibular syndrome. Online VR is an easily accessible form of treatment, with the potential to improve care for an undertreated group of patients in general practice. TRIAL REGISTRATION: Netherlands Trial Register NTR5712.


Assuntos
Medicina Geral/métodos , Modalidades de Fisioterapia , Qualidade de Vida , Telemedicina/métodos , Doenças Vestibulares/reabilitação , Idoso , Doença Crônica/psicologia , Doença Crônica/reabilitação , Feminino , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Países Baixos , Síndrome , Resultado do Tratamento , Doenças Vestibulares/diagnóstico , Doenças Vestibulares/psicologia
8.
Zhonghua Yan Ke Za Zhi ; 55(11): 801-805, 2019 Nov 11.
Artigo em Chinês | MEDLINE | ID: mdl-31715675

RESUMO

Medical artificial intelligence (AI) promotes technological revolution and industrial transformation in the medical field, and the medical level of orbital disease will also be improved with the in-depth development of AI diagnosis and treatment. The problems should be solved in the orbital disease AI research at the initial stage include: the complex knowledge system of orbital disease requires cross-disciplinary knowledge to improve the level of diagnosis and treatment; the early diagnosis and treatment of orbital disease is absent, and effective technical methods are needed to crack the screening dilemma; the operation of the disease is difficult, and special mechanical devices are needed to break through the boundaries of surgical technique; the medical team of orbital disease is scarce, and it is necessary to share the medical resources effectively. In order to solve the problems mentioned above, the following research directions of orbital disease AI diagnosis and treatment should be included: the orbital disease AI diagnosis system, the orbital disease AI screening platform, the orbital surgery robot and the orbital disease telemedicine. Through the development of multidisciplinary diagnosis and treatment, the in-depth exploration of interdisciplinary basic research, the extensive implementation of clinical research, and the extensive integration of industry and academic communication, the AI diagnosis and treatment of orbital disease is approaching a new era. (Chin J Ophthalmol, 2019, 55: 801-805).


Assuntos
Inteligência Artificial , Doenças Orbitárias/diagnóstico , Doenças Orbitárias/terapia , Telemedicina , Pesquisa Biomédica/tendências , Humanos
9.
Rev Med Liege ; 74(11): 566-571, 2019 Nov.
Artigo em Francês | MEDLINE | ID: mdl-31729844

RESUMO

Following a solicitation of INAMI in 2016, a team of the CHU Liège pneumology department has proposed a telemonitoring pilot project in severe chronic obstructive pulmonary disease (COPD) patients. The main objective of the study was to reduce the number of hospitalizations for COPD exacerbation. The patients included in the study had been at least hospitalized once in 12 months before the beginning of the telemonitoring. A close collaboration with the general practitioner was required. Patients were educated in the manipulation of the application and connected objects. The numerous technical difficulties encountered limited the number of patients studied within the short time allowed by INAMI. However, some interesting observations could be made and a first experience in the field acquired. A project on a large scale seems necessary.


Assuntos
Doença Pulmonar Obstrutiva Crônica , Telemedicina , Hospitalização , Humanos , Projetos Piloto , Doença Pulmonar Obstrutiva Crônica/diagnóstico
10.
Nurs Clin North Am ; 54(4): 457-471, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31703773

RESUMO

Depression management in primary care settings is the norm, in the United States and globally. As incidence and prevalence of depression continue to mount, there are innovative models of treatment, newer understandings, more open philosophies, and evidence-informed treatments that may address this troubling public health issue. This article attempts to succinctly examine the evidence in identifying and treating this in the United States in an expedient, evidence-informed manner to assist those in need of have care that is patient centered, of high quality, affordable, and readily accessible across the lifespan.


Assuntos
Depressão/diagnóstico , Depressão/terapia , Assistência Centrada no Paciente , Atenção Primária à Saúde/organização & administração , Humanos , Telemedicina , Estados Unidos
11.
Adv Exp Med Biol ; 1192: 583-627, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31705515

RESUMO

Mental disorders are highly prevalent and often remain untreated. Many limitations of conventional face-to-face psychological interventions could potentially be overcome through Internet-based and mobile-based interventions (IMIs). This chapter introduces core features of IMIs, describes areas of application, presents evidence on the efficacy of IMIs as well as potential effect mechanisms, and delineates how Artificial Intelligence combined with IMIs may improve current practices in the prevention and treatment of mental disorders in adults. Meta-analyses of randomized controlled trials clearly show that therapist-guided IMIs can be highly effective for a broad range of mental health problems. Whether the effects of unguided IMIs are also clinically relevant, particularly under routine care conditions, is less clear. First studies on IMIs for the prevention of mental disorders have shown promising results. Despite limitations and challenges, IMIs are increasingly implemented into routine care worldwide. IMIs are also well suited for applications of Artificial Intelligence and Machine Learning, which provides ample opportunities to improve the identification and treatment of mental disorders. Together with methodological innovations, these approaches may also deepen our understanding of how psychological interventions work, and why. Ethical and professional restraints as well as potential contraindications of IMIs, however, should also be considered. In sum, IMIs have a high potential for improving the prevention and treatment of mental health disorders across various indications, settings, and populations. Therefore, implementing IMIs into routine care as both adjunct and alternative to face-to-face treatment is highly desirable. Technological advancements may further enhance the variability and flexibility of IMIs, and thus even further increase their impact in people's lives in the future.


Assuntos
Inteligência Artificial , Transtornos Mentais/terapia , Aplicativos Móveis , Psicoterapia/métodos , Adulto , Humanos , Internet , Telemedicina
12.
Drugs Today (Barc) ; 55(10): 653-659, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31720562

RESUMO

The Organization for Professionals in Regulatory Affairs (TOPRA) hosted its 2019 Annual Symposium in Dublin and gathered together professionals from regulatory agencies, pharmaceutical companies and associations worldwide. The key topics discussed were related to digital health, Brexit, expedited/facilitated regulatory pathways, European Medicines Agency (EMA) public hearings, medi-cal devices and health technology assessment (HTA).


Assuntos
Indústria Farmacêutica , Avaliação da Tecnologia Biomédica , Congressos como Assunto , Equipamentos e Provisões , Regulamentação Governamental , Humanos , Irlanda , Telemedicina
13.
N Engl J Med ; 381(20): 1909-1917, 2019 11 14.
Artigo em Inglês | MEDLINE | ID: mdl-31722151

RESUMO

BACKGROUND: Optical sensors on wearable devices can detect irregular pulses. The ability of a smartwatch application (app) to identify atrial fibrillation during typical use is unknown. METHODS: Participants without atrial fibrillation (as reported by the participants themselves) used a smartphone (Apple iPhone) app to consent to monitoring. If a smartwatch-based irregular pulse notification algorithm identified possible atrial fibrillation, a telemedicine visit was initiated and an electrocardiography (ECG) patch was mailed to the participant, to be worn for up to 7 days. Surveys were administered 90 days after notification of the irregular pulse and at the end of the study. The main objectives were to estimate the proportion of notified participants with atrial fibrillation shown on an ECG patch and the positive predictive value of irregular pulse intervals with a targeted confidence interval width of 0.10. RESULTS: We recruited 419,297 participants over 8 months. Over a median of 117 days of monitoring, 2161 participants (0.52%) received notifications of irregular pulse. Among the 450 participants who returned ECG patches containing data that could be analyzed - which had been applied, on average, 13 days after notification - atrial fibrillation was present in 34% (97.5% confidence interval [CI], 29 to 39) overall and in 35% (97.5% CI, 27 to 43) of participants 65 years of age or older. Among participants who were notified of an irregular pulse, the positive predictive value was 0.84 (95% CI, 0.76 to 0.92) for observing atrial fibrillation on the ECG simultaneously with a subsequent irregular pulse notification and 0.71 (97.5% CI, 0.69 to 0.74) for observing atrial fibrillation on the ECG simultaneously with a subsequent irregular tachogram. Of 1376 notified participants who returned a 90-day survey, 57% contacted health care providers outside the study. There were no reports of serious app-related adverse events. CONCLUSIONS: The probability of receiving an irregular pulse notification was low. Among participants who received notification of an irregular pulse, 34% had atrial fibrillation on subsequent ECG patch readings and 84% of notifications were concordant with atrial fibrillation. This siteless (no on-site visits were required for the participants), pragmatic study design provides a foundation for large-scale pragmatic studies in which outcomes or adherence can be reliably assessed with user-owned devices. (Funded by Apple; Apple Heart Study ClinicalTrials.gov number, NCT03335800.).


Assuntos
Fibrilação Atrial/diagnóstico , Eletrocardiografia/instrumentação , Aplicativos Móveis , Telemedicina/instrumentação , Dispositivos Eletrônicos Vestíveis , Adulto , Idoso , Algoritmos , Confidencialidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Estudos Prospectivos
14.
Pan Afr Med J ; 33: 305, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31723372

RESUMO

Introduction: Every 90 seconds, a woman dies of complications related to pregnancy and childbirth, resulting in more than 340,000 maternal deaths a year. Antenatal care (ANC) and postnatal care (PNC) are significant determinants of maternal health and, particularly, safe motherhood. Antenatal care is an important predictor of safe delivery and provides health information and services that can improve the health of women and infants. mHealth broadly encompasses the use of mobile telecommunication and multimedia technologies as they are integrated within increasingly mobile and wireless health care delivery systems. This study aimed at assessing the acceptable implementation modalities of mHealth intervention on pregnant Women in Dschang health district, West Region of Cameroon.ng ba. Methods: This was a cross sectional descriptive study in the Dschang health district, West region of Cameroon. Key informants were all pregnant women from 18 years and above and a total of 372 pregnant women were included. This study was carried out from March to July 2017. Results: Majority of the women, that is, 252(67.74%) were married, 117(31.45%) declaredtheir status as being single, while 3(0.81%) were devorced. Out of the 335 women that declared wanting an mHealth intervention, 41.79% of this number preferred SMS texts in the afternoon, 111(33.13%) in the evening, 46(13.73%) anytime and 38(11.34%) in the morning hours. A total of 83.33% women confirmed using telephone services. Conclusion: This study reveals that cell phones would be the acceptable medium of providing pregnancy and postpartum support to women in the Dschang health district. This is justified by the fact that a vast majority of women interviewed had access to a cell phone and referred to it as their desired and accepted means of communication.


Assuntos
Cuidado Pós-Natal/métodos , Cuidado Pré-Natal/métodos , Telemedicina/métodos , Adolescente , Adulto , Camarões , Telefone Celular , Estudos Transversais , Feminino , Humanos , Gravidez , Mensagem de Texto , Adulto Jovem
15.
Zhonghua Shao Shang Za Zhi ; 35(9): 697-700, 2019 Sep 20.
Artigo em Chinês | MEDLINE | ID: mdl-31594190

RESUMO

Telemedicine refers to two or more medical institutions using communication, computer, and network technology to provide remote diagnosis, treatment, and care for patients. The necessity and feasibility of applying telemedicine are determined by the characteristics of burn injury. This paper reviewed the application of telemedicine in burn surgery at home and abroad, then analyzed the significance and problems of using this technology in the field of burns, finally forecasted the future of application of telemedicine in burn surgery.


Assuntos
Queimaduras/terapia , Telemedicina/tendências , Humanos
16.
Pflege ; 32(6): 324-333, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31576771

RESUMO

The potential of technological assistance to support distance caregiving - literature review and empirical results Abstract. Background: Due to demographic change, increasing labour mobility and changing family patterns, social relationships often exist over long distances. Supporting relatives over a distance is therefore a highly topical issue but still little discussed, also in Germany and Switzerland. Aim: The project "DiCa" (2016 - 2019) with an interdisciplinary research team from Germany (EH Ludwigsburg) and Switzerland (Careum School of Health, Zurich) aims to investigate different dimensions of "Distance Caregiving". This paper deals with the possible use of new technologies to support these care arrangements. Methods: Based on a literature review, qualitative interviews were conducted with "Distance Carers" and partner companies in Germany to investigate the use of new technologies in the context of "Distance Caregiving". Results: There are initial approaches concerning technical solutions in home care and in companies. So far communication options via telephone and smartphone and flexible working time and workplace regulations have played an important role. However, the potential of new technologies does not seem to be fully explored. Conclusions: In order to make the most of the various possibilities of innovative technologies in the context of "Distance Caregiving" for those affected but also for companies, well-researched information and independent advice and counseling are required for all parties involved in the care process.


Assuntos
Tecnologia Biomédica , Cuidadores , Invenções , Telemedicina/instrumentação , Humanos
18.
Kardiologiia ; 59(9S): 4-15, 2019 Sep 11.
Artigo em Russo | MEDLINE | ID: mdl-31644412

RESUMO

Actuality. High risk of hospitalisation and death in patients with heart failure highlight the importance of developing methods to moni­ tor weight, diuresis, heart rate and other parameters and provide the physicians with an ability to change the therapy immediately if needed. The aim of this work is an analysis of clinical trials which investigate telemonitoring in patients with heart failure. Discussion. The Cochrane meta-analysis is also discussed in this work. Main conclusions. Our analysis showed that there is no consistency among trials. Not all trials have demonstrated that telemonitoring can reduce the risk of death and heart failure hospitalisations. Potentials explanations are lack of compliance with systems which didn't include the direct contact between the patient and the caregivers, using parameters with low sensitivity in some of the methods and including of stable patients in some of the studies. It is also seeming that effect of telemonitoring is low in regions with existing programs to treat heart failure.


Assuntos
Insuficiência Cardíaca/diagnóstico , Monitorização Fisiológica , Telemedicina , Doença Crônica , Ensaios Clínicos como Assunto , Hospitalização , Humanos
19.
Ig Sanita Pubbl ; 75(3): 231-244, 2019.
Artigo em Italiano | MEDLINE | ID: mdl-31645064

RESUMO

The increase of chronic diseases prevalence has created the need to adapt care models. Telemedicine applications play an increasingly important role in health care and provide tools that are indispensable for home health care, remote patient monitoring, disease management, and lastly are enable patients to have more control of their own well being. The paper presents an Italian Healthcare Local Authority Experience. The objective of paper was to evaluate the impact of telemedicine on patients with long-term conditions at high risk for rehospitalization or an emergency department visit, in terms of target disease control (diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease). The outcomes are highly positive. They register the decrease of access to emergency care, the reduction of waiting list for the next visits and the increase of customer satisfaction.


Assuntos
Doença Crônica/terapia , Serviços de Assistência Domiciliar , Telemedicina , Diabetes Mellitus , Humanos , Readmissão do Paciente , Doença Pulmonar Obstrutiva Crônica
20.
Rev. Soc. Cardiol. Estado de Säo Paulo ; 29(4): 362-364, out.-dez. 2019.
Artigo em Português | LILACS | ID: biblio-1047215

RESUMO

Atualmente, o teleatendimento ou teleconsulta é vedado pelo Código de Ética Médica brasileiro. O rápido e progressivo avanço de novas tecnologias de comunicação à distância, principalmente pela internet, abriu inúmeras possibilidades - tanto para médicos como para pacientes - de troca de informações e diálogos em forma de texto ou voz, inclusive de transmissão de imagens fixas e em movimento, em tempo real ou não. Esses avanços tecnológicos, incontestáveis e inevitáveis, obrigam a Ética Médica a uma adaptação aos novos tempos. Assim, o Conselho Federal de Medicina vem estudando uma resolução que tente disciplinar esse tipo de atendimento. O principal obstáculo para o teleatendimento é a necessidade de uma adequada relação médico-paciente e o estabelecimento de uma relação de confiança mútua, as quais se estabelecem na anamnese bem feita, na avaliação do paciente em seus aspectos bio-psico-social (inclusive de sua linguagem corporal) e num exame físico bem feito, o que só é possível no contato direto entre o médico e o doente


Telemedical care (distance medicine technology) is currently forbidden by the Brazilian Code of Medical Ethics. The fast-moving and progressive advancement of new distance communication technologies, especially over the Internet, has opened up numerous possibilities in clinical practice - for both doctors and patients - to exchange information in the form of text or voice, including the transmission of still or moving images, whether in real time or not. These undeniable and unavoidable technological advances are leading the Medical Ethics to adjust to the new times. Thus, the Brazilian Federal Council of Medicine has been giving particular attention to a resolution that attempts to discipline this type of care. The main obstacle to telemedical care is the need for an adequate doctor/patient relationship, with the establishment of mutual trust, which takes place in the anamnesis, in the patient's evaluation, in the bio-psycho-social aspects (including body language) as well as thorough physical examination, which is only possible in the direct contact between the doctor and the patient


Assuntos
Segurança , Telemedicina , Ética Médica , Relações Médico-Paciente , Desenvolvimento Tecnológico/métodos , Consulta Remota/métodos , Códigos de Ética
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