A utilização da telemedicina como alternativa para a melhoria do acesso à atenção primária de saúde no sistema único de saúde

Abstract

Telemedicine can be an alternative for improving access to Primary Health Care (PHC) services within the context of Brazil's Unified Health System (UHS). In this context, the general objective of this research was to propose guidelines to enhance the use of telemedicine as an alternative for improving access to PHC within the SUS. To this end, a qualitative, exploratory study was conducted, operationalized by means ten in-depth individual interviews, using a semi-structured approach and a Basic Question Guide, with professionals working in the investigated context. Content analysis was used for data analysis, with pre-defined categories of analysis. Despite the recognized benefits to PHC users in public health, it was evident that telemedicine faces budgetary, structural, cultural, political, and social challenges for its definitive and comprehensive integration within the SUS in Brazil. Among some of the proposed directions, it is possible to mention the need for expanding connectivity, training professionals and integrating telemedicine into healthcare planning, expanding the national telemedicine network, investing in technological infrastructure, training professionals, establishing clear guidelines, integrating with health systems and public-private partnerships, and structuring telecare rooms, ensuring adequate connectivity and infrastructure, among others.