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(Des)vantagens no uso da telemedicina durante a pandemia de COVID-19 : um estudo transversal com médicos portugueses
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Introdução: A pandemia de COVID-19 criou desafios sem precedentes para o sistema de saúde global. Como resposta a essa crise de saúde pública, a telemedicina emergiu como uma
ferramenta crucial para a prestação de cuidados médicos, minimizando a disseminação do vírus e garantindo o acesso contínuo aos serviços de saúde. Objetivos: Avaliar a frequência, o tipo e a qualidade dos cuidados prestados com uso da telemedicina durante a pandemia de COVID-19 e identificar vantagens e desvantagens do uso da telemedicina. Método: 38 médicos a exercer em Portugal preencheram um questionário que incluía questões sobre (1) a frequência, o tipo e a perceção de qualidade dos cuidados prestados através da telemedicina e (2) o impacto da telemedicina na prática médica. Resultados: O uso de tecnologias de informação e comunicação (TIC) para cuidados de saúde antes da pandemia foi quase inexistente, verificando-se um aumento significativo durante a pandemia. O uso da telemedicina foi predominante ao nível do tratamento, seguimento e prevenção, mas menos em termos de diagnóstico. A maioria dos médicos considerou que a gestão de tempo foi mais eficaz nas consultas com o uso de TIC, mas que o exame físico e relação médico-doente foram as áreas mais afetadas. Conclusão: A telemedicina demonstrou ser uma ferramenta útil, ampliando o acesso aos cuidados de saúde e permitindo uma gestão de tempo mais eficaz nas consultas médicas. No entanto, é importante reconhecer que o diagnóstico e a relação médico-doente foram áreas prejudicadas, destacando a necessidade de equilibrar as vantagens e desvantagens dessa abordagem.
Introduction: The COVID-19 pandemic has posed unprecedented challenges to the global healthcare system. In response to this public health crisis, telemedicine has emerged as a crucial tool for delivering medical care, minimizing virus spread, and ensuring continuous access to healthcare services. Objectives: To assess the frequency, type, and quality of care provided using telemedicine during the COVID-19 pandemic and to identify the advantages and disadvantages of telemedicine use. Method: 38 physicians practicing in Portugal completed a questionnaire that included questions on (1) the frequency, type, and perceived quality of care provided via telemedicine and (2) the impact of telemedicine on medical practice. Results: The use of information and communication technologies (ICT) for healthcare was nearly nonexistent before the pandemic, with a significant increase observed during the pandemic. Telemedicine was predominantly used for treatment, follow-up, and prevention, but less so for diagnostic purposes. Most physicians considered time management to be more effective during consultations using ICT, but physical examination and the doctor-patient relationship were the most affected areas. Conclusion: Telemedicine has proven to be a useful tool, expanding access to healthcare and enabling more effective time management during medical consultations. However, it is important to recognize that diagnosis and the doctor-patient relationship were areas negatively impacted, emphasizing the need to balance the advantages and disadvantages of this approach.
Introduction: The COVID-19 pandemic has posed unprecedented challenges to the global healthcare system. In response to this public health crisis, telemedicine has emerged as a crucial tool for delivering medical care, minimizing virus spread, and ensuring continuous access to healthcare services. Objectives: To assess the frequency, type, and quality of care provided using telemedicine during the COVID-19 pandemic and to identify the advantages and disadvantages of telemedicine use. Method: 38 physicians practicing in Portugal completed a questionnaire that included questions on (1) the frequency, type, and perceived quality of care provided via telemedicine and (2) the impact of telemedicine on medical practice. Results: The use of information and communication technologies (ICT) for healthcare was nearly nonexistent before the pandemic, with a significant increase observed during the pandemic. Telemedicine was predominantly used for treatment, follow-up, and prevention, but less so for diagnostic purposes. Most physicians considered time management to be more effective during consultations using ICT, but physical examination and the doctor-patient relationship were the most affected areas. Conclusion: Telemedicine has proven to be a useful tool, expanding access to healthcare and enabling more effective time management during medical consultations. However, it is important to recognize that diagnosis and the doctor-patient relationship were areas negatively impacted, emphasizing the need to balance the advantages and disadvantages of this approach.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2024
Palavras-chave
Telemedicina TIC COVID-19 Relação médico-doente