Follow up of the Legislation Advancement Along the Implementation of the Brazilian Telehealth Programme
Purpose: Brazil has adopted e-Health as a national policy applied to healthcare and education since 2006. The aim of the present study is to present the evolution of the legislation as it reflects the evolution of the Brazilian Telehealth Program along this period of time, as well as some learned lessons. Methods: To describe the evolution of the program, a model was adopted, and analysed in parallel to the three main edicts that oriented the evolution of the program. Results: The life cycle stages of e-health implementation were identified in the evolution of the 3 different stages of the Brazilian Telehealth Program and also reflected in the evolution of its legislation. The results of pilot project from the first stage was followed and guided the implementation of the National Program applied to primary health care in the second stage. The Program has been implemented all over the country, developed new concepts, became integrated to the Unified Health Systems not only in primary health care, but also include median and high complexity level of care. Conclusion: The Brazilian Telehealth Program, along his implementation and consolidation, established new concepts and had telehealth included in its roll of services. These accomplishments are reflected in the Brazilian legislation, which considers and applies e-Health as a national policy.
Brazil Ministry of Health. Brazilian Telehealth Program. Available at: www.telessaudebrasil.org.br accessed 13 October 2015.
Brazil Ministry of Health. Open University of the Unified Health System. Available at: www.unasus.org.br accessed 13 October 2015.
Brazil Ministry of Science, Technology and Innovation. Teach and Research National Network. University Network of Telemedicine. Available at: http://rute.rnp.br/ accessed 13 October 2015.
Haddad AE, Skelton-Macedo MC, Abdala V, et al. Formative second opinion: qualifying health professionals for the unified health system through the Brazilian Teleheath Program. Telemed eHealth 2015;21(2):1-5.
Khoja S, Durrani H, Scott R, Sajwani A, Piryani U. Conceptual framework for development of comprehensive e-Health evaluation tool. Telemed e-Health 2013;19(1):48-53.
Brazil Ministry of Health. Edict nº 35, 4th January 2007. (2007). Available at: http://bvsms.saude.gov.br/bvs/saudelegis../gm/2007/prt0035_04_01_2007.html accessed 13 October 2015.
Brazil Ministry of Health. Edict nº 402, 24th February 2010. (2010). Available at: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2010/prt0402_24_02_2010.html accessed 13 October 2015.
Brazil Ministry of Health. Edict nº 2.546, 27 October 2011. (2011). Available at: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt2546_27_10_2011.html accessed 13 October 2015.
Frenk J, Chen L, Bhutta Za, Et Al. Health Professionals For A New Century: Transforming Education To Strengthen Health Systems In An Interdependent World. Lancet 2010;376(9756):1923-1958.
Amaral E, Campos HH, Friedman S, et al. An educational international partnership responding to local needs: process evaluation of the Brazil FAIMER Regional Institute. Educ Health 2012;25:116-123.
Costa CA, Araujo AO, Souza JES, et al. O uso da telemedicine no tratamento de portadores de doenças cardiovasculares em municípios do estado do Amazonas. J Bras Telessaude 2013;2(suppl):73.
Marcolino MA, Alkmin MB, Assis TGP, et al. Telehealth Network of Minas Gerais and its contributions to universality, equality and integrality in the Brazilian Unified Health System (Sistema Único de Saúde – SUS): an empirical study. R Eletr De Com Inf Inov Saude 2013;7(2):1-21.
Gasparini M, Morato C, Silva Jr. JLR, Carneiro DA, Sacchetin SC, Taleb AC, et al. Analysis strategy for implementation of the Electronic System in the Reference and Counter - reference in health services. Rev Educação em Saúde 2015;1(2):32-50.
Brazil Ministry of Health. Manual de Telessaude para Atenção Primária à Saúde. (2012). Available at: http://programa.telessaudebrasil.org.br/wp-content/uploads/2015/02/Manual_Telessaude.pdf accessed 14 October 2015.
Castro Filho, E. Telessaúde no apoio a médicos de atenção primária. Tese de Doutorado. Programa de Pós-Graduação em Epidemiologia, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul. (2011). 108p. Available at: http://www.lume.ufrgs.br/bitstream/handle/10183/53156/000854108.pdf?sequence=1 accessed 14 October 2015.
Brazil Ministry of Health. Pactos pela Saúde. Política Nacional de Educação Permanente em Saúde. (2009). Available at: http://www.saude.es.gov.br/download/PoliticaNacionalEducPermanenteSaude_V9.pdf accessed 14 October 2015.
Campos FE, Haddad AE, Michel JL, et al. Programa De Apoio à formação de médicos especialistas no Brasil (Pró-Residência): indução para a formação de especialistas segundo necessidades do SUS. (2011). In: Pierantoni CR. O Trabalho em Saúde: abordagens quantitativas e qualitativas. CEPESC/IMS/UERJ – ObservaRH. Available at: http://www.obsnetims.org.br/publicacoes_livros_detalhes.php?id=15 accessed 14 October 2015.
Brazil Law n. 12.871. Available at: http://www.planalto.gov.br/ccivil_03/_ato2011-2014/2013/Lei/L12871.htm accessed 13 October 2015.
Brazil Ministry of Health Edict n. 2073 / 2011. (2011). Available at: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt2073_31_08_2011.html accessed 14 October 2015.
Copyright (c) 2016 Ana Estela Haddad, Deise Garrido da Silva, Alexandra Monteiro, Tâmara Guedes, Alexandre Medeiros Figueiredo
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.