Follow up of the Legislation Advancement Along the Implementation of the Brazilian Telehealth Programme
Abstract
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.
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