Implementing and Monitoring the Teleconsulting Service of National Network of Specialists in Cervical Cancer
Introduction: Cervical cancer is a malignant neoplasia, which has a high incidence in women worldwide and in Brazil. Failure in prevention and early detection results in an average mortality of 50% of the cases, with enormous expenses for the health system and years of life lost. Objectives: This research seeks to contribute to the effectiveness of the actions of the Cervical Cancer Control Programme through the rational use of resources and exchange of knowledge among professionals of different levels by implementing an electronic teleconsulting system and providing information to primary care health professionals, discussing access to the new Brazilian guidelines for the screening of cervical cancer. Methods: We did a narrative review during the pre-intervention to determine different types of telehealth assessment. This review indicated that there is a lack of mixed-approach evaluative research of telehealth activities. We then conducted a descriptive evaluative study in which, a deployment analysis will be conducted with the basic health units and reference services for cervical cancer prevention in the city of Rio de Janeiro, Brazil during the implementation of HealthNet teleconsulting service. Results: There is a desktop version and health professionals are very motivated. Discussion: Teleconsultants can make a Formative Second Opinion library that will support the professionals in prevention of the cancer.
Cytryn A, Russomano FB, Camargo MJD, et al. Prevalence of cervical intraepithelial neoplasia grades II/III and cervical cancer in patients with cytological diagnosis of atypical squamous cells when high-grade intraepithelial lesions (ASC-H) cannot be ruled out. Sao Paulo Med J 2009;127:283–287. Available at: http://dx.doi.org/10.1590/S1516-31802009000500007 accessed 4 February 2017.
Brasil, Instituto Nacional de Câncer José Alencar Gomes da Silva. Brazilian Cervical Cancer Screening Guidelines. 2nd ed. Brasil: 2016. Available at: http://bit.ly/2bMMj47 accessed 23 January 2017.
Goodman A, Nour N. Cervical cancer screening: the complex interplay of medical infrastructure, society, and culture. Oncologist 2014;19(4):315–317. doi:10.1634/theoncologist.2014-0083.
Silva AB, Morel CM, Moraes IHS de. Proposal for a telehealth concept in the translational research model. Revista de Saúde Pública 2014;48(2):347–356. doi:10.1590/S0034-8910.2014048004923.
Diniz PRB, Ribeiro Sales FJ, de Araújo Novaes M. Providing telehealth services to a public primary care network: the experience of RedeNUTES in Pernambuco, Brazil. Telemed E-Health 2016; 22(8):694–698. doi:10.1089/tmj.2015.0209.
Bangert-Drowns RL. Misunderstanding Meta-Analysis. Eval Health Prof 1995;18(3):304-314
Silva, AB. Política pública, educação, tecnologia e saúde articuladas: como a telessaúde pode contribuir para fortalecer o SUS? [thesis]. Rio de Janeiro: Escola Nacional de Saúde Pública Sergio Arouca; 2013. Available at: http://www.arca.fiocruz.br/handle/icict/14272 accessed 8 February 2017.
Mauco KL, Scott RE, Mars M. Critical analysis of e-health readiness assessment frameworks: suitability for application in developing countries. J Telemed Telecare 2016:1357633X16686548. doi:10.1177/1357633X16686548.
Ekeland AG, Bowes A, Flottorp S. Methodologies for assessing telemedicine: A systematic review of reviews. Int J Med Inform 2012;81(1):1–11. doi:10.1016/j.ijmedinf.2011.10.009.
Contandriopoulos A-P, Trottier LH, Champagne F. Improving performance: a key issue for Quebec’s health and social services centers. Infoletter 2008;(2)5:2–6.
Champagne, F, Brouselle, A, Hartz, Z, Contandriopoulos, AP, Denis, JL. A Análise de Implantação. Avaliação: Conceitos e métodos, Rio de Janeiro: Editora Fiocruz; 2011, p. 217–38.
Haddad AE, Skelton-Macedo MC, Abdala V, et al. Formative second opinion: qualifying health professionals for the unified health system through the Brazilian Teleheath Programme. Telemed eHealth 2015;21(2):1-5.
Brasil. Ministry of Health. BIREME / PAHO / WHO. (2016). Virtual Health Library on Primary Health Care. Available at: http://aps.bvs.br/formative-second-opinion-sof/?l=en_US accessed 23 January 2017.
Silva AB, Carneiro ACMG, Síndico SRF. Rules of the Brazilian government on telehealth services: an integrative review. Planejamento e Políticas Públicas, 2015; 44:168-88. Available at: http://www.ipea.gov.br/ppp/index.php/PPP/article/viewFile/440/360 accessed 21 January 2017.
Freire P. Extensão ou comunicação? 7th ed. Rio de Janeiro: Paz e Terra; 1983.
Gadamer HG, Misgeld D, Nicholson G. Hans-Georg Gadamer on Education, Poetry, and History: Applied Hermeneutics. State University of New York Press; 1992.
Matney S, Brewster PJ, Sward KA, Cloyes KG, Staggers N. Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. Adv Nurs Sci 2011;34(1):6-18. Available at: http://journals.lww.com/advancesinnursingscience/Fulltext/2011/01000/Philosophical_Approaches_to_the_Nursing.4.aspx accessed 22 January 2017.
Dias VP, Witt RR, Silveira DT,. Telenursing in primary health care: report of experience in southern Brazil. Stud Health Technol Inform 2009;146:202–206. Available at: http://ebooks.iospress.nl/publication/12322 accessed 23 January 2017.
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