Ilara Hämmerli Sozzi de Moraes

O caso da Rede Universitária de Telemedicina: análise da entrada da telessaúde na agenda política brasileira

Estudo de abordagem qualitativa sobre a concepcao da politica de telessaude no Brasil baseado em modelos de avaliacao em saude e na analise de politicas publicas, mais especificamente na proposta analitica de multiplos fluxos e no modelo logico de avaliacao de programas em saude. As fontes de dados consistiram em documentos relacionados a criacao da Rede Universitaria de Telemedicina (Rute), artigos disponiveis na literatura sobre telessaude e avaliacao em saude, atas e participacoes em reunioes de variados foruns. O modelo de multiplos fluxos se concentra nas fases iniciais do ciclo da politica publica: a construcao da agenda governamental e a escolha de alternativas de politicas. Buscou-se delinear a composicao da Rute e responder quais condicionantes levaram os gestores federais de diversos setores a reconhecer a qualidade do sistema como problema na saude publica e a escolha da implantacao de programas de telessaude como uma das alternativas para a solucao. Os processos analisados demonstraram que, na convergencia do fluxo de problemas com ambiente politico favoravel, abriu-se uma janela de oportunidade para a implantacao da telessaude como alternativa vir a ascender como politica na agenda de decisao governamental. Porem, para isso, urge a necessidade de inclusao digital no territorio e identificar as tecnologias da informacao e comunicacao como inovacao para o SUS.

Inclusão digital e conselheiros de saúde: uma política para a redução da desigualdade social no Brasil

Inequalities in health conditions remain even twenty years after the implementation of Unified Health System (SUS). This condition burdens social movements exerting social control on the health care area with a continuous fight. In this struggle, the accumulation of political power is related to an increase in the capacity to acquire knowledge and information. This study aims at fathoming the inequality surrounding the digital inclusion of Health Counselors (HC) of different regions within the country. We have adopted the qualitative survey method, which employs the Focal Groups technique, with HC representing managers, services providers, workers and users, all from national, state and municipal levels. Four aspects were examined, comprising reading and writing habits; Internet utilization; the use of health indicators; and the role of information in the Council-State-Society relation. Results have evidenced the need to broaden the foundations of digital inclusion initiatives in the health care area, and to overcome the cross-sector challenge of linking them to politics and education. By using benchmarks of educational philosophy, we were able to outline a theoretical-analytical matrix as a contribution to understanding the complexity involved in fostering digital inclusion in the health care area.

Proposta conceitual de telessaúde no modelo da pesquisa translacional

OBJECTIVE To review the conceptual relationship between telehealth and translational research. METHODS Bibliographical search on telehealth was conducted in the Scopus, Cochrane BVS, LILACS and MEDLINE databases to find experiences of telehealth in conjunction with discussion of translational research in health. The search retrieved eight studies based on analysis of models of the five stages of translational research and the multiple strands of public health policy in the context of telehealth in Brazil. The models were applied to telehealth activities concerning the Network of Human Milk Banks, in the Telemedicine University Network. RESULTS The translational research cycle of human milk collected, stored and distributed presents several integrated telehealth initiatives, such as video conferencing, and software and portals for synthesizing knowledge, composing elements of an information ecosystem, mediated by information and communication technologies in the health system. CONCLUSIONS Telehealth should be composed of a set of activities in a computer mediated network promoting the translation of knowledge between research and health services.OBJECTIVE To review the conceptual relationship between telehealth and translational research. METHODS Bibliographical search on telehealth was conducted in the Scopus, Cochrane BVS, LILACS and MEDLINE databases to find experiences of telehealth in conjunction with discussion of translational research in health. The search retrieved eight studies based on analysis of models of the five stages of translational research and the multiple strands of public health policy in the context of telehealth in Brazil. The models were applied to telehealth activities concerning the Network of Human Milk Banks, in the Telemedicine University Network. RESULTS The translational research cycle of human milk collected, stored and distributed presents several integrated telehealth initiatives, such as video conferencing, and software and portals for synthesizing knowledge, composing elements of an information ecosystem, mediated by information and communication technologies in the health system. CONCLUSIONS Telehealth should be composed of a set of activities in a computer mediated network promoting the translation of knowledge between research and health services.