Publications by authors named "Ana Cristina Carneiro Menezes Guedes"

Article Synopsis
  • The study looks at how telehealth services in Brazil changed and grew during the COVID-19 pandemic.
  • Researchers used surveys and interviews to gather information from 19 different telehealth units across the country.
  • The findings show that even without regular funding, these services have developed and improved, highlighting the need for a strong and adaptable telehealth system in Brazil.
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This study characterized the evolution of Brazilian public telemedicine policy in the Brazilian Unified Health System for 30 years from 1988 to 2019 by analyzing its legal framework. We identified 79 telemedicine-related legislations from the federal government (laws, decrees, and ordinances) and 31 regulations of federal councils of health professionals. Three historical phases were established according to the public policy cycle, and material was classified according to the purpose of the normative documents.

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COVID-19 has created enormous challenges for health systems worldwide, with the rapidly growing number of deaths and critical patients with pneumonia requiring ventilatory support. Alternative methods to control the spread of the disease such as social isolation, extreme quarantine measures, and contact tracing have been used around the world. However, these measures may not be totally effective to fight COVID-19, in step with the necessary national preparations to meet the new patient care demands.

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The implementation of electronic records in healthcare establishments has led to isolated solutions, which contribute to the fragmentation of the Brazilian Unified Health System (SUS). This research uses a strategic planning tool in order to monitor the trajectory of implementation of the records in medium and high complexity hospitals, which are a benchmark for the health of women and children. The scope was to outline possible contributions for the computerization of health facilities in general.

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