Uso das tecnologias de informação e comunicação para o cuidado do binômio materno-fetal: revisão do assunto

Conteúdo do artigo principal

Iván F. Luna Gómez
Ever A. Torres Silva
Carolina Tamayo Correa
Sebastián Vélez Zuluaga
Mónica M. Ramírez Morales
Carolina González Serna
Laura V. Durango Araque
Jack Smith
José F. Flórez-Arango

Resumo

A existência de foros clínicos e redes sociais de pacientes que intercambiam informação sobre sua doença e tratamento, páginas web com informação especializada em patologias e em linguagem acessível ao público em geral, entre outras mudanças, hão modificado a assimetria de informação que faz que as pessoas consulte os serviços de saúde. Se se tem em conta estas novas possibilidades virtuais, a escassez de pessoal de saúde e os demais fatores contemplados, a tele-saúde têm todas as possibilidades no futuro imediato. O propósito desta revisão é identificar o uso da tele-saúde como estratégia para superar barreiras de acesso, disponibilidade e oportunidade de serviço para o binômio materno fetal. Para estabelecer conceitos se retomam definições de informática biomédica, e-saúde, tele-saúde, tele-medicina tele-educação. É necessário avaliar os modelos de tele-saúde para o cuidado do binômio materno fetal com o fim de identificar as lições aprendidas e fatores de sucesso necessários para novas implementações de modelos. Dentro das tecnologias aplicadas se encontram meios massivos de comunicação, telefone convencional, celular, mensagens de texto, internet, videoconferências, correio electrônico, ultrassom e ecocardiografia fetal. Depois de avaliar as experiências se encontra vantagens como: aderência a tratamentos, aumento da cobertura e na capacidade de detecção precoce de acontecimentos, entre outras. Dentro das desvantagens: problemática de cobertura de internet e de sinal de celular, e resistência ao uso de tecnologias de informação e comunicação (TIC). Enquanto aos aspectos económicos, não há provas concluintes de que a tele-medicina e a teleassistência são rentáveis em comparação com a atenção tradicional da saúde. Mas, a evidência sugere que a tele-saúde no lar tem o potencial de reduzir custos, mas seu impacto, desde uma perspectiva social, é incerto enquanto não se disponha de estudos de maior qualidade. O uso das tecnologias de tele-medicina através do tempo (monitoração remoto fetal, ultrassom, e tele-consultas) há dado lugar a uma marcada redução na mortalidade perinatal em comparação com um grupo equivalente de pacientes obstétricas com estratégias tradicionais.

Palavras-chave:
informática médica, sistemas de informação, bem-estar materno, telemedicina

Detalhes do artigo

Biografia do Autor

Iván F. Luna Gómez, Universidad Pontificia Bolivariana

Professor pesquisador da Universidad Pontificia Bolivariana. Medellín - Colômbia.

Ever A. Torres Silva, Universidad Pontificia Bolivariana

Estudante de medicina pela Universidad Pontificia Bolivariana. Medellín - Colômbia.

Carolina Tamayo Correa, Universidad Pontificia Bolivariana

Professor pesquisador da Universidad Pontificia Bolivariana. Medellín - Colômbia.

Sebastián Vélez Zuluaga, Universidad Pontificia Bolivariana

Professor pesquisador da Universidad Pontificia Bolivariana. Medellín - Colômbia.

Mónica M. Ramírez Morales, Universidad Pontificia Bolivariana

Professor pesquisador da Universidad Pontificia Bolivariana. Medellín - Colômbia.

Carolina González Serna, Universidad Pontificia Bolivariana

Estudante de medicina pela Universidad Pontificia Bolivariana. Medellín - Colômbia.

Laura V. Durango Araque, Universidad Pontificia Bolivariana

Estudante de medicina pela Universidad Pontificia Bolivariana. Medellín - Colômbia.

Jack Smith, Texas A&M University

Professor Texas A&M University, EUA. Professor da Pontifícia Universidade Bolivariana de Medellín, Colômbia.

José F. Flórez-Arango, Universidad Pontificia Bolivariana

Professor da Pontifícia Universidade Bolivariana. Professor da Universidade de Antioquia. Hospital Pablo Tobón Uribe. Medellín - Colômbia.

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