<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1981-5271</journal-id>
<journal-title><![CDATA[Revista Brasileira de Educação Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. bras. educ. med.]]></abbrev-journal-title>
<issn>1981-5271</issn>
<publisher>
<publisher-name><![CDATA[Associação Brasileira de Educação Médica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1981-52712018000200063</article-id>
<article-id pub-id-type="doi">10.1590/1981-52712015v42n2RB20170125</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[A Integração do Telessaúde nas Centrais de Regulação: a Teleconsultoria como Mediadora entre a Atenção Básica e a Atenção Especializada]]></article-title>
<article-title xml:lang="en"><![CDATA[The Integration of Telehealth in Regulation Centrals: the Teleconsulting as a Mediator between Primary Care and Specialized Care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maeyama]]></surname>
<given-names><![CDATA[Marcos Aurélio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calvo]]></surname>
<given-names><![CDATA[Maria Cristina Marino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Vale do Itajaí  ]]></institution>
<addr-line><![CDATA[Itajaí Santa Catarina]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal de Santa Catarina  ]]></institution>
<addr-line><![CDATA[Florianópolis Santa Catarina]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>42</volume>
<numero>2</numero>
<fpage>63</fpage>
<lpage>72</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712018000200063&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712018000200063&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712018000200063&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO Em 2007, o Minist&#233;rio da Sa&#250;de, com o objetivo de desenvolver a&#231;&#245;es de apoio &#224;s equipes de aten&#231;&#227;o b&#225;sica por meio da educa&#231;&#227;o permanente e de tecnologias virtuais, instituiu o Programa Telessa&#250;de Brasil, mais tarde denominado Telessa&#250;de Brasil Redes. Inicialmente, no projetopiloto, foram constitu&#237;dos nove N&#250;cleos de Telessa&#250;de no Brasil, sendo um deles em Santa Catarina, vinculado &#224; Universidade Federal de Santa Catarina e posteriormente com parceria da Secretaria Estadual de Sa&#250;de (SES). Um dos servi&#231;os ofertados pelo N&#250;cleo de Telessa&#250;de de Santa Catarina &#233; a teleconsultoria, que se trata de consulta registrada e solicitada por profissionais de sa&#250;de com o fim de esclarecer d&#250;vidas sobre procedimentos cl&#237;nicos, de gest&#227;o e processo de trabalho, realizada por meio de telecomunica&#231;&#227;o bidirecional &#224; dist&#226;ncia. Embora o servi&#231;o esteja dispon&#237;vel desde sua implanta&#231;&#227;o, seu uso sempre foi numericamente pequeno, ao passo que h&#225; grande quantidade de encaminhamentos desnecess&#225;rios &#224; aten&#231;&#227;o especializada com possibilidade de manejo na aten&#231;&#227;o b&#225;sica. Este trabalho relata a experi&#234;ncia da implanta&#231;&#227;o de fluxo compuls&#243;rio de teleconsultoria antes do encaminhamento &#224;s especialidades, ocorrida no N&#250;cleo de Telessa&#250;de de Santa Catarina. O estabelecimento do fluxo compuls&#243;rio demonstrou que grande parte dos casos apresenta sugest&#227;o de manejo na aten&#231;&#227;o b&#225;sica, com diminui&#231;&#227;o importante do n&#250;mero de encaminhamentos &#224;s especialidades envolvidas e consequente diminui&#231;&#227;o do tempo de espera para consulta com o especialista. Al&#233;m disso, nestes casos de sugest&#227;o de encaminhamento, a teleconsultoria possibilita a classifica&#231;&#227;o de risco, a solicita&#231;&#227;o pr&#233;via de exames e o manejo compartilhado, qualificando, desta forma, o acesso &#224; especialidade e o pr&#243;prio cuidado ao usu&#225;rio. A teleconsultoria potencializa ainda a qualidade da comunica&#231;&#227;o entre os pontos de aten&#231;&#227;o, pois ela passa a ser estrat&#233;gica na defini&#231;&#227;o do fluxo do usu&#225;rio, tanto para a refer&#234;ncia, quanto para a contrarrefer&#234;ncia, com aprendizado m&#250;tuo e funcionamento que de fato caracteriza uma rede de cuidados. Quanto &#224; compulsoriedade da teleconsultoria, ainda que cause alguns desconfortos no in&#237;cio do processo, o uso incipiente do servi&#231;o quando da modalidade espont&#226;nea, o n&#250;mero de encaminhamentos desnecess&#225;rios &#224;s especialidades e a quantidade de teleconsultorias com possibilidade de manejo na aten&#231;&#227;o b&#225;sica justificam a decis&#227;o como prop&#243;sito de gest&#227;o. Esse conjunto de aspectos tem impacto positivo no cuidado do usu&#225;rio, que tem suas necessidades atendidas e acompanhadas, seja na aten&#231;&#227;o b&#225;sica ou na aten&#231;&#227;o especializada, em tempo, situa&#231;&#227;o e local oportunos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT In 2007, with the aim of developing actions to support primary health care teams through the use of permanent education and virtual technologies, the Health Ministry established the Telehealth Program Brazil, later named the Brazil Telehealth Networks. The pilot project initially involved the establishment of nine Telehealth Centers in Brazil, one of which is in Santa Catarina, and linked to the Federal University of Santa Catarina, and later formed a partnership with the State Health Department (SES). One of the services offered by the Santa Catarina Telehealth Center is teleconsulting, which involves registering and requesting consultation by health professionals in order to clarify questions about clinical procedures, work process and management, by means of two-way remote telecommunication. Despite the service being made available from its implantation, it has always been relatively underused, whereas there is a disproportionally high amount of unnecessary referrals to specialized care that could be managed within Primary Care. This paper reports on the experience of implementing a forced flow through teleconsulting prior to referral to specialists, at the Telehealth Center of Santa Catarina. The established forced flow demonstrated that for most the cases there were possible solutions within Primary Care, resulting in a considerable reduction in the number of referrals to the specialties involved, and a consequently reduced waiting time for consultations with specialists. Furthermore, in these cases where referral was suggested, the teleconsulting allowed for risk assessment, prior request for tests or scans and shared management, thus qualifying the access to the specialist and the actual care of the the patient. Teleconsulting also enhances the quality of communication between the points of care, as it takes on a strategic role in defining the user flow, both for referrals and counter-referrals, with mutual learning and functioning which effectively characterizes a care network. As regards to the compulsory imposition of teleconsulting, although causing some initial discomfort, incipient use of the service implemented spontaneously, coupled with the number of unnecessary referrals to specialties and the quantity of remote consultations that can be handled within primary care justify the decision as a management objective. This combination of factors has a positive impact on the care for whose needs are met and followed up, whether in Primary Care or Specialized Care, in a timely manner and suitable location.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Teleconsultoria]]></kwd>
<kwd lng="pt"><![CDATA[Telessaúde]]></kwd>
<kwd lng="pt"><![CDATA[Educação Médica]]></kwd>
<kwd lng="pt"><![CDATA[Atenção Básica à Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Sistema Único de Saúde]]></kwd>
<kwd lng="en"><![CDATA[Remote Consultation]]></kwd>
<kwd lng="en"><![CDATA[Telemedicine]]></kwd>
<kwd lng="en"><![CDATA[Education]]></kwd>
<kwd lng="en"><![CDATA[Medical]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
<kwd lng="en"><![CDATA[Unified Health System]]></kwd>
</kwd-group>
</article-meta>
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<source><![CDATA[Protocolos clínicos e de regulação: acesso à rede de saúde]]></source>
<year></year>
<page-range>9-21</page-range><publisher-loc><![CDATA[Rio de Janeiro ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
