<?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>S1981-52712020000100304</article-id>
<article-id pub-id-type="doi">10.1590/1981-5271v44.1-20190224.ing</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Teleconsultation: an Integrative Review of the Doctor-Patient Interaction Mediated by Technology]]></article-title>
<article-title xml:lang="pt"><![CDATA[Teleconsulta: uma Revisão Integrativa da Interação Médico-Paciente Mediada pela Tecnologia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Catapan]]></surname>
<given-names><![CDATA[Soraia de Camargo]]></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 Federal de Santa Catarina  ]]></institution>
<addr-line><![CDATA[Florianópolis Santa Catarina]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>44</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712020000100304&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712020000100304&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712020000100304&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Medical teleconsultation can apply different technologies to mediate the communication between doctors and patients located in different geographic spaces. Its implementation has been encouraged in several countries, under the assumption of its potential to overcome distances, offering health care in a shorter time, reducing costs and workload. The scarcity of evidence about these allegations, in addition to the need of clarifying the situations in which teleconsultation can be adequate, safe and effective, have generated debates, intensified after the publication of Resolution N. 2.227/2018 by the Federal Council of Medicine, which allowed medical teleconsultation, containing principles and recommendations. This article aims to analyze the international experience of medical teleconsultation, including the media and technologies employed, their use, benefits and limitations, highlighting and associating the controversial points of the resolution recently published by the Federal Council of Medicine. An integrative review of the literature was carried out to identify these experiences from January 2013 to February 2019. Of the 1912 identified references, 42 were analyzed after applying the exclusion and inclusion criteria. Data collection and analysis indicated that telephone, e-mail, e-consulting systems, video or a combination of those have been used in several countries to mediate the doctor-patient relationship. Its use goes ranges from diagnosis to treatment, monitoring, management and prescription, both in acute and chronic conditions. The main benefits include less demand for face-to-face consultations, with the possibility of doctors&#8217; workload management, allowing systems&#8217; reorganization. Moreover, the teleconsultation allows overcoming distance barriers, in a flexible and convenient way for patients, possibly contributing to continuity of care, patient autonomy and resource savings, in the latter case, when it avoids work absenteeism due to face-to-face consultation. Some limitations of the teleconsultation include the inability to perform the physical examination, so it is not recommended for the first consultation. Technical and communication difficulties for each media, as well as its inadequacy for some groups of patients, are other important barriers. Data security regarding diagnosis and clinical precision, patients&#8217; and professionals&#8217; acceptance and the need for organizational adjustments are also considered limitations of the teleconsultation. The success of the teleconsultation depends on the integration of different organizations and professionals, aiming to maximize its potential and improve service design, encompassing clinical, technical, organizational and context issues. Therefore, it is important to investigate in which contexts, situations and conditions the teleconsultation can be beneficial, safe and effective for patient care, as well as the most appropriate means of communication.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A teleconsulta médica pode utilizar diferentes tecnologias para mediar a comunicação entre médico e paciente localizados em espaços geográficos diferentes. A implementação dessa ferramenta tem sido incentivada em diversos países, sob a alegação de seu potencial em superar distâncias, oferecendo cuidados em saúde em menor tempo, com redução de custos e da carga de trabalho. A escassez de evidências sobre essas alegações, além do esclarecimento sobre as situações nas quais a teleconsulta pode ser adequada, segura e eficaz, tem gerado debates, intensificados após a publicação da Resolução nº 2.227/2018 pelo Conselho Federal de Medicina (CFM), que permitiu a teleconsulta médica, com premissas e recomendações. Este artigo visa analisar as experiências internacionais da teleconsulta médica, incluindo os meios de comunicação e tecnologias empregados, sua utilização, benefícios e limitações, evidenciando e relacionando os pontos polêmicos da resolução publicada pelo CFM. Foi realizada uma revisão integrativa da literatura para identificar essas experiências em quatro bases de dados, de janeiro de 2013 a fevereiro de 2019. Das 1.912 referências encontradas, foram analisadas 42, após a aplicação dos critérios de exclusão e inclusão. A coleta e a análise de dados indicaram que sistemas de telefonia, e-mail, consulta eletrônica, vídeo ou uma combinação deles têm sido utilizados em diversos países para mediar a relação médico-paciente. Sua aplicação vai do diagnóstico ao tratamento, ao monitoramento, ao manejo e à prescrição tanto de condições agudas quanto crônicas. Os principais benefícios incluem menor demanda por consultas presenciais, com possibilidade de gerenciamento da carga de trabalho dos médicos, permitindo uma reorganização dos sistemas. Além disso, a teleconsulta permite superar barreiras de distância, de maneira flexível e conveniente para os pacientes, com a possibilidade de contribuir para a continuidade do cuidado, autonomia do paciente e economia de recursos, nesse último caso, quando se evita o absenteísmo laboral para atendimento médico presencial. Algumas limitações da teleconsulta incluem a incapacidade de realizar o exame físico, e por essa razão ela não é recomendada para a primeira consulta. As dificuldades técnicas e de comunicação para cada meio de comunicação e sua inadequação para determinados grupos de pacientes são outras barreiras importantes. A segurança, tanto dos dados quando da acurácia do diagnóstico e da precisão clínica, a aceitação dos pacientes e profissionais e a necessidade de mudanças organizacionais também são consideradas limitações da teleconsulta. O sucesso da teleconsulta depende da integração de diferentes organizações e profissionais, que deverão, por meio de planejamento cuidadoso, maximizar seu potencial e melhorar o desenho do serviço, englobando questões clínicas, técnicas, organizacionais e do contexto. Portanto, é importante pesquisar em quais situações e agravos a teleconsulta pode ser benéfica, segura e eficaz para o cuidado ao paciente, assim como o meio de comunicação mais apropriado para cada uma delas.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Teleconsultation]]></kwd>
<kwd lng="en"><![CDATA[Telemedicine]]></kwd>
<kwd lng="en"><![CDATA[Remote Consultation]]></kwd>
<kwd lng="en"><![CDATA[Patient Care]]></kwd>
<kwd lng="pt"><![CDATA[Teleconsulta]]></kwd>
<kwd lng="pt"><![CDATA[Telemedicina]]></kwd>
<kwd lng="pt"><![CDATA[Consulta Remota]]></kwd>
<kwd lng="pt"><![CDATA[Assistência ao paciente]]></kwd>
</kwd-group>
</article-meta>
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