Diagnostic evaluation of institutions as a basis for designing the Brazilian maturity model of telehealth services

BMC Health Serv Res. 2024 Mar 25;24(1):372. doi: 10.1186/s12913-024-10723-8.

Abstract

Background: The number and specificities of telehealth service units that expanded their services and diversified with the COVID-19 pandemic in Brazil need to be discovered. The objective of this manuscript is to present a methodology for the diagnostic evaluation of 19 telehealth units from different regions of the country for federal governmental decision-making.

Methods: A cross-sectional quantitative and qualitative study was carried out in the form of a census based on administrative records with an online survey and in-depth interviews with local telehealth managers.

Results: Despite the discontinuity of regular funding, the results point to a diversity of initiatives and advances. Citizenship, sustainability, security, and budget management are recurring themes in the maturity analysis of telehealth services after the advent of the pandemic.

Conclusion: It is necessary for Brazil to build a resilient model of the maturity of telehealth services that contemplates the different regional scenarios.

Keywords: Digital Health; Telehealth; Telemedicine.

MeSH terms

  • Brazil / epidemiology
  • COVID-19 Testing
  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Humans
  • Pandemics
  • Telemedicine*