Abstract:

Amazonas is a state of great geographic proportions, which hinders access to health by the inhabitants of the most distant areas. The project evaluated the use technology of information in primary care, through the Mobile Virtual Ambulatory System and a mobile device (tablet). The project was developed in 24 months and was divided into two stages, both with the duration of twelve months. The first stage was devoted to the development of the virtual clinic and the selection of 30 municipalities, of which half received the tablet and half had access only to the virtual clinic, the signing of terms of participation of the municipalities and the training of the teams involved. The second stage was dedicated to the follow-up of teleconsulting and tele-education activities, as well as the application of the project evaluation form. It was found that, between July 2015 and July 2016, there were 386 teleconsulting, of which 250 (64.70%) came from the municipalities participating in the PPSUS project that received tablets, 21 (5.44%) of participants that did not received tablets, and 115 (29.74%) of municipalities that were not participating in the project. Through the analysis of the evaluation forms and data of the Telehealth Platform, the advantages of using both the mobile device and the virtual ambulatory were verified. It was also verified the need of practices of innovation in health, especially in what concerns the service of basic care in the interior of the State of Amazonas. There is a strong need to institutionalize the use of the Telehealth Platform, training with up-to-date instruments and good quality internet connection. The project was successful in developing and collecting data, highlighting the need to improve the health service offered to the population and the importance of following the general practitioner as a precursor to teleconsulting by specialist physicians to minimize social and financial impacts, avoiding unnecessary travels and procedures.