Telemedicina como Herramienta Gerencial para a Continuidade Assistencial e Trazabilidad do Paciente Hospitalar
DOI:
https://doi.org/10.61616/rvdc.v7i1.1403Palavras-chave:
telemedicina, continuidad de la atención al paciente, seguridad del paciente, administração hospitalarResumo
A telemedicina se consolidou como uma ferramenta gerencial com potencial para fortalecer a continuidade assistencial e a trazabilidade do paciente hospitalar, para facilitar o acompanhamento clínico, a coordenação entre serviços e o gerenciamento atualizado da informação. O presente artigo tuvo tem como objetivo analisar sua utilidade no ambiente hospitalar, considerando benefícios, limitações e implicações organizacionais. Foi realizada uma revisão narrativa da literatura com abordagem descritiva e analítica, por meio de pesquisa no PubMed/MEDLINE, Scopus, SciELO, LILACS e Google Scholar, complementada com documentos técnicos sobre saúde digital, gestão hospitalar e qualidade assistencial. Os hallazgos mostram que a telemedicina favorece o monitoramento e acompanhamento do paciente, melhora a acessibilidade, contribui para a continuidade do cuidado e fortalece a trazabilidade clínica e administrativa. Também são identificados efeitos positivos sobre a eficiência operacional, como redução de tempo de espera, permanência hospitalar e traslados evitáveis. No entanto, persistem barreiras relacionadas à conectividade, interoperabilidade, capacitação, regulação, segurança de dados e heterogeneidade na avaliação de resultados. Conclui-se que a telemedicina representa valor estratégico para a gestão hospitalar, sempre que se integra de maneira efetiva à governança clínica, aos sistemas de informação e aos processos institucionais de melhoria contínua
Referências
Alcívar López J, Alcívar Viteri P, Cevallos Manzaba E. Salud Digital: Transformación de la atención médica ecuatoriana a través de tecnologías digitales. Revista de Investigaciones en Energía Medio Ambiente y Tecnología RIEMAT ISSN 2588-0721 [homepage on the Internet] 2024;9(2):26–34. Available from: https://revistas.utm.edu.ec/index.php/Riemat/article/view/7038
Anawade PA, Sharma D, Gahane S. A Comprehensive Review on Exploring the Impact of Telemedicine on Healthcare Accessibility. Cureus [homepage on the Internet] 2024;16(3). Available from: https://www.cureus.com/articles/232773-a-comprehensive-review-on-exploring-the-impact-of-telemedicine-on-healthcare-accessibility
Apaza Ramos SG, Moscoso Carrasco JM. Herramientas digitales como un aliado informativo en el Perú para el autocuidado en tiempos de COVID-19 TT - Digital tools as information aids for self-care in the time of COVID-19 in Peru. Rev cub inf cienc salud [homepage on the Internet] 2021;32(2):e1680–e1680. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2307-21132021000200002%0Ahttp://www.acimed.sld.cu/index.php/acimed/article/view/1680
Savedoff WD, Bernal P, Distrutti M, Goyeneche L, Bernal C. Going Beyond Normal Challenges for Health and Healthcare in Latin America and the Caribbean Exposed by Covid-19. 2022;(May). Available from: https://publications.iadb.org/en/going-beyond-normal-challenges-health-and-healthcare-latin-america-and-caribbean-exposed-covid-19
Arévalo JF. Gestión Hospitalaria: una mirada al desarrollo de sus procesos. Ciencia Latina Revista Científica Multidisciplinar [homepage on the Internet] 2021;5(2):1527–1545. Available from: https://ciencialatina.org/index.php/cienciala/article/view/368
Bakhamis SA, Alrashid M, Abdulla FM, Alfehaidi AS, Alawar DT. An outline on the global insights of implementation and challenges in primary healthcare telemedicine. International Journal of Research in Medical Sciences [homepage on the Internet] 2024;12(3):1004–1013. Available from: https://www.msjonline.org/index.php/ijrms/article/view/12680
Bouabida K, Lebouché B, Pomey M-P. Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic. Healthcare [homepage on the Internet] 2022;10(11):2293. Available from: https://www.mdpi.com/2227-9032/10/11/2293
Quezada P, Calle-Gómez &, Rol E, Adrián G, Antonio Calle-Gómez M. El Rol de la Tecnología en la Gestión de la Salud en Hospitales Públicos. Revista Científica Multidisciplinar SAGA [homepage on the Internet] 2025;2(3):11–21. Available from: https://revistasaga.org/index.php/saga/article/view/142/269%0Ahttps://revistasaga.org/index.php/saga/article/view/142
Dar MH, Sofi HA, Garg AP, Akthar S, Singh PK. A Systematic Evaluation of Telehealth using Recent COVID-19 Data. The Open Bioinformatics Journal [homepage on the Internet] 2023;16(1):1–9. Available from: https://openbioinformaticsjournal.com/VOLUME/16/ELOCATOR/e187503622307180/
Gherman A, Andrei D, Popoiu CM, et al. Multidisciplinary Telemedicine in Healthcare During and After the COVID-19 Pandemic: A Narrative Review. Life [homepage on the Internet] 2025;15(5):783. Available from: https://www.mdpi.com/2075-1729/15/5/783
Ruiz-Yngol EG, Flores Sotelo WS. Evolución de la telemedicina en Perú y otros países de América Latina. Más Vita [homepage on the Internet] 2022;4(3):130–144. Available from: http://acvenisproh.com/revistas/index.php/masvita/article/view/405
Nourani A, Hosseini SM, Rassoulian M, Joudivand L, Samimi T, Rahimi B. A systematic review of methods used for COVID-19 telehealth systems evaluation: lessons from past experiences for future use. BMC Health Services Research [homepage on the Internet] 2025;25(1):1089. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-025-13315-2
Peters GM, Kooij L, Lenferink A, Harten WH van, Doggen CJM. The Effect of Telehealth on Hospital Services Use: Systematic Review and Meta-analysis. Journal of Medical Internet Research [homepage on the Internet] 2021;23(9):e25195. Available from: https://www.jmir.org/2021/9/e25195
Sun S, Lu SF, Rui H. Does telemedicine improve operational efficiency? Evidence from New York emergency departments. International Conference on Information Systems 2018, ICIS 2018 2018;1–17.
Stoltzfus M, Kaur A, Chawla A, Gupta V, Anamika FNU, Jain R. The role of telemedicine in healthcare: an overview and update. The Egyptian Journal of Internal Medicine [homepage on the Internet] 2023;35(1):49. Available from: https://doi.org/10.1186/s43162-023-00234-z
Lieneck C, Weaver E, Maryon T. Outpatient Telehealth Implementation in the United States during the COVID-19 Global Pandemic: A Systematic Review. Medicina [homepage on the Internet] 2021;57(5):462. Available from: https://www.mdpi.com/1648-9144/57/5/462
Saigí-Rubió F, Torrent-Sellens J, Robles N, Pérez Palaci JE, Baena MI. Estudio sobre telemedicina internacional en América Latina: motivaciones, usos, resultados, estrategias y políticas [Homepage on the Internet]. Inter-American Development Bank, 2021; Available from: https://publications.iadb.org/es/node/30947
García Saisó S, Marti MC, Mejía Medina F, et al. La transformación digital para una salud pública más equitativa y sostenible en la era de la interdependencia digital. Revista Panamericana de Salud Pública [homepage on the Internet] 2022;46:1. Available from: https://iris.paho.org/handle/10665.2/56238
Golinelli D, Boetto E, Carullo G, Nuzzolese AG, Landini MP, Fantini MP. Adoption of Digital Technologies in Health Care During the COVID-19 Pandemic: Systematic Review of Early Scientific Literature. Journal of Medical Internet Research [homepage on the Internet] 2020;22(11):e22280. Available from: http://www.jmir.org/2020/11/e22280/
Mosnaim GS, Stempel H, Sickle D Van, Stempel DA. The Adoption and Implementation of Digital Health Care in the Post–COVID-19 Era. The Journal of Allergy and Clinical Immunology: In Practice [homepage on the Internet] 2020;8(8):2484–2486. Available from: https://doi.org/10.1016/j.jaip.2020.06.006
Ezeamii VC, Okobi OE, Wambai-Sani H, et al. Revolutionizing Healthcare: How Telemedicine Is Improving Patient Outcomes and Expanding Access to Care. Cureus [homepage on the Internet] 2024;16(7):1–9. Available from: https://www.cureus.com/articles/265705-revolutionizing-healthcare-how-telemedicine-is-improving-patient-outcomes-and-expanding-access-to-care
Filip R, Gheorghita Puscaselu R, Anchidin-Norocel L, Dimian M, Savage WK. Global Challenges to Public Health Care Systems during the COVID-19 Pandemic: A Review of Pandemic Measures and Problems. Journal of Personalized Medicine [homepage on the Internet] 2022;12(8):1295. Available from: https://www.mdpi.com/2075-4426/12/8/1295
Ganjali R, Jajroudi M, Kheirdoust A, Darroudi A, Alnattah A. Telemedicine solutions for clinical care delivery during COVID-19 pandemic: A scoping review. Frontiers in Public Health [homepage on the Internet] 2022;10. Available from: https://www.frontiersin.org/articles/10.3389/fpubh.2022.937207/full
Kruse CS, Williams K, Bohls J, Shamsi W. Telemedicine and health policy: A systematic review. Health Policy and Technology [homepage on the Internet] 2021;10(1):209–229. Available from: https://doi.org/10.1016/j.hlpt.2020.10.006
Vázquez-García JC, Salazar-Lezama MÁ, Santillán-Doherty P, et al. Telemedicina durante la pandemia por COVID-19. NCT Neumología y Cirugía de Tórax [homepage on the Internet] 2021;80(2):132–140. Available from: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=100996
Lieneck C, Garvey J, Collins C, Graham D, Loving C, Pearson R. Rapid Telehealth Implementation during the COVID-19 Global Pandemic: A Rapid Review. Healthcare [homepage on the Internet] 2020;8(4):517. Available from: https://www.mdpi.com/2227-9032/8/4/517
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Copyright (c) 2026 Edgar Vicente Betancourt Vera, Julio Cesar Loján Alvarado
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
