Keywords
How to Cite
Abstract
The incorporation of digital technologies into healthcare has promoted profound transformations in the way medical care is provided and health services are managed. Telemedicine, understood as the use of information and communication technologies to offer remote consultations, diagnoses, and monitoring, stands out as an essential tool for expanding access and promoting equity in health. In parallel, health telecenters are configured as public spaces for digital and social inclusion, enabling access to information, education, and digital services. Integrated into health policies, these environments favor community empowerment and the dissemination of knowledge, especially among vulnerable populations. This chapter highlights the case of the Laura Vermont Telecenter in São Paulo as an example of an action aimed at the LGBTQIA+ population, promoting support, employability, internet access, and physical and mental health care. In economic terms, telemedicine and telecenters contribute to the reduction of operational and logistical costs, optimizing resources and strengthening the Brazilian Unified Health System (SUS). Socially, these initiatives consolidate the principle of equity, bringing technology and citizenship closer together. It is concluded that the integration between telemedicine and telecenters is essential for building a more democratic, sustainable, and humane healthcare system, based on public policies of digital inclusion and continuous professional training.
References
ÁLVARES, Sílvia. Telemedicina: avaliação económica. Nascer e crescer: Revista do Hospital das Crianças Maria Pia, Porto, v. XIII, n.2, p. 98-105, 2004. Disponível em: https://repositorio.chporto.pt/bitstream/10400.16/548/1/Telemedicina%20-%20%20avalia%C3%A7%C3%A3o%20Econ%C3%B3mica.pdf. Acesso em: 15 jun. 2024.
AMMARY, Fawaz Al; CONCEPCION, Batrice P.; YADAV, Anju. The scope of telemedicine in kidney transplantation: access and outreach services. Advances in Kidney Disease and Health, Philadelphia, v. 28, n. 6, p. 542-547, 2021. DOI: https://doi.org/10.1053/j.ackd.2021.10.003.
BARBOSA, Miguel Trigueiro et al. Telemedicine in COPD: an overview by topics. COPD: Journal of Chronic Obstructive Pulmonary Disease, London, v. 17, n. 5, p. 601-617, 2020. DOI: https://doi.org/10.1080/15412555.2020.1815182.
BUCHANAN, Adam H. et al. Randomized trial of telegenetics vs. in-person cancer genetic counseling: cost, patient satisfaction and attendance. Journal of Genetic Counseling, New York, v. 24, n. 6, p. 961-970, 2015. DOI: https://doi.org/10.1007/s10897-015-9836-6.
BURNS, Clare L. et al. Cost analysis of a speech pathology synchronous telepractice service for patients with head and neck cancer. Head & Neck, New York, v. 39, n. 12, p. 2470-2480, 2017. DOI: https://doi.org/10.1002/hed.24916.
BUVIK, Astrid et al. Cost-effectiveness of telemedicine in remote orthopedic consultations: randomized controlled trial. Journal of Medical Internet Research, Toronto, v. 21, n. 2, p. e11330, 2019. DOI: https://doi.org/10.2196/11330.
CLARK, Peter A.; CAPUZZI, Kevin; HARRISON, James. Telemedicine: medical, legal and ethical perspectives. Medicine and Law, Philadelphia, v. 29, n. 2, p. 133–151, 2010.
FREIRE, A. C. et al. Uso da telemedicina no Brasil e seus impactos durante a pandemia da COVID-19: revisão de escopo. Revista Brasileira de Saúde Pública, Brasília, 2023.
GARCIA, E. F.; GARCIA, C. S.; TAGAWA, G. S. G.; AMARAL, W. N. do. Bioética e telemedicina. Revista Bioética CREMEGO, v. 2, n. 1, p. 61–66, 2020.
LISBOA, K. O. et al. A história da telemedicina no Brasil: desafios e vantagens. Saúde e Sociedade, São Paulo, v. 32, n. 1, e210170pt, 2023.
MALLMANN, E. de B. Interesses de atores sociais na regulamentação da telemedicina no Brasil (2018-2020). Universidade Federal do Rio Grande do Sul, Porto Alegre, 2021. Disponível em: https://lume.ufrgs.br/handle/10183/239035.
MINISTÉRIO DA SAÚDE (BR). Política Nacional de Informação e Informática em Saúde. Brasília: MS, 2015. (Painel de Indicadores do SUS).
ZAGANELLI, M. V.; REIS, A. P. dos; PARENTE, B. V. Sobre a regulamentação da telemedicina no Brasil: sua importância para a democratização do acesso à saúde e a salvaguarda dos pacientes.
CONSELHO FEDERAL DE MEDICINA (CFM). Resolução nº 2.314, de 20 de abril de 2022. Dispõe sobre a definição e regulamentação da telemedicina, como forma de serviços médicos mediados por tecnologias de comunicação. Diário Oficial da União, Brasília, 5 maio 2022; Seção 1, p. 227.
PREFEITURA DE SÃO PAULO. Centro de Cidadania LGBT Laura Vermont. São Paulo, 2022. Disponível em: https://prefeitura.sp.gov.br.
CNN Brasil. 5 organizações LGBTQIA+ que promovem saúde e inclusão. São Paulo, 2023. Disponível em: https://www.cnnbrasil.com.br.
NOSSA CAUSA. Organizações LGBTQIA+ e inclusão digital. Curitiba, 2023. Disponível em: https://nossacausa.com.
GOVERNO FEDERAL DO BRASIL. Políticas públicas de inclusão digital e cidadania. Brasília, 2023. Disponível em: https://www.gov.br.