Evidence map›Paper›PMID 34639518›Full record

Trial reportInternational journal of environmental research and public health2021

Description of e-Health Initiatives to Reduce Chronic Non-Communicable Disease Burden on Brazilian Health System.

Daniela Laranja Gomes Rodrigues, Gisele Silvestre Belber, Igor da Costa Borysow, Marcos Aurelio Maeyama, Ana Paula Neves Marques de Pinho

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Daniela Laranja Gomes RodriguesSocial Responsibility Department, Hospital Alemão Oswaldo Cruz, São Paulo 01323-020, Brazil.
Gisele Silvestre BelberSocial Responsibility Department, Hospital Alemão Oswaldo Cruz, São Paulo 01323-020, Brazil.
Igor da Costa BorysowSocial Responsibility Department, Hospital Alemão Oswaldo Cruz, São Paulo 01323-020, Brazil.
Marcos Aurelio MaeyamaTelehealth Center, Florianópolis 88040-900, Brazil.ORCID 0000-0003-4992-3810
Ana Paula Neves Marques de PinhoSocial Responsibility Department, Hospital Alemão Oswaldo Cruz, São Paulo 01323-020, Brazil.
Hospital Alemão Oswaldo Cruz · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic non-communicable diseases (NCD) account for 72% of the causes of death in Brazil. In 2013, 54 million Brazilians reported having at least one NCD. The implementation of e-Health in the Unified Health System (SUS) could fill gaps in access to health in primary health care (PHC).

objectiveto demonstrate telehealth strategies carried out within the scope of the Institutional Development Support Program of the Unified Health System (PROADI-SUS) and developed by Hospital Alemão Oswaldo Cruz, between 2018 and 2021, on evaluation, supply, and problem-solving capacity for patients with NCDs. METHODOLOGY: a prospective and descriptive study of three projects in the telehealth areas, using document analysis. The Brasil Redes project used availability, implementation, and cost-effectiveness analysis, TELEconsulta Diabetes is a randomized clinical trial, and Regula Mais Brasil is focused on the waiting list for regulation of specialties. All those strategies were developed within the scope of the SUS.

results161 patients were attended by endocrinology teleconsultation in one project and another two research projects, one evaluating Brazil's Telehealth Network Program, and another evaluating effectiveness and safety of teleconsultation in patients with diabetes mellitus referred from primary care to specialized care in SUS. Despite the discrepancy in the provision of telehealth services in the country, there was an increase in access to specialized care on the three projects and especially on the Regula Mais Brasil Collaborative project; we observed a reduction on waiting time and favored distance education processes.

conclusionthe three projects offered subsidies for decision-making by the Ministry of Health in e-Health and two developed technologies that could be incorporated into SUS.

Indexed as

Noncommunicable DiseasesTelemedicineBrazilHumansPrimary Health CareProspective StudiesBrazilchronic non-communicable diseasesprimary health careunified health system

Identifiers

PMID34639518
PMCPMC8508239
OpenAlexW3203001844

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.