ArticleClinics (Sao Paulo, Brazil)2026
Feasibility of telephone-based telemedicine for gynecologic oncology follow-up in Brazil's public health system: a descriptive pilot study.
Article in Clinics (Sao Paulo, Brazil), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
backgroundTelemedicine expanded rapidly during COVID-19 and may reduce logistical burdens for oncology patients. Evidence on patient satisfaction within Brazil's public health system (SUS) remains limited. Here, the authors evaluated the feasibility of telephone-based telemedicine for gynecologic oncology follow-up.
methodsThe authors conducted a cross-sectional mixed-methods pilot study at a public gynecologic oncology clinic in São Paulo (March 2023 - February 2024). Established patients attending follow-up visits that did not require a physical exam were included; new patients were excluded. Telemedicine visits were conducted by phone. The PSQ-18 was translated and adapted to the SUS context (two cost items removed: 16-items total). Item-level satisfaction is presented for in-person and telemedicine visits. Semi-structured interviews explored experiences and barriers.
resultsFrom 54 eligible patients, 18 were enrolled (in-person = 10; telemedicine = 8). Item-level PSQ-18 responses indicated high satisfaction in both groups, though direct comparison is limited by baseline differences and limited statistical power. Regarding logistics, the telemedicine group reported low rates of out-of-pocket expenses (1/7, 14.3%) and missed work (0/8), whereas these burdens were frequently reported in the in-person group (77.8% and 33.3%, respectively). Physicians reported full goal achievement (100%) and patient understanding (100%) for telemedicine encounters. Interviews highlighted convenience, reduced travel/time costs, and ease of use; barriers included technology access, digital literacy, and lack of visual cues in audio-only calls.
conclusionsIn this SUS setting, telephone-based telemedicine for appropriately selected follow-up visits was feasible. Implementation should address digital inclusion and clarify indications that require in-person assessment. Larger studies should validate telemedicine-specific satisfaction measures and assess downstream outcomes.
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