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dc.contributor.authorMontelongo Flores, Alfredopt_BR
dc.contributor.authorBecker, Joao Luizpt_BR
dc.contributor.authorRoman, Rudipt_BR
dc.contributor.authorOliveira, Elise Botteselle dept_BR
dc.contributor.authorUmpierre, Roberto Nunespt_BR
dc.contributor.authorGonçalves, Marcelo Rodriguespt_BR
dc.contributor.authorSilva, Rodolfo Souza dapt_BR
dc.contributor.authorDoniec, Katarzynapt_BR
dc.contributor.authorYetisen, Ali K.pt_BR
dc.date.accessioned2022-04-13T04:50:21Zpt_BR
dc.date.issued2021pt_BR
dc.identifier.issn1932-6203pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/237068pt_BR
dc.description.abstractIn Dec 2020 Brazil became one of the worldwide epicenters of the COVID-19 pandemic with more than 7.2M reported cases. Brazil has a large territory with unequal distribution of healthcare resources including physicians. Resource limitation has been one of the main factors hampering Brazil’s response to the COVID-19 crisis. Telemedicine has been an effective approach for COVID-19 management as it allows to reduce the risk of cross-contamination and provides support to remote rural locations. Here we present the analyses of teleconsultations from a countrywide telemedicine service (Telessa´udeRS-UFRGS, TRS), that provides physician-to-physician remote support during the COVID-19 pandemic in Brazil. We performed a descriptive analysis of the teleconsultation incoming calls and a text analysis from the call transcripts. Our findings indicate that TRS teleconsultations in Brazil experienced an exponential increment of 802.% during a period of 6 days, after the first death due to COVID-19 was reported. However, the number of teleconsultations cases decreased over time, despite the number of reported COVID-19 cases continuously increasing. The results also showed that physicians in low-income municipalities, based on GDP per capita, are less likely to consult the telemedicine service despite facing higher rates of COVID-19 cases. The text analysis of call transcripts from medical teleconsultations showed that the main concern of physicians were “asymptomatic” patients. We suggest an immediate reinforcement of telehealth services in the regions of lower income as a strategy to support COVID-19 management.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofPlos one. San Francisco. Vol. 16, no. 7 (July 2021), 001138025, 14 p.pt_BR
dc.rightsOpen Accessen
dc.subjectTelemedicinapt_BR
dc.subjectCOVID-19pt_BR
dc.titleThe management of COVID-19 cases through telemedicine in Brazilpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001138025pt_BR
dc.description.originTelemedicinapt_BR
dc.type.originEstrangeiropt_BR


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