Telemedicine in the driver's seat: new role for primary care access in Brazil and Canada: The Besrour Papers: a series on the state of family medicine in Canada and Brazil.


Journal

Canadian family physician Medecin de famille canadien
ISSN: 1715-5258
Titre abrégé: Can Fam Physician
Pays: Canada
ID NLM: 0120300

Informations de publication

Date de publication:
02 2020
Historique:
entrez: 16 2 2020
pubmed: 16 2 2020
medline: 27 3 2021
Statut: ppublish

Résumé

To contrast how Brazil's and Canada's different jurisdictional and judicial realities have led to different types of telemedicine and how further scale and improvement can be achieved. A subgroup of the Besrour Centre of the College of Family Physicians of Canada and Canadian telemedicine experts developed connections with colleagues in Porto Alegre, Brazil, and collaborated to undertake a between-country comparison of their respective telemedicine programs. Following a literature review, the authors collectively reflected on their experiences in an attempt to explore the past and current state of telemedicine in Canada and Brazil. Both Brazil and Canada share expansive geographies, creating substantial barriers to health for rural patients. Telemedicine is an important part of a universal health system. Both countries have achieved telemedicine programs that have scaled up across large regions and are showing important effects on health care costs and outcomes. However, each system is unique in design and implementation and faces unique challenges for further scale and improvement. Addressing regional differences, the normalization of telemedicine, and potential alignment of telemedicine and artificial intelligence technologies for health care are seen as promising approaches to scaling up and improving telemedicine in both countries.

Identifiants

pubmed: 32060190
pii: 66/2/104
pmc: PMC7021340

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

104-111

Informations de copyright

Copyright© the College of Family Physicians of Canada.

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Auteurs

Payal Agarwal (P)

Innovation Fellow at Women's College Hospital in Toronto, Ont.

Natasha Kithulegoda (N)

Research coordinator at Women's College Hospital and a doctoral student in the Institute of Health Policy, Management and Evaluation at the University of Toronto.

Roberto Umpierre (R)

Adjunct Professor in the Department of Social Medicine and General Coordinator of TelessaúdeRS at the Universidade Federal do Rio Grande do Sul in Porto Alegre, Brazil.

John Pawlovich (J)

Clinical Associate Professor in the Department of Family Practice at the University of British Columbia.

Juliana Nunes Pfeil (JN)

Teleconsultant and Regulator for TelessaúdeRS at the Universidade Federal do Rio Grande do Sul.

Otavio Pereira D'Avila (OP)

Dentist and Adjunct Professor in the Department of Social and Preventive Dentistry at the Universidade Federal de Pelotas in Brazil, and a collaborator with TelessaúdeRS at the Universidade Federal do Rio Grande do Sul.

Marcelo Goncalves (M)

Adjunct Professor in the Department of Social Medicine and Vice Coordinator of TelessaúdeRS at the Universidade Federal do Rio Grande do Sul.

Erno Harzheim (E)

Associate Professor in the Department of Social Medicine at the Universidade Federal do Rio Grande do Sul and Secretary of Health for Porto Alegre.

David Ponka (D)

Associate Professor in the Department of Family Medicine at the University of Ottawa and Director of the Besrour Centre at the College of Family Physicians of Canada. dponka@cfpc.ca.

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Classifications MeSH