Cargando…
Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018
This study characterized the evolution of Brazilian public telemedicine policy in the Brazilian Unified Health System for 30 years from 1988 to 2019 by analyzing its legal framework. We identified 79 telemedicine-related legislations from the federal government (laws, decrees, and ordinances) and 31...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7688174/ https://www.ncbi.nlm.nih.gov/pubmed/33237947 http://dx.doi.org/10.1371/journal.pone.0242869 |
_version_ | 1783613658758119424 |
---|---|
author | Silva, Angélica Baptista da Silva, Rondineli Mendes Ribeiro, Gizele da Rocha Guedes, Ana Cristina Carneiro Menezes Santos, Daniela Lacerda Nepomuceno, Carla Cardi Caetano, Rosângela |
author_facet | Silva, Angélica Baptista da Silva, Rondineli Mendes Ribeiro, Gizele da Rocha Guedes, Ana Cristina Carneiro Menezes Santos, Daniela Lacerda Nepomuceno, Carla Cardi Caetano, Rosângela |
author_sort | Silva, Angélica Baptista |
collection | PubMed |
description | This study characterized the evolution of Brazilian public telemedicine policy in the Brazilian Unified Health System for 30 years from 1988 to 2019 by analyzing its legal framework. We identified 79 telemedicine-related legislations from the federal government (laws, decrees, and ordinances) and 31 regulations of federal councils of health professionals. Three historical phases were established according to the public policy cycle, and material was classified according to the purpose of the normative documents. The content analysis was based on the advocacy coalition framework model. Of the federal legislations, 8.9% were for the Formulation/Decision-Making phase, 43% for the Organization/Implementation phase, and 48.1% for the Expansion/Maturation phase of telemedicine policy in Brazil. The Federal Council of Medicine was the most active in standardizing telemedicine and was responsible for 21 (67.7%) regulations. The first legislations were passed in 2000; however, the coalitions discussed topics related to telemedicine and created their belief systems from the 1990’s. The time cycle which included formulation and decision making for Brazilian telemedicine policy, extended until 2007 with the creation of several technical working groups. The expansion and maturation of telemedicine services began in 2011 with the decentralization of telemedicine policy actions across the country. Telemedicine centers which performed telediagnosis influenced the computerization of primary health care units. We conclude that Brazilian telemedicine field has greatly grown and changed in recent years. However, despite the proliferation of legislations and regulations in the period studied, there is still no fully consolidated process for setting up a wholly defined regulatory framework for telemedicine in Brazil. |
format | Online Article Text |
id | pubmed-7688174 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-76881742020-12-05 Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018 Silva, Angélica Baptista da Silva, Rondineli Mendes Ribeiro, Gizele da Rocha Guedes, Ana Cristina Carneiro Menezes Santos, Daniela Lacerda Nepomuceno, Carla Cardi Caetano, Rosângela PLoS One Research Article This study characterized the evolution of Brazilian public telemedicine policy in the Brazilian Unified Health System for 30 years from 1988 to 2019 by analyzing its legal framework. We identified 79 telemedicine-related legislations from the federal government (laws, decrees, and ordinances) and 31 regulations of federal councils of health professionals. Three historical phases were established according to the public policy cycle, and material was classified according to the purpose of the normative documents. The content analysis was based on the advocacy coalition framework model. Of the federal legislations, 8.9% were for the Formulation/Decision-Making phase, 43% for the Organization/Implementation phase, and 48.1% for the Expansion/Maturation phase of telemedicine policy in Brazil. The Federal Council of Medicine was the most active in standardizing telemedicine and was responsible for 21 (67.7%) regulations. The first legislations were passed in 2000; however, the coalitions discussed topics related to telemedicine and created their belief systems from the 1990’s. The time cycle which included formulation and decision making for Brazilian telemedicine policy, extended until 2007 with the creation of several technical working groups. The expansion and maturation of telemedicine services began in 2011 with the decentralization of telemedicine policy actions across the country. Telemedicine centers which performed telediagnosis influenced the computerization of primary health care units. We conclude that Brazilian telemedicine field has greatly grown and changed in recent years. However, despite the proliferation of legislations and regulations in the period studied, there is still no fully consolidated process for setting up a wholly defined regulatory framework for telemedicine in Brazil. Public Library of Science 2020-11-25 /pmc/articles/PMC7688174/ /pubmed/33237947 http://dx.doi.org/10.1371/journal.pone.0242869 Text en © 2020 Silva et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Silva, Angélica Baptista da Silva, Rondineli Mendes Ribeiro, Gizele da Rocha Guedes, Ana Cristina Carneiro Menezes Santos, Daniela Lacerda Nepomuceno, Carla Cardi Caetano, Rosângela Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018 |
title | Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018 |
title_full | Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018 |
title_fullStr | Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018 |
title_full_unstemmed | Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018 |
title_short | Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018 |
title_sort | three decades of telemedicine in brazil: mapping the regulatory framework from 1990 to 2018 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7688174/ https://www.ncbi.nlm.nih.gov/pubmed/33237947 http://dx.doi.org/10.1371/journal.pone.0242869 |
work_keys_str_mv | AT silvaangelicabaptista threedecadesoftelemedicineinbrazilmappingtheregulatoryframeworkfrom1990to2018 AT dasilvarondinelimendes threedecadesoftelemedicineinbrazilmappingtheregulatoryframeworkfrom1990to2018 AT ribeirogizeledarocha threedecadesoftelemedicineinbrazilmappingtheregulatoryframeworkfrom1990to2018 AT guedesanacristinacarneiromenezes threedecadesoftelemedicineinbrazilmappingtheregulatoryframeworkfrom1990to2018 AT santosdanielalacerda threedecadesoftelemedicineinbrazilmappingtheregulatoryframeworkfrom1990to2018 AT nepomucenocarlacardi threedecadesoftelemedicineinbrazilmappingtheregulatoryframeworkfrom1990to2018 AT caetanorosangela threedecadesoftelemedicineinbrazilmappingtheregulatoryframeworkfrom1990to2018 |