Abstract
ABSTRACTOBJECTIVE To point out challenges and opportunities for the Brazilian Unified Health System (SUS) with the use of telemonitoring to face the increasing costs of non-communicable chronic diseases, based on its general panorama in Brazil, business dynamics and reapplication of data from American studies.METHODS Quali-quantitative approach with exploratory research. The field work focused on the analysis of the national market from private companies, since no experiences or studies related to this theme were identified in the SUS. To analyze the panorama and market dynamics, we investigated the offer of this technology based on the products and services available and their demand by reference hospitals the ten largest private health plan companies. To support the central discussion, we analyzed the reduction of costs with hospital admissions by the SUS due to chronic non-communicable diseases sensitive to telemonitoring (HCDST), using data from Datasus and some American studies from the MEDLINE/PubMed database.RESULTS Although in the embryonic phase, business agents search for new business opportunities, whereas public initiatives for the use of telemonitoring in collective health seem inexistent. The reapplication of U.S. data would reduce spending on HCDST and provide benefits, such as the reduction in emergency room care, acute hospitalizations, readmissions and home care time, among others, which point to even greater economic gains.CONCLUSIONS The development of a major project to reduce HCDST using this technology has the potential to advance in a comprehensive network of primary care, contribute to a greater dynamism of the national productive and innovative base and induce innovations along the chain of this emerging industry.
Highlights
Telemonitoring is one of the most important applications of telemedicine, characterized by telemonitoring of health data of a patient by a specialized center for monitoring, interpretation and analysis
RESULTS: in the embryonic phase, business agents search for new business opportunities, whereas public initiatives for the use of telemonitoring in collective health seem inexistent
There are few actions to expand its use in Brazil, especially by the SUS, despite the immense benefits pointed out by specialists and the evolution of telemedicine in the country in recent years, resulting from incentives of research promotion agencies and important government actions that resulted in the formation of infrastructure, teams and research centers in several academic institutions in the country
Summary
Telemonitoring is one of the most important applications of telemedicine, characterized by telemonitoring of health data of a patient by a specialized center for monitoring, interpretation and analysis. It has been considered important to address the growth in the costs of chronic non-communicable diseases (CNCD) by the national health systems, one of the main problems in the provision of health services worldwide[1,2,3]. CNCD are a global concern, impacting the goals established in the Millennium Development Goals, as they are responsible for the main causes of death in the world, with repercussions on the loss of quality of life and limitation of work and leisure, as well as on the economic impacts for families and health systems. The United Nations (UN) has instructed countries to develop action plans for their prevention and control[4,5]. Countries seek different approaches, among which telemonitoring has stood out as an important alternative
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