The challenges of telemedicine in front of the medical – patient relationship in Covid-19 times
DOI:
https://doi.org/10.33448/rsd-v9i10.9379Keywords:
Doctor-patient relationship; Telemedicine; COVID-19.Abstract
Innovations in the health field have revolutionized the doctor-patient relationship. In this context, the worldwide technological advance has reinforced the importance of the relationship between medicine and technology, and in this way, telemedicine emerges as an alternative in coping with the pandemic caused by the new coronavirus. The objective is to identify the challenges that permeate the use of telemedicine and the impact of physical distance from the doctor-patient relationship during the pandemic caused by SARS-Cov-2. The search identified 24 articles, of which 12 were repeated and 4 escaped the proposed theme. Thus, after applying the pre-established inclusion and exclusion criteria, 5 studies remained. Among the selected publications, two are original articles, two are reflection articles, and one is a review article. In that, the prevalence of articles in the English language was observed, representing 87.5% of the total, when compared to the Spanish language (12.5%). All those who were elected for analysis were in 2020. The traditional relationship between the doctor and the patient is necessary for the development of the diagnosis, treatment and prevention of various diseases, however, this has undergone changes and innovations in recent times, mainly due to the advent of Covid-19, which changed this relationship. The study showed that there are still many barriers to be overcome in the context of the use of telemedicine in the field of health, practice presents some obstacles regarding its performance, especially when there is a need for a physical examination and intervention in more serious conditions.
References
Almeida, J. P, Vieira, L. T. Q, Diniz, L. T. G, Martinelle, M. F. S. (2019). Telemedicina e bioética: o futuro é agora. Revista Bioética Cremego, 1(1), 41-45. Recuperado de https://revistabioetica.cremego.org.br/cremego/article/view/6.
Bergman, D., Bethell C., Gamboiav, N., Hassink, S., Stange, K.C. (2020) Physical Distancing With Social Connectedness. Ann Fam Med, 18(3), 272-277. Recuperado de https://pesquisa.bvsalud.org/controlecancer/resource/pt/mdl-32393566. doi: 10.1370/afm.2538.
Caetano, R. et al. (2020) Desafios e oportunidades para telessaúde em tempos da pandemia pela COVID-19: uma reflexão sobre os espaços e iniciativas no contexto brasileiro. Cad. Saúde Pública 36(5), e00088920. Recuperado de https://www.scielo.br/scielo. php?script=sci_arttext&pid=S0102-311X2020000503001. doi: 10.1590/0102-311X00088920.
Chaet, D, Clearfield, R, Sabin, JE, Skimming, K. (2017). Ethical practice in Telehealth and Telemedicine. Journal of general internal medicine, 32(10), 1136-1140. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602756/pdf/11606_2017_Article_4082.pdf. doi: 10.1007/s11606-017-4082-2.
Gil, A. C. (2010) Como elaborar projetos de pesquisa. (5th ed.) São Paulo: Atlas; 55-60.
Hamza, M., Khan, H. S., Sattar, Z. A., Hanif, M. (2020). Doctor-patient communication in surgical practice during the coronavirus (COVID-19) pandemic. Br J Surg, 107(7), e193. Recuperado de https://pesquisa.bvsalud.org/portal/resource/pt/covidwho-165395. doi: 10.1002/bjs.11661.
Hinckley, N. B., Henley, M. B., Mclntyre, L., Stiefel, E., Davison, J., Chhabra, A. (2020). Orthopaedic Documentation and Coding Primer for Telemedicine and Electronic Patient Communication for the COVID-19 Pandemic. J Bone Joint Surg Am. 102(13), 1105-1108. Recuperado de https://search.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/pt/covidwho-244682. doi: 10.2106/JBJS.20.00649.
Holstead, R. G., Robinson, A. G. (2020). Discussing Serious News Remotely: Navigating Difficult Conversations During a Pandemic. JCO Oncology Practice, 16(7), 363-267. Recuperado de https://ascopubs.org/doi/full/10.1200/OP.20.00269. doi: 10.1200/OP.20.00269.
Houchens, N., Tipirneni, R. (2020). Compassionate Communication Amid the COVID-19 Pandemic. Journal of Hospital Medicine, 15(7), 437-439. Recuperado de https://www.journalofhospitalmedicine.com/jhospmed/article/223583/hospital-medicine/com passionate-communication-amid-covid-19-pandemic. doi: 10.12788/jhm.3472.
Michelin, L., Lins, R. S. Falavigna, A. (2020). COVID-19: perguntas e respostas Centro de Telemedicina da UCS. Ciênc. saúde coletiva, 25(9): 28-30. Recuperado de https://scielosp.org/article/csc/2020.v25n9/3685-3686/pt/. doi: 10.1590/1413-81232020259.14452020.
Quispe-Juli, C. Ethical considerations for practice of telemedicine in Peru: challenges in the time of covid-19. Pre-print. Recuperado de: https://preprints.scielo.org/index.p hp/scielo/preprint/view/759/1032. doi: 10.1590/SciELOPreprints.759.
Rother, E. T. (2007). Revisão sistemática X revisão narrativa. Acta paulista de enfermagem, 20(2), v-vi. Recuperado de https://www.scielo.br/pdf/ape/v20n2/a01v20n2.pdf.
Waller, M, Stotler, C. (2018). Telemedicine: a primer. Current allergy and asthma reports, 18(10), 54. Recuperado de https://pubmed.ncbi.nlm.nih.gov/30145709/. doi: 10.1007/s11882-018-0808-4.
Wang, C. et al. (2020). The establishment of reference sequence for SARS‐CoV‐2 and variation analysis. Journal of medical virology, 92(6), 667-674. Recuperado de https://onlinelibrary.wiley.com/doi/full/10.1002/jmv.25762. doi: doi.org/10.1002/jmv.25762.
Xu, T., Pujara, S., Sutton, S., Rhee, M. (2018). Peer reviewed: Telemedicine in the management of type 1 diabetes. Preventing chronic disease, 15, E13. Recuperado de https://www.cdc.gov/pcd/issues/2018/17_0168.htm. doi: doi.org/10.5888/.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Alynne Maria de Brito Medeiros; Bruna Caroline Ribeiro Beltrão; Francisco José de Oliveira Neto; Ana Vitória Dias de Souza; Thereza Beatriz Avelino de Carvalho; Danielle Alves Torquato; Karla Emília Lima da Silveira; Maria Fernanda Soares de Correia; Maria Fernanda Araujo de Miranda; Brenda Khatarine Oliveira de Sousa Martins; Lara Judith Vieira de Melo Castro; Hugo Feliphy Pereira Rocha; Andressa Mardônia Lacerda Marreiros Nogueira; Marilda Rodrigues Rebêlo; Matheus Furtado de Almeida; Renata Paula Lima Beltrão; Augusto César Beltrão da Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.