Three decades of telemedicine in Brazil: mapping the regulatory framework from 1990 to 2018

Bibliographic Details
Main Author: Silva, Angélica Baptista
Publication Date: 2020
Other Authors: Silva, Rondineli Mendes da, Ribeiro, Gizele da Rocha, Guedes, Ana Cristina C. Menezes, Santos, Daniela Lacerda, Nepomuceno, Carla Cardi, Caetano, Rosângela
Format: Article
Language: eng
Source: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1371/journal.pone.0242869
Download full: https://arca.fiocruz.br/handle/icict/46050
Summary: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Direitos Humanos, Saúde e Diversidade Cultural. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Políticas de Medicamentos e Serviços Farmacêuticos. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
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spelling Silva, Angélica BaptistaSilva, Rondineli Mendes daRibeiro, Gizele da RochaGuedes, Ana Cristina C. MenezesSantos, Daniela LacerdaNepomuceno, Carla CardiCaetano, Rosângela2021-02-11T19:52:33Z2021-02-11T19:52:33Z2020SILVA, Angélica Baptista et al. Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018. PLoS One, v. 15, n. 11, p. 1-20, 2020.1932-6203https://arca.fiocruz.br/handle/icict/4605010.1371/journal.pone.02428691932-6203engPublic Library of ScienceTelemedicinaTelemedicineTelemedicineThree decades of telemedicine in Brazil: mapping the regulatory framework from 1990 to 2018info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Direitos Humanos, Saúde e Diversidade Cultural. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Políticas de Medicamentos e Serviços Farmacêuticos. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Direitos Humanos, Saúde e Diversidade Cultural. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Políticas de Medicamentos e Serviços Farmacêuticos. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Direitos Humanos, Saúde e Diversidade Cultural. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Políticas de Medicamentos e Serviços Farmacêuticos. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Hospital Federal dos Servidores do Estado. Departamento de Pesquisa e Ensino. Unidade de Telessaúde. Rio de Janeiro, RJ, Brasil.Faculdade Arthur Sá Earp Neto. Petrópolis, RJ, Brasil.Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.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.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://arca.fiocruz.br/bitstreams/cf024bbf-05e7-4ce1-ae5c-ee0c4dbb59fb/download5a560609d32a3863062d77ff32785d58MD51falseAnonymousREADORIGINALThreeDecadesTelemedicine.pdfThreeDecadesTelemedicine.pdfapplication/pdf1097154https://arca.fiocruz.br/bitstreams/4ffce8c2-444f-48e9-8fee-2db7b6faa3a3/download99d9e1f077fbcb7e085b12fcfbeb21ebMD52trueAnonymousREADTEXTThreeDecadesTelemedicine.pdf.txtThreeDecadesTelemedicine.pdf.txtExtracted texttext/plain98762https://arca.fiocruz.br/bitstreams/3e89d08e-a686-4992-bb9a-37915bf5e431/download57e1011531e7e039e1c3856e67ad442eMD59falseAnonymousREADTHUMBNAILThreeDecadesTelemedicine.pdf.jpgThreeDecadesTelemedicine.pdf.jpgGenerated Thumbnailimage/jpeg5968https://arca.fiocruz.br/bitstreams/5798990d-f9b8-4993-9d2d-6890364b4223/download05ad4de45e89ef056f1c71c2a1dfcbebMD510falseAnonymousREADicict/460502025-07-29 21:39:42.066open.accessoai:arca.fiocruz.br:icict/46050https://arca.fiocruz.brRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352025-07-30T00:39:42Repositório Institucional da FIOCRUZ (ARCA) - 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dc.title.none.fl_str_mv 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
spellingShingle Three decades of telemedicine in Brazil: mapping the regulatory framework from 1990 to 2018
Silva, Angélica Baptista
Telemedicina
Telemedicine
Telemedicine
title_short 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_sort Three decades of telemedicine in Brazil: mapping the regulatory framework from 1990 to 2018
author Silva, Angélica Baptista
author_facet Silva, Angélica Baptista
Silva, Rondineli Mendes da
Ribeiro, Gizele da Rocha
Guedes, Ana Cristina C. Menezes
Santos, Daniela Lacerda
Nepomuceno, Carla Cardi
Caetano, Rosângela
author_role author
author2 Silva, Rondineli Mendes da
Ribeiro, Gizele da Rocha
Guedes, Ana Cristina C. Menezes
Santos, Daniela Lacerda
Nepomuceno, Carla Cardi
Caetano, Rosângela
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Silva, Angélica Baptista
Silva, Rondineli Mendes da
Ribeiro, Gizele da Rocha
Guedes, Ana Cristina C. Menezes
Santos, Daniela Lacerda
Nepomuceno, Carla Cardi
Caetano, Rosângela
dc.subject.other.none.fl_str_mv Telemedicina
topic Telemedicina
Telemedicine
Telemedicine
dc.subject.en.none.fl_str_mv Telemedicine
dc.subject.decs.none.fl_str_mv Telemedicine
description Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Direitos Humanos, Saúde e Diversidade Cultural. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Políticas de Medicamentos e Serviços Farmacêuticos. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
publishDate 2020
dc.date.issued.fl_str_mv 2020
dc.date.accessioned.fl_str_mv 2021-02-11T19:52:33Z
dc.date.available.fl_str_mv 2021-02-11T19:52:33Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SILVA, Angélica Baptista et al. Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018. PLoS One, v. 15, n. 11, p. 1-20, 2020.
dc.identifier.uri.fl_str_mv https://arca.fiocruz.br/handle/icict/46050
dc.identifier.issn.none.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0242869
dc.identifier.eissn.none.fl_str_mv 1932-6203
identifier_str_mv SILVA, Angélica Baptista et al. Three decades of telemedicine in Brazil: Mapping the regulatory framework from 1990 to 2018. PLoS One, v. 15, n. 11, p. 1-20, 2020.
1932-6203
10.1371/journal.pone.0242869
url https://arca.fiocruz.br/handle/icict/46050
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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