Authors
Fernanda Adães Britto, Monique Nunes Fiuza Dias, Amanda de Araujo Batista-da-Silva, Fabiana Lustosa Gaspar, Lucas Galhardo de Araújo, Juliana Paranhos Moreno Batista, Luna Escorel Arouca, Carolina Maria Carneiro Dias, Fernando Augusto Bozza, Paula Bortolon
Published in
Ciencia & saude coletiva. Volume 31. Issue 5. Pages e24292025. Epub Dec 20, 2025.
Abstract
Primary Health Care is central to ensuring access to healthcare and is the preferred gateway to the Unified Health System. The municipality of Rio de Janeiro has made progress in coverage, but still faces challenges, especially in vulnerable areas. An innovative teleconsultation model was proposed in the Maré favelas compound, integrating public authorities (Ministry of Health and Rio de Janeiro Municipal Health Department), academia (Fiocruz), and community-based organizations (Redes da Maré). Therefore, this article presents the pilot implementation stages, emphasizing the territorial context, stakeholders involved, resources, and governance. It proposes a conceptual framework, combined with qualitative and quantitative methods, to describe the experience. A total of 1.017 teleconsultations were conducted (November 2024 to June 2025) with the following profiles: follow-up on recent appointments (58%), chronic conditions and life cycles (33%), acute conditions (5%), and prescription issuance (2%), even during territorial conflicts. However, barriers were encountered, such as difficulty using the tools, data insecurity, and accessibility. The model proved successful in its initial phase, providing support for a national teleconsultation policy for vulnerable territories.
PMID:
42385083
Bibliographic data and abstract were imported from PubMed on 02 Jul 2026.
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